Tissue
An emergency! Quick- put moist, sterile saline gauze on it!
What is: Evisceration
In a light skin client, I am nonblanchable and intact skin! In a dark skin client, I appear cool with moisture, taut and shiny
What is: Stage 1
Nausea while taking an antibiotic is an _________
What is: Adverse Effect
_____ has the longest absorption rate of all administer meds and ______ has the fastest!
ID/IV push
What is: 14
Which of these people can double verify blood:
1. The really experienced tech
2. The super awesome nutrition person
3. Another RN
4. The amazing nursing student
Sodium range:
*Must be able to name BOTH*
What is:
3.5-5
136-145
I am often full thickness but am filled with pus, slough or necrotic tissue
What is: Unstageable
I am full thickness, often through the subQ tissue. You can NOT see my bone
What is: Stage 3
T or F: Tell your patient to keep all of their meds in one bin for easy identification
What is: False
Down, Up
We want a good vein! Name me one thing to look for and 2 things to avoid
1. Straight, smooth, no areas of flexion
2. No hard, fistulas, lymph nodes, radiation, stroke
A central line dressing change is clean or sterile?
What is: Sterile
You assess: Weak pulses, high HCT, low BP, and high heart rate. What's happening?
What is FVD
My wounds look shallow with slough. I am due to blood getting stuck in extremities. Pulses are present and I have a dull ache.
What is: Venous ulcers
I am teaching a patient about home health wound care. I should emphasize that what will help reduce infection risk and should be done before every dressing change
Angle of insertion for a IM injection? SubQ?
What is: 72-90, 45-90
You have _____ hour before and _____ hour after to give a med if you want to avoid a med errow
1,1
I should plan on changing the IV tubing every _____ hours and the infusion bag every _____ hours.
What is 96 and 24
Medication hanging: Normal saline. Patient complains of pain, edema, coldness around the site. You stop the normal saline. Now what?
What is: Elevate the extremity, warm compress, D/C the line
After a hot week in the sun, little water intake, and excessive sweating, your patient comes into the ER and needs fluids. What are we giving this patient (Hypertonic, Isotonic or Hyptonic)
Isotonic
**RAPID BONUS- Name me a fluid under this category for an additional 100 points!!!
I can, and should, be used to prevent shearing and friction injuries when moving a patient
What is: Assistive devices (like lifts)
I am a drain and I am open ______. I am a drain and I am closed ______.
What is: Penrose drain and JP/Hemovac
"Someone get me that, STAT!" What's that mean?
What is: RIGHT NOW!
Place these steps in order. Report the correct numerical sequence
1. Pop the top of the vial
2. Flip it over, draw up the med
3. Clean the top for 30 seconds
4. Inject air
5. Assess for bubbles and med amount
1, 3, 4, 2, 5
Give Lasix 20 mg IV push now. What's missing?
What is: the rate!
*Blood tranfusion has begun* "Is it getting hot in here? Why am I all itchy? I see hives!" What now?
You assess:
High blood pressure, lung crackles, bounding pulses, low HCT and high urine output.
What's likely happening?
What is: FVE
Define me: I am ______, caused by no moisture and I am ______ caused by too much moisture- either way- not good for the skin
What is: Desiccation and maceration
Name 3 ways to PREVENT pressure ulcers
1. Turn Q2
2. No foam rings
3. HOB 30 degrees
4. Get up
5. Dressing
6. Early intervention
You are doing a med reconciliation. You consider prescription meds they take. What else (there are 3 more)?
1. OTC use (herbal and supplements)
2. Pharmacy hopping?
3. ETOH/drug use
RAPID FIRE. First team to get all 4 IM injection considerations a nurse has to consider, gets the points. Must be written down. GO
1. Age (older or very young- BONUS for 100: where SHOULD we give a baby an injection *Anatomical terms ONLY).
2. Location of admin
3. Gauge/length of needle
4. Viscosity of med
What is: Call the PICC nurse and prepare for Xray
Why am I measuring someone's arm who has a PICC line, asked the new nurse to the experienced one. What do you say?
What is: it can be an early detector of a DVT!
First team to solve this problem, write down the correct answer and a CAUSE of this, gets the points:
PH: 7.24
PaCO2: 49
Hc03: 24
What is: Respiratory Acidosis- Hypoventilation!