Name that Sound
Name the sound, list two possible differential diagnoses, and state one treatment for each.
https://drive.google.com/file/d/1aUYac__3qSzM8_mIfH4H1FSVPdZIBDpo/view?usp=sharing
What are wheezes and asthma (albuterol) or chronic emphysema?
Best way to prevent a CLABSI and CAUTI
What is prevent placement or advocate for early removal?
Damage to this cranial nerve leads to a loss a smell, also name one possible cause
What is cranial nerve 1 and nasal disease, head trauma, infections, smoking, aging, MS, idiopathic anosmia and Parkinson's disease?
When assessing a patient's heart rate and blood pressure, this is the most important piece of information to interpret the findings accurately.
What is the patient's baseline?
Before administering any IV medication, nurses must do this critical safety step to ensure the correct line and infusion site.
What is trace the line from the bag to the patient to verify accuracy and prevent wrong-route administration?
Name the sound, list two possible differential diagnoses with treatment
https://drive.google.com/file/d/1TCqc6pOJR2qHsff74olUriZhMUvSOcne/view?usp=sharing
What is coarse crackles and pneumonia (antibiotics), pulmonary edema (Lasix), atelectasis (pulmonary toileting)?
Name four alternatives to placing a Foley
What is a straight cath, primafit, condom cath, and male/female urinal?
Exam performed to test cranial nerve IX and X.
What is watch elevation of uvula and/or gag reflex?
You note the right radial pulse is diminished compared to the left. What are your next priority assessments, and what could be a potential cause?
What are: compare both arms for swelling, color, and temperature; assess for IV infiltration or complications from an arterial line on the affected side; perform a neurovascular assessment (sensation, motor strength); and evaluate for signs of deep vein thrombosis (DVT) such as unilateral edema, tenderness, or warmth?
You’re assessing a post-op patient with a Jackson-Pratt drain. These are two key things you must check to ensure the drain is functioning properly.
What are: (1) assess the amount, color, and consistency of drainage, and (2) ensure the bulb is compressed and set as indicated by the provider’s order—whether to full suction, no suction, or 1-finger suction?
Name the sound, list two possible differential diagnoses with FIRST LINE treatment
https://drive.google.com/file/d/1LFx2JK7jJTn2bBWDXxHPeobypDjOVvG5/view?usp=sharing
What is stridor and croup, acute epiglottis, and foreign body inhalation, and racemicepi?
Name the elements of the CAUTI bundle:
What is keep below the level of the bladder, use a secure cath attached to leg, perineal care, CHG wipe every shift, Mcare wipes every shift, use only one container per drain, maintain a closed system and assess for need of the Foley?
Damage to this can lead to erratic and aggressive behaviors
What is the frontal lobe?
You assess for jugular venous distension with the patient in this position, and its presence may indicate what conditions.
What is with the head of bed elevated to 30–45 degrees; and what are
These are three critical assessments nurses must perform on every patient with a nasogastric tube.
What are: (1) verify tube placement with Xray and confirming the insertion number at the nare and checking that it is in the correct nostril, (2) assess tube patency and function—flush if ordered and ensure it’s connected as ordered (e.g., clamped or to low wall suction), and (3) inspect skin and mucosal integrity around the nare and in the mouth for signs of breakdown?
Name the sound, list two possible differential diagnoses with treatment
What is hypoactive bowel sounds and peritonitis, obstruction, ileus, narcotics, general anesthesia, and place NGT?
The two best interventions for preventing HAPIs
Moisturizing skin and turning every 2 hours to offload the area of pressure
Possible diagnosis and next steps for patient presents with aphasia and left side weakness
What is CVA and perform BGM followed by stat CT?
During a cardiac assessment, you hear muffled heart sounds. What other two clinical findings would you assess for, and what serious condition could this indicate?
What are: (1) jugular vein distention and (2) hypotension; this may indicate cardiac tamponade?
Your patient's chest tube was pulled out, what action do you take
cover with Vaseline or petroleum dressing and call doctor
These are the three cardinal signs that may indicate a pulmonary embolism and should prompt immediate evaluation.
What are untreatable tachycardia, hypoxia despite oxygen escalation, and a feeling of impending doom?
Name four criteria that would make your patient a falls risk
What is neuropathy, needs assistance transferring or ambulating, history of falls, gait and balance issues, and taking psychotropic, anticonvulsant, anxiolytics or sleep medications?
This is what you should do when a patient is actively seizing—name three emergency treatments or interventions, including patient safety and medication administration.
What are ensure airway and patient safety (e.g., position on side, protect from injury), administer rescue medications (e.g., lorazepam or diazepam), and assess vital signs/oxygenation or prepare for escalation (e.g., IV access, suction, O2)?
You notice ST segment depression on your patient’s EKG. What should you assess and ask the patient next?
What are: (1) assess for chest pain or pressure, and (2) ask about associated symptoms such as shortness of breath, nausea, pain radiating down arm, or diaphoresis? In female patients, also ask about atypical symptoms such as GI discomfort, tooth or jaw pain, and scapular (shoulder blade) pain—possible signs of myocardial ischemia.
You observe a sudden increase in bright red chest tube output. This is the next most important assessment to perform.
What is assess vital signs for signs of hemodynamic instability (e.g., hypotension, tachycardia)?