Nutrition
NG TUBES
Oxygenation
Medications
Misc
100
Why do you do a swallow assessment?
(What is )Checking for risk of aspiration.
100
You just received a patient from the ED with an xray confirming bowel obstruction. He is nauseous and throwing up green bile. What do you anticipate the doctor will order?
(What is) an NG tube to decompress the stomach).
100
These respirations are regular but increased in rate and abnormally deep. Often seen in Diabetic Ketoacidosis.
What are Kussmaul's respirations.
100
1mg=___________________________mcg
1000mcg
100
Appropriate size needle for an IM injection
Valentine's day. Get you kids, significant other or yourself a card.
200
What type of diet is used for a pt. with poor dentition or oral pain with chewing?
(What is) mechanical soft
200
How do you measure an NG tube to be inserted?
(What is) the tip of the nose to the ear lobe to the xiphoid process).
200
Vital signs:
Respiratory rate 9 breaths per minute
Heart rate 48
Circumoral and fingertip cyanosis.
Early or late signs of hypoxia?
Late.
early signs... pallor,tachycardia, tachypnea, nasal flaring, accessory muscle use, adventitous sounds early.
200
1 teaspoon = _____ml
5ml
200
What angle will you give a subcutaneous injection on someone with a BMI of 17.5
45 degrees
300
Your patient's calcium is 7.8 mg/dl. What foods do you recommend?
What are Broccoli, kale, dairy, fortified grains, bananas, and fatty fish.
300
What do you need at bedside to prepare to insert an NG tube?
Oxygen, suction, ng tube, penlight, tape, ph strips, emesis basin, medicine cup, drinking cup with straw)
300
Your patient is receiving oxygen at 5L/minute via n.c. and describes a very dry mouth and nose. What 2 nursing interventions can you do to provide comfort?
Humidify and oral care BID.
300
List the 4 processes of pharmacokinetics
1. Absorption
2. Distribution
3. Metabolism.
4. Excretion
300
You administer a PPD injection and no wheal formed. What happened?
Given incorrectly.
400
Your patient just came back from an exploratory laparotomy and states, "I'm thirsty." What do you do?
(What is) Auscultate bowel sounds.
400
You have just inserted an NG tube. Your ph strip measures 4. You have a scant amount of gastric contents. Before you use it, what do you do?
(What is) get xray confirmation.
400
Your patient has had a high flow mask on for the last 48 hours. On initial assessment the patient descibes substernal pain, nonproductive cough and n/v. What complication do you suspect?
Oxygen toxicity: nonproductive cough, substernal pain, n/v, fatigue, dyspnea, restlessness, paresthesias.
Titrate oxygen down to low flow as tolerated to maintain an adequate spo2. Notify the doctor. ABGs.
400
Ibuprofen 325 mg po q 4 hours prn are all acceptable abbreviations?
True
400
What are the landmarks for the vastus lateralis injection?
Greater trochanter and knee.
500
Your patient just came back from bowel surgery and is requesting "something greasy" and told his wife to get him a hamburger from In and Out. What do you do?
(What is) explain to wife you need to start him on clear liquids, then full liquids and go from there. Observe for n/v.
500
Your NPO patient with an NG tube received orders to give all medications thru NG. He is ordered
Toprol XL 50 mg now and
Magnesium 400 mg now
How do you administer?
You can not crush XL!
(What is) Crush meds separately and flush tube with 30 ml warm water, med, flush tube, med, flush tube.
500
The upper and lower airway is considered sterile?
False.
500
Your patient just received a diuretic . Fluid intake 500 ml on your shift. Fluid output was 900 ml. Was the diuretic effective?
Yes. Normally we want I=O. In this case we want more output since the purpose of the medication is to get rid of extra fluid.
500
Where is the greater trochanter?
