BUBBLELE
HEAD TO TOE
ADMISSIONS
MEDICATIONS
EDUCATION
100

What does BUBBLELE stand for

What is breasts, uterus, bladder, bowel, lochia, episiotomy, lower leg and emotional response?

100

Your patient is a fresh CS with diminished lung sounds. What nursing intervention would you use?

What is incentive spirometer?

100

You just got a fresh vag admission. How often do you check the patient?

What is initial and 30 min assessment?

100

Your patient is complaining of constipation and inability to pass gas. What meds can you offer?

What is colace, miralax, and senna? For gas, what is simethicone or maalox? 

100

Your patient is a G1P1 and calls you in because she felt a gush of blood come out? What are your next steps?

What is check her fundus and bleeding?

200

Your patient is a day 3 CS who has been exclusively breastfeeding. She calls you because she is experiencing a lot of pain in the breasts and upon assessment, her breasts feel tight and firm. What is she experiencing?

What is engorgement?

200

Your patient is a fresh vag and upon first ambulation, she states feeling lightheaded and dizzy. What are your interventions?

What is orthostatic vital signs, steady/bedpan?
200

Your patient is a fresh CS and baby went straight to the NICU for resp. distress. How soon should you get the patient hand expressing and pumping?

What is within 6 hours?

200

Your patient is a fresh CS complaining of 8/10 pain. She is nauseous and vomiting. What can you give the patient?

What is IV tylenol and toradol?

200

Your patient states her bladder hurts in the morning and she experiences some incontinence because she is too tired to void in the middle of the night? What are your recommendations?

What is voiding Q2H to prevent incontinence and risk for bleeding d/t full bladder?

300

On admission, you assess the fundus and note it is 2/U and to the right? What is your next step?

What is get the patient up to void?
300

Your patient's legs are swollen bilaterally +2. The patient has been walking around in the hallway. What interventions would you offer?

What is ted hose/SCD, elevate the legs when in bed above heart level, and drink lots of water?

300

You just got a fresh admit from L&D but the baby was not at bedside due to needing warming. The baby comes 2 hours later. What should you do?

What is check the ID band, place a security tag, and perform a full assessment?

300

Your patient is O negative and received rhogam in pregnancy. What would warrant the patient to receive a second dose postpartum?

What is baby is RH positive?

300

Your patient is a day 2 vag and has been breastfeeding exclusively. She calls you because she feels like she doesn't have enough milk and wants to know if she should supplement? What do you tell her?

What is mentioning appropriate diaper output, weight, s/s of dehydration in the baby? What is milk production stages?

400

Your patient calls you 12 hours postpartum complaining of lower extremity pain. Upon assessment, you notice her right leg is slightly bigger than the left and warm to touch. What is your next step?

What is call the MD to state findings for a possible DVT. 

400

The patient has IV iron infusing and she calls out stating her IV site hurts. What are your next steps?

What is stop the infusion and assess for PIVIE. 
400

What are 3 handouts you can find in the admission folder?

What is Injoy education form, birth certificate, hep B, car seat, warning signs? 

400

Your patient's hemoglobin result was low but not critical. What do you expect the MD to order?

What is ferrous sulfate/ IV iron?

400

Your patient is wondering why you brought pump supplies in her room. Her baby has been at bedside. What are indications to get the patient pumping?

What is excessive weight loss >10%, supplemental feeding, and high TSB?

500

Your patient scored low on the EPDS but you notice on the last question regarding harm to oneself, she answered "sometimes." What is your next step?

What is see if she has an active plan/investigate more, notify the MD and place a social work order?

500

The patient is morbidly obese and when you go to check the incision, you notice the area is slighly moist, but still looks okay. What would you educate the patient to do and what signs would you have her look for?

What is place interdry at all times, keep the area clean and dry and watch for redness, swelling, foul odor?

500

Your patient was a CS whose procedure finished at 1230. What are your ERAs times and activities?

What is dangle, saline lock and regular diet at 1630, up ambulating at 2030 and foley out at 2330?

500

Your patient was afebrile in L&D but upon admit, she has a fever of 39.6C. You contact the doctor and they call the patient chorio. What meds would you give the patient?

What is ampicillin, gentamicin, clindamycin? (also would accept cefoxitin)

500

Your patient is discharging and has been exclusively breastfeeding. She asks about the need for contraceptives. What would you say to the patient?

What is the patient still needs a form of contraceptive because exclusively breastfeeding is not reliable. The patient can recieve an IUD, nexplanon, depo, or micronor?

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