What is maintaining good glycemic control, normothermia, hair removal with clippers, shorter hospital stays, ABT admin 30-60 minutes before suregery, antimicrobial baths
100
What the nurse should have the client do before collecting a sputum specimen
What is oral care
100
When should you reassess pain after giving a pain med- example oxycodone 30 mg 1 po at 8am
What is 9 am?
100
Emergency solution if TPN not available
What is D10%
100
Assessment finding most indicative or DVT
What is unilateral increase in calf size
200
Operative complication often associated with the use of inhaled anesthetics
What is malignant hyperthermia
200
The instruction the nurse should give the UAP who reports that the client missed the collection hat in the toilet and was unable to save urine during a timed urine collection
What is start over
200
Condition for patients on opiod therapy that presents with sweating, tremors, confusion, and increased heart rate and blood pressure
What is physical dependence or withdrawal syndrome
200
Type of enteral feeding tube that is contraindicated in facial trauma
What is NG tube (could say Dubhoff)
200
Different assessment techniques to assess for bladder distention
What is palpation/percussion, ultrasound, and i/o cath
300
PACU assessment which takes priority
What is Airway
300
Action nurse should take after getting first drop of blood for capillary blood glucose test
What is wipe it off
300
Condition which causes client to need increasing amounts of pain medication to control pain
What is drug tolerance
300
nursing assessment q 6 hours that directly affects the daily TPN prescription
What is blood sugar
300
Describe how to clean a wound drain site (Jackson-Pratt
What is circular motion around drain site from inside to out and along tube from insertion point down
400
Medications that the nurse tell the client to hold before surgery:
Baby aspirin, cholesterol medication, and ginko
What are ASA and Ginko
400
Procedure where patient is positioned on side with chin tucked to chest and knees tucked to abdomen
What is LP
400
solution that should never be used to clean an epidural port
What is alcohol?
400
Complication with TPN that presents with elevated temperature, confusion, elevated WBC's
What is sepsis
400
Transfusion reaction to blood and nursing response. What is SPIN
What is stop, pulse (vital signs), Infuse normal saline, and notify HCP
500
Nurse role which includes documenting plan of care, advocating for patient, recording instrument counts
What is circulating nurse
500
Action by the nurse when has order to give Warfarin and the INR is 4.6
What is hold the medication
500
Pain that occurs toward the end of the usual dosing interval of a regularly scheduled analgesic or pain that occurs as a result of an activity or behavior like during physical therapy
What is breakthrough pain
500
Types of tubes that provide most protection from aspiration associated with enteral feedings
What are intestinal tubes
500
Fluid imbalance suspected when physical assement reveals JVD, bounding pulses, and 3+ pitting edema, and elevated BP