Neuro & GI

Cirrhosis

100

end stage complication that presents with elevated BUN & creatinine and decreased urine output

hepatorenal syndrome

200

measuring the abdominal girth and obtaining a daily weight are nursing interventions for this end stage condition

ascites

300

Anticipated medication order for a client with hepatic encephalopathy

lactulose

400

safety education for a client with splenomegaly

seatbelt, avoid, injury, avoid rollercoasters

500

a client with end stage disease has symptoms of melon and hemoptysis. Patient education: Name 2 key things to avoid 

Avoid
• Increasing
intraabdominal
pressure (lifting
heavy objects,
exercise)
• Eating hard foods

Pancreatitis

100

The client will remain NPO with this type of pancreatitis

acute

200

therapeutic position for comfort

fetal

300

Name 3 risk factors for acute pancreatitis aside from ETOH

ideopathic

gallstones

trauma

steroids

mumps

autoimmune

scorpion sting

hypercalcemia

high triglycerides

ERCP

drugs/meds

400

name 3 key labs that will be elevated (may be slightly elevated or WNL if chronic)

amylase

lipase

glucose

500

What opioid should be avoided in a client with pancreatitis

morphine

ICP

100

MAP 54 ICP 22 Calculate the CPP

32

200

Normal range of ICP

10-15

300

bradycardia, HTN or WPP, irregular respirations

Cushings triad

400

Name 5 early signs of ICP

Decreased LOC (earliest sign)
• Behavior changes
• Restlessness
• Irritability
• Confusion
• Headache
• N/V (can be projectile)
• Aphasia
• Dysarthria
• Pupils
• Dilated & nonreactive
• Constricted & non reactive
• Cranial nerve dysfunctions
• Ataxia
• Seizures

500

Name 5 nursing interventions for a client with ICP

Head of bed 30 degrees or greater
• Maintain oxygen saturation >95%
• Maintain head in neutral midline position
• Avoid hip & neck flexion
• Promote rest- avoid cluster care!
• Hyperoxygenate pre/post suctioning
• Prevent unnecessary suctioning, limit passes to 30
seconds
• Maintain quiet dark environment
• Monitor VS’s, cardiac rhythm, ICP & CPP

SCI/TBI

100

Bradycardia and hypotension that occurs if a SCI injury is at T6 or higher

neurogenic shock

200

characterized by acute onset of headache & hypertensive crisis

autonomic dysreflexia

300

classification of TBI without LOC

mild

400

Bradycardia and hypotension that occurs with loss of motor, sensory, and reflexes

spinal shock

500

expected intervention if level of injury is between C1-C4

intubation, long term tracheostomy

Fun Facts & Hodgepodge

100

Name one of Moo Dengs siblings

Full siblings 

• Moo Tun: Moo Deng's brother who protects her from monkeys
• Nadet: Moo Deng's full sibling

Half-siblings 

• Ko: Moo Deng's half-sibling
• Kanya: Moo Deng's half-sibling
• Phalo: Moo Deng's half-sibling
• Moo Wan: Moo Deng's older sister who some say is demure and sweet

200

Hypotension, muffled heart sounds, JVD

Becks Triad

cardiac tamponade

300

Condition that occurs when gas exchange and perfusion are unequal, a VQ mismatch

ARF

400

ARF plus hypoxemia that persists despite 100% oxygenation

ARDS

500

The number of floors in Heathers cat office

defer to Heather for correct answer