Ethics
A medical error has been made regarding your client and they are talking about suing. Name the best department to contact.
Risk Management
Patient presents with increased respiratory rate, polyuria, polydipsia and decreased LOC
What is DKA
What order should you give these meds to your septic patient?
Morphine 2mg IVP Q4hr prn mod pain (pain 8/10)
Zosyn 3.375 IVPB Q8hr 1st dose now
Protonix 40 mg IVP daily
zosyn
morphine
protonix
x-ray/position confirmation
HOB >30 degrees
check patency
What are Actions before giving NG/OG meds
What kind PMH would you expect for a patient with a Creatinine of 7.2?
ESRD on dialysis
You find an antibiotic hanging with a full bag that was supposed to be given at 0600 - What next?
tell nurse, call pharmacy to retime, med error report
Patient has left sided weakness, slurred speech and facial droop
What is stroke symptoms
Prioritize nursing diagnosis:
1.Impaired Electrolyte Imbalance AEB diarrhea and low K+
2.Decreased Cardiac output AEB low blood pressure
3. Ineffective Health Management AEB pt not check blood sugars
2
1
3
Name 8 rights of med administration
Med parameters
Patient and indication
Route Not expired
time/date
order
What medication might my patient be on if their INR is 3.2?
Warfarin/Coumadin
Patient has bruising in multiple stages of healing. States their family is too busy to clean them up all the time, patient is cachectic
What is suspect/report elder abuse APS
Your patient's ABG is
pH 7.28, CO2 60, P02- 60%, HCO3- 26.
What is uncompensated resp. acidosis and hypoxemia.
What are two ways to fix this?
Prioritize tasks upon receiving this new patient.
stat labs
head to toe assessment
check vital signs
What is vitals
stat labs
head to toe
Name 3 resources to find accurate medication administration information
Pharmacist
Approved pharm app
Med information in Mar link
Albumin is 3.2
Calcium is 10.2
Corrected Ca is ....
What is 11
Your patient confides in you that they want to hurt themselves. What are your first 3 actions?
Stay in room with patient, Notify charge nurse, Notify MD, place on suicide watch 24/hr sitter, chaplain, social work.
Your patient has distended abdomen, jaundice color, and bleeds easily.
Liver disease
Patient is complaining of Chest pain. What are your top 3 priorities?
1. O2
2. HR/BP
3. ECG
4. Meds/Nitro/morphine
TPN,
Amiodarone
Propofol
Lipids
mannitol 25%
The MD would order 10 units of IV insulin followed by IV Dextrose 50% 25ml IVP for what kind of lab result
Hyperkalemia
Your coworker comes to work with alcohol on their breath and making questionable decisions. What is your first action?
Notify the charge nurse
Notify manager if on the floor
Upon discontinuing a central line patient experiences breathlessness, hypotension, irregular heartbeat, fainting and feeling of impending doom
What is Air embolism
Prioritize:
1. vented patient 100% fi02/prone/ periodically desats to 83%
2. B/P is 75/42 pt awake and alert but dizzy HR is SVT 175.
3. Confused pt with left sided weakness is trying to get OOB
See pt 2 first, needs nursing intervention
delegate 1 to respiratory
delegate 2 to patient care tech or fellow RN
Epinephrine
Norepinephrine
Vasopressin
Neosynephrine
325-350 Milliliters
What is volume in about 1 pint of blood?