Delegation & Prioritization
This healthcare specialty has a limited scope of practice to primarily do Vital Signs, I&O, toileting and hygiene.
What is a CNA?
This form of question is the best way to solicit information from a patient to get them to talk about their pain.
What is an open-ended question?
Menstrual period 4 weeks late, consent issues, family history of anesthesia complications are examples of this.
What are things a nurse should notify the provider of before surgery?
This procedure is done prior to any invasive procedure, and likely includes the patient when possible.
What is a "Time Out"?
This electrolyte can cause kidney stones with too much and facial twitch (Chvostek's) with too little.
What is Calcium?
This is not a RN, but is able to administer oral medications, FSBS, IVPB, and IV fluids.
What is an LPN or LVN?
This type of pain is described as a patient who is on chronic pain meds suddenly gets worse pain.
What is Break through pain?
Patients with allergies to Bananas and Avacados have an increased likelihood of being allergic to this material used in surgery.
What is Latex?
The CRNA, Circulator, Scrub are examples of this.
What are nurses' roles in the OR?
This electrolyte has decreased DTRs with too much, and cardiac excitability (Torsades) with too little.
What is Magnesium?
Always have reflex hammer and regularly assess DTRs when administering.
This nursing role is responsible for care of the patient beyond their hospitalization, but also helps with care at home.
What is a case manager (care coordinator)?
This occurs when a patient in pain has increased respirations, BP, HR, and refuses to participate in activities and CDB.
What is uncontrolled pain?
Patients should not walk to the bathroom after receiving these pre-operative medications.
What are sedatives?
A low grade fever (100.5F) on the 2nd day post-op is likely due to this.
What is a natural inflammatory response?
Too little of this electrolyte can make someone confused, but too much can cause crackles in the lungs.
What is Sodium?
When assigned to several patients, these issues often trump all others and become the highest priority to the nurse.
What are ABCs?
Any patient receiving Opiates (PO, transcutaneous, or IV) must be monitored for this.
What is the respiratory status?
The responsibility for teaching and assessing in the pre/intra/post op phases of care rely on this position.
What is the Registered Nurse?
assistive personnel work in these areas, but still have a limited scope of practice.
This happens when post-op patients refuse to ambulate, cough, deep breath, use incentive spirometer.
What is atelactesis?
(acceptable answer is pneumonia if atelactesis is NOT addressed)
This term is used to describe the following ABG:
PH 7.20 PaCO2 38 HCO3 18
What is Metabolic Acidosis?
This healthcare professional is responsible for assessing, teaching, communicating, and the over all care of the patient. They can administer IVP meds and blood products as well.
What is a Registered Nurse
This medication is considered a "reversal" for opiates.
What is Narcan (Naloxone)?
The responsibility for the consent to be signed prior to surgery rests on this healthcare professional.
What is the surgeon?
The RNs role may be to witness the signature, and to make sure is it signed prior to transfer.
This area before the operating room does not allow people with outside clothes to enter.
What is the Restricted Area?
Bicarb can be given to help someone with this disorder.
What is acidosis?