Panic attacks
What is the word for something that starts a panic attack?
Trigger
What is the reversal agent for anticoagulants?
VIT K------- KLOTTING
Student nurse is studying on how to properly preform wound care and sterile feild before preforming the action, what type of knowing is this?
- emperical (gathering evidence to preform evidenced informed decisions)
What is the cardinal symptom of MI?
Chest Pain - The chest pain is persistent, heavy, squeezing or crushing. The pain can radiate to the left arm, jaw, neck or shoulders.
when would COWS be used rather then CIWA protocol
COWS is used when patient is going through opioid withdrawal.
Haloperidol, and lorazepam.
What is called when someone has SOB while lying on their back?
Orthopnea
A nurse on the floor approached a student nurse and gave her a med cup with her patients medications and asked her to go to room 203 bed 2 and give the meds.
The senior nurse politely refused, as she knew the nurse dispensing should be the nurse giving. This is an example of WHAT ways of knowing? (3)
- Emanipatory (knows the rights of medication administration)
- personal knowing (the nurse knew her boundries)
- ethical (student nurse knew this was wrong of the nurse to ask)
What is the isoezyme associated with MI?
Creatinie Kinase
When do symptoms of withdrawal typically present? What typically indicates that the patient will recover?
Mild symptoms usually appear 6 hours after last drink. If within 24-48 hours the patients symptoms do not worsen, this is a sign that they will recover.
If the patient was given metoprolol, how would this have impacted Mr. Burns?
Regulated his heart rate (160's), decreased his BP to help decrease the stress on his heart.
What are two shockable rythms?
V-tach, V-fib
Explain how the novice nurse might have been an advocate for her patient?
- Advocated that her patient would have got a cardiac workup originally
- Spoke to senior nurse about sterotyping patients
What is the intravenous analgesic that is frequently administered to relieve chest pain associated with MI?
Morphine is used to reduce pain and anxiety for an MI.
What are nursing priorities when caring for a patient undergoing alcohol withdrawal
Support, safety measures, Vitals, fluid and electrolytes balance, Seizure prevention, monitoring signs and symptoms
Your patient explains that they are on Prozac (SSRI) for their panic disorder, but they feel its not helping. What is a treatment that may be done in addition to this medication to help the patient?
Psychotherapy such as cognitive behavioral therapy which will help the patient learn how to react to stimuli that may trigger panic.
An order reads Laxis 40mg IV PUSH, in stock you have Laxis 20mg/2mL. How many mL would you draw up?
4 mL.
Name the ways of knowing and explain what they are?
empirical- science of nursing, verified testing, facts, evidence that facilitate evideced based actions
personal- understanding of self and ability to make choices
ethical- knowing what is right or wrong and comitted to take actions
aesthitic- seeing the whole picture from evolutionary standpoint and envisioning the outcome
emancipatory- recognizing barriers that create unfair or unjust conditions.
What does MONA TASS stand for?
M:Morphine O:Oxygen N:Nitroglycerin A:Aspirin
T:Thrombolytics A:Anticoagulants S:Stool softeners S:Sedatives
You went in and assessed your patient, after you complete the CIWA protocol and your patient scores 16, how severe is their withdrawal and what should you be monitoring symptoms for?
Severe withdrawal, which is scores of 15 or more. You should be monitoring for ss of delirium tremens
Explain the clarks model in terms of Mr. Burns.
Trigger- wife, stress, alcohol etc.
Perceived threat- palpitations -HA
Apprehensions- SOB, palpitations, chest pain/tightness
Body sensations- mr burns thinks he is having a heart attack
Interprutation of sensation as catastophic- came to hospital
Your patient comes into emerg with sepsis, you give 2 bolus's of NaCl, bp is still 63/34, you give ___________ next which is a type of __________. NO LUCK... BP is still dropping your patient is now in _____ _______.
Norepinepherine,vasopressor, septic shock.
Can you name all the roles of the CNO competency framework?
1. Advocate
2. Coordinator
3. Communicator
4. Collaborator
5. Professional
6. Educator
7. Leader
8. Scholar
9. Clinician
What dual medications threapy should the patient after they undergo a stent ?
Asprin with either a ticagrelor or clopidogrel. When an individual undergoes a stent procedure, they usually use dual antiplatelet treatment to help prevent clots from forming and closing off the stent.
What are ss of delirium tremens?
visual hallucinations, tachycardia, HTN, profound global confusion, fever, agitation, trembling, nausea, and diaphoresis