All In...
Pavik harness is used to children under what age?
a. 1 year
b. 2 years
c. 9 months
d. 6 months
d. 6 months
Carol hates what drug? What drug does she believe is the future!
A. Marijuana, Cannabidiols (CBD)
B. Marijuana, Melatonin
C. Dranobinol, Nabilone
A. Marijuana, Cannabidiols (CBD)
Scoliosis is when the spine has a ____ of at least ____.
A. Hump, 10 deg
B. Lateral curve, 10 deg
C. Lateral Curve, 15 deg
D, Hump, 15 deg
B. Lateral curve, 10 deg
The _____ is ______ in carpal tunnel syndrome. The _____ of this nerve causes numbness & tingling.
A. vagal nerve, stimulated, stimulation
B. median nerve, inflamed, inflammation
C. nerve, infected, swelling
D. median nerve, compressed, compression
D. median nerve, compressed, compression
Resource: Lecture PP
Sinus bradycardia originates in what part of the electrical conduction system?
A. AV node
B. SA node
C. Bundle Branches
D. Bundle of His
B. SA node
a child not saying things like mama and dada by the age of nine months should be reported to the health care provider for further observation?
True or False?
True
Ephedra a drug banned in the USA can have serious interaction on those who have problems with their..
a. GI
b. Cardiovascular system
c. respiratory system
d. reproductive organs
b. Cardiovascular system
The Boston brace is used for thoracic and major double curves.
True or False
If false explain what the boston brace is and what brace is indicated for thoracic and major double curves.
False
The CTLSO Milwauke brace is used for thoracic and major double curves
The nurse is caring for a client who is undergoing endoscopic carpal tunnel release surgery on both wrists, who's wife is sitting bedside. The client is expressing anxiety about recovery and being able to preform ADL's. What is the nurses best response?
A. Iniate a conversation with the client and his wife. Explain that independent care is expected to be impaired for a few days following the procedure. Together the three of us can develop a plan to ensure your ADL's will be taken care of while your recover.
B. Tell the client that the inability to preform ADL's a few days postop is expected. Explain to the client that he should have already had plans in place before coming for his procedure.
C. First assess the client's anxiety level and give a sedative to calm him down. Afterwards a conversation can take place.
D. Refer the client to social work.
A. Iniate a conversation with the client and his wife. Explain that independent care is expected to be impaired for a few days following the procedure. Together the three of us can develop a plan to ensure your ADL's will be taken care of while your recover.
Source: Brunner & Suddarth pg 1166
What are the common causes of NSB?
A. Fear, excessive vagal stimulation, drug use
B. Increased vagal stimulation, +inotropic drugs, hypoxia
C. Atropine, MI, hypoxia
D. Increased vagal stimulation, hypoxia, channel blockers
D. Increased vagal stimulation, hypoxia, channel blockers
Source: Lecture PP slide #46
Your looking at an EKG strip and notice a pattern... PR intervals are getting progressivly longer until a QRS complex drops off, this pattern then repeats. Which is happening?
a. anticipate asystole
b. vfib
c. mobitz type 1
d. 3rd degree heart block
c. mobitz type 1
Your client tells you they typically take melotonin before their 30 min drive home so they can get into bed and fall asleep faster. How should the nurse respond?
a. make sure you wear your seatbelt!
b. educate the client about the sedative properties of melatonin and advise them not to operate heavy machinery for at least 5 hours after taking.
c. tell the client he is wrong and not to do this
d. report the client to social work.
b. educate the client about the sedative properties of melatonin and advise them not to operate heavy machinery for at least 5 hours after taking.
A major complication of scoliosis is what?
A. gait issues
B. impaired self esteem
C. malnutrition
D. impaired oxygenation
D. impaired oxygenation
Source: Brunner & Suddarth scoliosis picmonic
Spinal curvature may affect the structure of the chest wall and cause rib asymmetry. Scoliosis may affect the patient's ability to breathe and lead to impaired oxygenation.
Phalen's maneuver is when the median nerve is tapped in order to provoke pins and needles & observe irritation. The test is used as a diagnostic tool for carpal tunnel syndrome.
True or False?
If true provide further explanation
If False explain what the Phalen's maneuver is.
False.
The test described in the question is the Tinel's test, The test is done as described. A positive test would indicate CS.
BONUS: is a positive Tinel sign the end all diagnostic tool used for CS?
A middle aged athletic male is being cared for on your unit in the pacu. He just had a procedure done to fix a tore ligament and underwent general anesthesia. He is hooked up to continuous cardiac monitoring. His screen reads a rate of 50, rhythm regular, with PR intervals <.20 and QRS complexes <.12. The client is drowsy, with a RR of 14. What is the nurses first intervention?
A. Prepare the client for CPR/ Defib
B. Prepare Atropine IVP
C. Ensure the client is comfortable, and document findings.
D. Have the client get up and walk around
C. Ensure the client is comfortable, and document findings.
Normal Sinus Bradycardia can be a normal finding in some people like athletes. If NSB is asymptomatic there is no intervention. The client just underwent general anesthesia so he is expected to be drowsy, and having him walk before the anesthesia wears off is a saftey concern.
On the monitor your client is showing stable monomorphic ventricular tachycardia with a pulse. What should the nurse anticpate?
a. immediate cardioversion or defib
b. amiodarone followed by cardioversion if necessary
c. magnesium followed by defib is necessary
d. atropine IV bolus
b. amiodarone followed by cardioversion if necessary
source: lecture pp #72
•Patients who are stable are treated with IV antiarrhythmics (e.g., Amiodarone) followed by cardioversion if necessary.
•Patients who are unstable or pulseless are considered for immediate cardioversion or defibrillation.
Which meds enhance the effects of warfarin?
a. Ginger, Ginko, Garlic, Ginseng
b. Ginger, Ginko, Garlic, melatonin
c. cannabis, ginseng, green tea extract
b. Ginger, Ginko, Garlic, melatonin
Open ended!
At what age is scoliosis screening done and why? Why is early detection important?
A. 10-16 years. Scoliosis often develops during growth spurts or puberty. Early detection can help determine and manage expected future growth of the curve.
____,____,_____ are evidence based non-surgical interventions for carpal tunnel. However _____ is an ineffective therapy.
A. laser therapy, wrist splints, NSAIDS, yoga
B. laser therapy, NSAIDS, corticosteroids (po & injections), acupuncture
C. NSAIDS, corticosteroids (po & injections), wrist splints, yoga
D. wrist splints, NSAIDS, corticosteroids (po & injections), yoga
D. wrist splints, NSAIDS, corticosteroids (po & injections), yoga
Source: Brunner & Suddarth pg 1164
These are not the only recommended effective & ineffective therapies.
A female is bought into the emergency room by medics complaining of difficulty breathing, sweating, shivering, hypotension, chest pain when coughing, and altered mental status. The emergency staff has ruled out MI. The provider has order sputum cultures, CBC, and additional chest imaging. While the nurse waits for results to come back the client is hooked up to continuous cardiac monitoring where the client is in constant NSB and has abnormally low sats. The client received Atropine IV bolus and is still experiencing brady. What order should the nurse anticipate ?
A. amiodarone IVP
B. Transcutaneous pacer, Dopamine or Epinephrine infusion
C. CPR/ Defib
D. 2 liter of 02 a minute via nasal cannula, and NSS
B. Transcutaneous pacer, Dopamine or Epinephrine infusion
The client is having symptomatic bradycardia with hypotension and altered mental status. Atropine IV bolus, transcut pacing, and dopamine/epi infusion are indicated.
Source: Lecture PP #48
When looking at a strip you see p waves and qrs complexes. You notice they are regualr but seem to have a different rate. The p wave has a normal rate >60 <100. The QRS has a slower rate at 30. What is happening?
A. 3rd degree AV block
B. Afib
C. Vtach
D. artifact
A. 3rd degree AV block
Which herbs interact with pregnancy?
a. fennel, marijuana, goldenseal
b. goldenseal, kavakava, cranberry
c. goldenseal, eucalyptus oil, fennel
a. fennel, marijuana, goldenseal
A 11 year old boy was screened by the school nurse for scoliosis upon the nurses recommendation the child was seen and diagnosed by his Dr. The Dr wants the child to year a brace. the child does not want to wear the brace and his mother asks weather or not surgery would be an option for him. What is some educational that should be provided?
A. The brace should be worn 18 hours a day
B. Spinal fusion surgery will inhibit growth and is typically reserved when the brace did not help or when pulmonary function is compromised.
C. Wear the brace 23 hours a day, wear a cotton shirt under the brace, and maintain good skin integrity.
D. Wearing the brace to school is optional but should be worn to sleep.
B. Spinal fusion surgery will inhibit growth and is typically reserved when the brace did not help or when pulmonary function is compromised.
Source: Lecture PP, Brunner & Suddarth
In the following question select answer choices which relate to the effected portion of the hand seen in CS.
Carpal tunnel syndrome may cause tingling in the ____, and two or three _____. Carpal tunnel may also effect the _____.
A. thumb, fingers, palm
B. elbow, fingers, shoulder
C. shoulder, toes, foot
A. thumb, fingers, palm
Resource: Lecture PP
While B may have been a possible choice, A is the best choice because pain & discomfort will start here and may go on to effect the elbow, shoulder etc.
Which medication below should not be used for the treatment of sinus bradycardia in a patient with a transplanted heart?
A. Isoproterenol
B. Atropine
C. Epinephrine
D. Glucagon
B. Atropine