Seizure
Name one essential item that must be placed at the bedside for a patient on seizure precautions.
Suction Machine
A patient with severe vomiting is at risk for which electrolyte imbalance?
Hypokalemia
A patient with a spinal cord injury suddenly develops low BP and warm skin. What type of shock is this?
Neurogenic Shock
This type of precaution is required for influenza.
Droplet
Hand hygiene and clean gloves belong to which type of asepsis?
Medical Asepsis ( Clean Technique
What position should you place a patient when he/she starts to have a seizure?
Side lying
Name a food high in potassium that should be avoided in hyperkalemia.
Bananas, oranges, spinach, potatoes, avocados, tomatoes
What is the first-line treatment for anaphylactic shock?
Epinephrine
A patient with active tuberculosis is admitted.
These are the two key features of the room required for this patient.
Closed Door/ Negative Pressure Room
A nurse reaches over a sterile field to grab tape. What should the nurse do next?
Discard the contaminated field and set up a new sterile field
After a seizure, what assessment should the nurse perform immediately in the post-ictal phase?
Assess airway, breathing, and level of consciousness
A patient has sodium of 125 mEq/L. What is the priority nursing intervention?
Seizure precaution or Fluid Restriction
Which laboratory result would the nurse expect to find for a patient with severe muscle cramps in the hands and feet, facial tingling, and diarrhea?
Hypocalcemia
A patient on contact precautions for C. difficile needs transport to CT scan.
What is the most critical action before leaving the room to prevent spread of infection?
Hand Washing
During a sterile urinary catheter insertion, the catheter tip touches the patient’s thigh before insertion.
What should the nurse do immediately?
Stop and obtain a new sterile catheter kit.
Which test is an excellent tool in the diagnosis of seizure activity?
EEG
Which type of solution would have the same concentration as body fluids?
Isotonic
Which type of shock would the nurse suspect in a patient diagnosed with a tension pneumothorax?
Obstructive
A patient was diagnosed with Scabies, what transmission based precaution should you implement?
Contact
A nurse is performing a sterile dressing change in a patient with MRSA. The patient coughs, and droplets land on the sterile field.
discard the contaminated field and set up a new sterile field,
This seizures are brief periods of loss of consciousness during which the individual may appear to be daydreaming.
Absence
A patient with hypomagnesemia is receiving IV magnesium. The respiratory rate drops to 8/min.
What is the nurse’s immediate action?
In cardiogenic shock, this major organ is failing, causing decreased cardiac output.
The Heart
Precautions used when a patient has low neutrophils (ANC < 500)
Neutropenic precaution
A nurse preparing a central line notices that the sterile package is slightly wet from condensation.
discard the package and open a new sterile kit