Liver, Gallbladder, Pancreas
Brain
Spine
Oncology
Urinary Problems
Renal
Hematology
Musculoskeletal
Neuro Emergencies
GI
100
The nurse would monitor a patient with long-term cirrhosis for this likely complication.
(Give 1 answer)
What is
Portal hypertension, ascites, esophageal varices, billiary obstruction, or hepatic encephalopathy
100
This symptom is commonly an early sign of a migraine with aura.
What is
Visual disturbance? (ex. flashing lights)
100
A nurse can help prevent low back pain by using proper _____ during patient care.
What is
Using proper body mechanics or ergonomics?
100
This type of radiation therapy for cancer treatment poses no radiation hazard to others immediately following the treatment.
What is
External beam radiation?
100
Keeping an indwelling foley catheter longer than is medically necessary can lead to this common hospital-acquired infection.
What is
A CAUTI?
100
The nurse should never do this on the same arm as an AV fistula or graft.
(Give 1 answer)
What is
Take BP readings, perform venipuncture/IV access?
100
What lab finding supports the diagnosis of thrombocytopenia?
What is
Decreased platelets?
100
This type of surgery is done to repair fractures and realign bones using internal implants such as rods, screws, and plates.
What is
Open Reduction and Internal Fixation (ORIF)
100
Name 4 signs of a stroke.
What is
Loss of balance, weakness in arms or legs, slurred speech, facial droop, blurred vision
100
Crohn's disease can cause _______ of vital nutrients such as proteins, fats, carbohydrates, vitamins, and electrolytes.
What is malabsorption?
200
Oh no! Your patient has cirrhosis. You expect this procedure to remove the excess fluid in the abdomen.
What is
Paracentesis?
200
A patient with suspected meningitis will need to have this procedure for the provider to obtain a sample of cerebrospinal fluid (CSF) for analysis.
What is
A lumbar puncture?
200
A patient with a spinal cord injury might be prescribed the medication enoxaparin (Lovenox) for this reason.
What is
To prevent DVTs/blood clots?
200
This type of cancer prevention includes avoidance of known carcinogens, modifying risk factors, and receiving vaccines.
What is
Primary cancer prevention?
200
To assist with urge incontinence, a nurse is teaching a patient to hold their urine for an additional 30 minutes after they feel the urge to void. This type of training is called_____.
What is
Bladder training?
200
This nursing intervention is important for reducing fluid volume in a patient with chronic kidney disease (CKD) experiencing fluid overload.
What is implement fluid restriction or administer prescribed diuretics?
200
This is the key sign that will differentiate Transfusion-Associated Circulatory Overload (TACO) from Transfusion-Related Acute Lung Injury (TRALI).
What is fluid volume overload?
The key difference is that TRALI is an acute lung injury unrelated to volume overload, while TACO is a direct result of volume overload straining the cardiovascular system.
200
This pain disorder can occur after amputation or paralysis due to the brain's inability to recognize the limb's absence.
What is phantom limb pain?
200
Before TPA is given to a stroke patient, these 2 pieces of information must be known.
What is
The time of symptom onset and type of stroke?
(TPA must be given within 3- 4.5 hours of symptom onset, Hemorrhagic stroke pts cannot receive TPA)
200
This potentially life-threatening complication of peptic ulcer disease requires urgent surgical intervention.
What is perforation?
300
It is important to teach patients this simple action to help prevent the spread of hepatitis A.
What is handwashing?
Hep A oral-fecal route
300
Give one example of a distraction technique that could be used on a patient with Alzheimer's disease to prevent wandering.
What is
What is folding laundry, toys/crafts, baby dolls/stuffed animals, snacks, sit at nurses' station or in community area with supervision, have family visit?
NOT RESTRAINTS!!!
300
When these are seen on an MRI of the brain or spine, it is a definitive sign for diagnosis of multiple sclerosis?
What are
Plaques?
300
What acronyms is helpful to remember the warning signs of cancer?
What is CAUTION?
C - Change in bowel or bladder habits
A - A sore that does not heal
U - Unusual bleeding or discharge
T - Thickening or lump
I - Indigestion or difficulty swallowing
O - Obvious change in a wart or mole
N - Nagging cough or hoarseness
300
A patient who had 500 ml of urinary output over the past 24 hours averaged less than the minimum hourly urinary output rate of __ml/hr.
What is
30mL/hour.
300
A patient with urinary reflux due to abnormal ureters is at risk for this kidney complication.
What is
Hydronephrosis or pyelonephritis?
300
The nurse is teaching a client who has pernicious anemia about necessary dietary changes. What is a food suggestion that the nurse could include in her teaching?
What is
Animal proteins, milk, eggs, or fish.
300
This type of severe musculoskeletal injury often results from a heavy force applied over a body part.
What is a crush injury?
300
A patient with a TBI has a BP of 200/90, HR of 46, varied RR of 10-20, and is newly confused. The nurse suspects this is occurring.
What is
Increased intracranial pressure?
300
After an esophagectomy, this interdisciplinary team member would be the priority.
What is respiratory?
400
When your patient is yellow, expect this lab to be elevated.
What is
Bilirubin
400
A patient at risk for this neurological condition will have oxygen and suction equipment in the room, as well as padded bed rails.
What is
Seizures
400
A patient with a spinal cord injury is at risk for this neurological emergency due to a distended bladder.
What is
Autonomic dysreflexia?
400
Signs of this oncological emergency include edema of the face, congestion of vessels and erythema of the upper body (chest, arms, hands), and dyspnea. It is associated with late-stage disease and has a poor prognosis.
What is
Superior vena cava (SVC) syndrome?
400
Spicy foods, citrus, and caffeine are bladder ______ and can make pain during a UTI worse.
What are irritants?
400
Your patient with end-stage kidney disease has this physical sign that indicates elevated urea or advanced uremic syndrome.
What is
Uremic frost
(Urea crystals on skin or eyebrows)
400
You are providing patient teaching for a patient with sickle cell disease. Name 2 things you would include in your teaching on preventing a sickle cell crisis.
What is
Stay hydrated- drink 8-10 glasses of water per day. Avoid temperature extremes. Avoid strenuous physical activity. Get the pneumonia and flu vaccine.
400
List 2 possible complications from a total hip arthroplasty.
- Venous thromboembolism (deep vein thrombosis and pulmonary embolism) - Dislocation of the hip prosthesis - Infection at the surgical site - Fracture of the bone around the implant - Leg length discrepancy - Nerve injury causing numbness, tingling or weakness - Heterotopic ossification (abnormal bone formation)
400
A client who is experiencing a traumatic brain injury has increasing intracranial pressure (ICP). What drug will the nurse anticipate to be prescribed for this client?
What is
Mannitol? This drug can only be given IV and needs to be given using an in-line filter to prevent crystallization.
400
A nurse is caring for a patient who received a partial gastrectomy 3 days ago. The patient is experiencing nausea, lightheadedness, and rapid heart rate after eating. Which complication does the nurse suspect?
What is
Dumping syndrome?
500
Daily Double! Double points if you get this correct.
This condition could occur after a binge-drinking weekend in Las Vegas AND what 2 key labs would be elevated?
What is
Acute pancreatitis AND lipase & amylase?
500
These are 2 signs and symptoms a nurse would expect to see in a patient who has Parkinson's Disease.
(Give 2 key features)
What is
TRAP
What are resting Tremors, (cogwheel) Rigidity, Akinesia (loss or impairment of voluntary movement), and Postural instability?
Other answer options: masklike facial expression, drooling, difficulty swallowing, hypotension, AMS in late stages (dementia, delusions).
500
A patient has a cervical spine injury. This assessment has the highest priority.
What is
Respiratory assessment/assessing breathing pattern?
500
A patient with these CBC results: WBC: 1,500 Hgb: 6.7 Plt: 45,000 is considered to be ___________.
Hint: It starts with a "P"
What is
Pancytopenic?
(all 3 are low - neutropenic, anemic, thrombocytopenic)
500
If a kidney stone is too large for lithotripsy, this procedure through the skin might be performed to remove the stone.
What is percutaneous nephrolithotomy?
500
A patient undergoing peritoneal dialysis has less outflow than inflow. This simple intervention might help more fluid drain.
(Give 1 answer)
What is
Repositioning the patient, lowering the drainage bag, or checking the tubing for kinks/dependent loops.
500
The nurse is assessing a client who has probable lymphoma. What is the most common early assessment finding?
What is
An enlarged, painless lymph node?
500
Name all 6 components of a neurovascular exam.
Hint: 6 P's
What is
Pain, Poikilothermia, Paresthesia, Paralysis, Pulselessness, and Pallor
500
Name (2) of the late signs of increased intracranial pressure.
What is
Abnormal pupil responses, projectile vomiting decorticate/decerebrate posturing, cushings triad?
500
For patients with dysphagia, provide 3 teaching interventions that aim to facilitate safe swallowing.
What are
Upright (90 deg.) seated position, taking small bites, chewing thoroughly, and clearing the mouth before each subsequent bite, tuck chin when swallowing, provide rest time before beginning feeding and as needed, use appropriate food/liquid consistency