Vital Signs
what is the clinical term for HR <60 bpm ?
bradycardia
what does "STAT" mean on a med order?
immediately without delay
why is aspiration no longer recommended for IM injections?
No large blood vessels lineup with common injection sites and causes unnecessary pain
Your pts SPO2 is 87% on room air. what is your next actions ?
reassess , is it accurate?
change probe location. what position are they in? sit 90/high fowlers. if still not changing, apply supplemental O2, start low. Reassess. Notify MD of change.
If it does NOT increase, update charge, ask for RT
> team will help you<
what food never spoils?
honey
what two vital signs change first in early hypovolemic shock?
increased HR and increased respiratory rate
which med route have the fastest absorption rate (other than IV)?
sublingual (SL)
why is deltoid not preferred for larger IM injections?
**how much can we inject in one IM injection?
small muscle, risk of nerve injury
**3mL
your diabetic patient is shaky, diaphoretic and confused. what to do first?
assess BGL. react accordingly
in what year was the first iphone launched
2007
if an adults BP is 142/92 , how would you classify it?
stage 2 hypertension
why cant you crush sustained-release or enteric coated tablets?
alter absorption rate -toxicity or gastric irritation
your patient on droplet precautions wants to leave their room. what must they do?
wear a house coat and wear a surgical mask
your patient is infusing a new IV antibiotic, suddenly has hives and difficulty breathing. what is happening and what should you do?
anaphylaxis. intervene immediately, stop the med, call for help, maintain airway. "rapid response" or "RT"
what two countries share the longest international border in the world?
Canada and USA
which vital sign is considered the "6th vital sign""?
pain - subjective data but critical for assessments
your patient is prescribed DIGoxin. which vital sign must you check before giving it and why?
Apical pulse
apical pulse specifically hold if <60 bpm.
where is apical, how long do we assess
during catheter insertion, you contaminate your sterile glove. what is the next step?
change sterile glove, re-establish sterility before proceeding
You walk in and find your patient shaking in the bed, body stiff, foam at the mouth. what are your first 3 nursing actions?
ensure safety (protect the head), position on side, maintain airway while monitoring SPO2. Call for HELP. Do not leave pt unattended.
also note time it started and ended
these are BRAND names, what is the generic name?
TYLENOL-Restoralax
-Lasix -Advil
acetaminophen- polyethylene3350 -Furosemide- Ibuprofen
your post op patient BPdrops20 when standing.name the condition and why it matters?
orthostatic hypotension - risk for falls, hypo-perfusion
you give 5 units of insulin instead of 10. whats your next steps
reassess patient and BGLs
report error - notify MD - complete RLS - act on new orders
your pts IV is swollen, cool and has no blood return. what complication is this and what to do about it?
inflitration/ interstiatal
stop IV, remove IV, elevate, apply compress
initiate new IV
Pt with HF C/O weight gain, increasing SOB. you hear crackles throughout the bilat lungs. what are you anticipating in the Dr orders. what common ___ and what does it do? what mgiht we see happen in a specific vital sign?
administering Diuretic.
Lasix AKA furosemide. Acts on the kidneys to increase the flow of urine, a loop diuretic. decrease in BP.
TE times T = message
TO times IN = poison
E times ?? = leave
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