Fluid and Lytes
Coping and Anxiety
Tissue Integrity
The I's Have It
(Inflammation, Infection, Immunity
(Inflammation, Infection, Immunity
Briske Stew
100
This is the most abundant cation in found in the blood.
What is sodium?
100
Elisabeth Kubler-Ross identified the model identifying the 5 stages of grief. These five stages are:
What is:
-Denial
-Anger
-Bargaining
-Depression
-Acceptance
100
You are reviewing documentation from the previous shift. You determine the patient has a stage III pressure ulcer based on these findings.
what is Full-thickness tissue loss extending through subcutaneous tissue
100
A patient has tested positive for C. Diff. This is the primary way to prevent spread of C. Diff to others
What is hand washing with soap and water only.
100
This system is the priority when hyperkalemia is noted.
What is the cardiac system
200
You are giving your patient a unit of packed red blood cells, you know that the unit is good for this long.
What is 4 hours.
200
CANDY DOUBLE!
This is the best way to decrease anxiety in family members.
What is provide opportunity to visit with the patient.
200
The patient has been changing a dressing on a pressure ulcer for several days and is now being seen in the physician's office. The patient states, "There is a lot of pink tissue at the base of the ulcer." You explain to the patient that this is the result of what process?
what is The normal process of healing with healthy granulation tissue
200
A 45-year-old man is admitted to the hospital with cellulitis of the right foot. Three days later, he develops bacterial pneumonia. This type of infection is classified as
Health care associated
200
This is the only fluid that should be hung with blood products.
What is normal saline
300
Your patient was admitted with a bowel obstruction and has had an NG tube to LIWS for 3 days, what Arterial Blood Gas finding would you expect to find?
What is Metabolic Alkalosis
300
A patient is receiving care after being diagnosed with generalized anxiety disorder (GAD). Which of these statements made by the patient indicate to the healthcare provider that the patient is beginning to show signs of improvement?
A “As long as I take my medication, I can deal with anxiety.”
B “Situations that cause anxiety can always be avoided.”
C “I can tell when I’m beginning to experience anxiety.”
D “Now I know that my anxiety is caused by a lack of sleep.”
C “I can tell when I’m beginning to experience anxiety.”
300
,,,,,A pressure ulcer is defined as this
what is a localized injury to the skin and underlying tissue, usually over a bony prominence. It is caused by a combination of pressure, shearing and friction, and moisture.
300
This is best indicator that a wound has become infected?
what is Purulent drainage is coming from the wound area.
300
You are caring for a patient who is receiving IV fluid. This task may be delegated to the unlicensed assistive personnel
What is recording intake and output.
400
Upon assessing your patient, you find crackles in bases of the lungs bilaterally and distended neck veins, this is your first intervention...
What is raise the head of the bed.
400
When doing an assessment of a young woman who was in an automobile accident 6 months before, the nurse learns that the woman has vivid images of the crash whenever she hears a loud, sudden noise. The nurse recognizes this as:
What is Post Traumatic Stress Disorder (PTSD)
400
This action places a patient at the greatest risk for a shearing force injury to the skin.
1. Walking without shoes
2. Sitting in Fowler's position
3. Lying supine in bed
4. Using a heating pad
What is sitting in Fowler's position
None of the other movements or situations creates the combination of friction and pressure with downward movement seen in bedridden clients positioned in Fowler's position.
400
CANDY DOUBLE
-Classify and describe this pressure ulcer
400
This is the best description of serous drainage
what is Clear, watery plasma
500
Your patient has gained 5 pounds in two days, An appropriate assessment question is...
How many times a day do you urinate?
500
A staff nurse is talking with the nursing supervisor about the stress that she feels on the job. The supervising nurse recognizes that:
A. Nurses who feel stress usually pass the stress along to their patients.
B. A nurse who feels stress is ineffective as a nurse and should not be working.
C. Nurses who talk about feeling stress are unprofessional and should calm down.
D. Nurses frequently experience stress with the rapid changes in health care technology and organizational restructuring.
What is D. Nurses frequently experience stress with the rapid changes in health care technology and organizational restructuring.
500
A client has an ischemic wound.
This means that there has been
What is A deficient blood supply to the tissue
500
You are caring for a patient who has recently suffered a stroke and is too weak to move. In order to prevent pressure ulcers, you know to implement this intervention
What is frequent turning
500
Lets get out of here!
Go forth and do good things!