Mixing it up
The three components of informed consent
what is:
-full disclosure (risk, benefits, alternatives, prognosis)
-voluntary
-full understanding
This will be included in postop care for someone with a mastectomy (there is more than one answer)
What is:
pain management
JP drain care
arm and shoulder restrictions/exercises
measures to prevent or manage lymphedema
A test that one can perform to determine changes in cerebellar function (there is more than one answer)
What is:
-gait observation
-finger to nose test
heel to shin test
rapid hand movements test
Opening into the skull and removal of bone flap
what is a craniectomy
the two types of stroke
what are ischemic and hemorrhagic
Test to get the most accurate oxygen saturation and can determine need for further invasive airway or higher flow of oxygen
What is an ABG
True or false: All iv chemotherapy must be given through a central line
A diagnostic test done to check pressure of cerebrospinal fluid and for abnormal cells in CSF
What is a lumbar puncture
complete loss of reflexes, sensation, and flaccid paralysis below the level of spinal injury
What is spinal shock
the standard treatment for ischemic strokes, if there are no contraindications
what are thrombolytics (TNK, TPA)
Order of assessment techniques for the abdomen
what is inspection, auscultation, percussion, palpation
The lowest level of blood cell counts which usually occurs 7-10 days after the start of standard chemotherapy
What is the nadir
Normal ICP
what is 5-15 mm Hg
the use of weights and balanced suspension to immobilize joints, promote bone alignment, and reduce pain
what is traction
if a monitor shows ventricular tachycardia and there is no pulse, this is the most appropriate response/intervention
what is defibrillation
The fluctuations of level of fluid in the chest tube system when the patient breathes in and out
what is tidaling
Accumulation of wate products of cell rupture after receiving chemotherapy or as a result of turnover of cancer cells
What is tumor lysis syndrome?
Bonus (100): What are some of the treatments for tumor lysis syndrome (name 1)
systolic hypertension with widened pulse pressure, bradycardia with a bounding pulse, irregular respirations
What is Cushing's Triad (signs of brainstem herniation)
orthopedic or skeletal muscle complication involving pain out of proportion to injury, paresthesia, pallor, paralysis, and pulselessness
what is compartment syndrome
This is the priority intervention if someone is confirmed to have a STEMI
What is reperfusion (cardiac cath with PCI ---or--heparin)
something that wshould be checked when someone is going to have a ct with contrast (more than one answer)
what is:
-renal function
-history of metformin use
-allergies to iodine or shellfish
-patent IV
Appropriate action if a blood product transfusion reaction is suspected
What is
-stop
_VS
-start new line of NS infusion
-follow policy
-collect urine
-collect all tubing/blood
-call lab
-call physician
One of the medications to manage increased intracranial pressure and how
What is
-mannitol (diuretic)
-hypertonic saline (oncotic pressure to pull cerebral edema into cascular space)
-corticosteroids (decrease inflammation)
hip precautions for a total hip replacement with posterior approach include this (more than one answer)
What is:
-no flexion of hip over 90 degrees
-no adduction across midline
-no internal rotation of hip
Team dynamics: repeating back that an intervention has been completed after it was ordered
what is closed loop communication