Skills lab topics
What is the only fluid that blood can be administered with?
What is normal saline?
When would a provider order FFP in a patient with a clotting deficiency?
What is active bleeding?
What stimulates erythropoiesis?
What is hypoxia?
What causes the pain associated with a sickle cell crisis?
What is lack of tissue perfusion/hypoxia?
What part of the lung does gas exchange occur in?
What is alveoli?
A patient with this obstructive d/o may be having referred ear pain and painful swallowing, hemoptysis, hoarseness.
What is laryngeal cancer?
This chest trauma complication presents with paradoxical chest movement.
What is flail chest?
Your patient's baseline temperature prior to blood transfusion is 99.6F. After 15min, their baseline temperature is 99.7F. How do you proceed?
What is continue with the infusion as ordered?
This medication stimulates WBC production.
What is filgrastim (Neupogen)?
What organ removed old and damaged RBCs from circulation?
What is the spleen?
In DIC, what 2 things are happening simultaneously?
What is bleeding and clotting?
What is stridor?
This might be diagnosed by a right sided heart cath.
What is pulmonary hypertension?
How is chest tube placement verified?
What is CXR?
Your patient is 10 minutes into a blood transfusion when they c/o chills and dyspnea. How do you proceed?
What is stop the transfusion due to reaction?
With this inhaled medication class, monitor for dry mouth, dry eyes, and urinary retention.
What is anticholinergics?
This complication may occur as a result of a mastectomy or lumpectomy?
What is lymphedema?
What medication is used to treat von Willebrand disease?
What is desmopressin (DDAVP)?
Broad spectrum antibiotics may be prescribed for this upper respiratory problem.
What is acute sinusitis?
A patient in status asthmaticus likely has these breath sounds?
What is none?
What is the hallmark/red flag sign for a tension pneumothorax?
What is deviated trachea?
What is the maximum flow rate for a nasal cannula?
This class of respiratory medications taken orally will increase a diabetics blood sugar.
What is glucocorticoids?
A patient is preparing for a bone marrow aspiration and biopsy. The nurse educates the patient and family to do this every 2 hours after the procedure for the first 24 hours.
What is inspect the biopsy site?
What is the characteristic cell of Hodgkin's lymphoma?
What is the Reed-Sternburg cell?
What diagnostic might be ordered to diagnose bronchitis?
What causes the barrel chest appearance in a COPD patient?
What is air trapping (increased volume of residual air at end expiration)?
What is a quick, but nonspecific diagnostic of a possible PE? What confirms diagnosis of a PE?
What is a d-dimer; CTA?
During blood transfusion after the first 15 minutes, how often should vital signs be assessed?
What is per hospital policy?
Patients on anticoagulants should always be monitoring for signs of this?
What is signs of bleeding?
What is Factor X?
This type of blood cancer may present as fatigue, bone pain, easy bruising.
What is multiple myeloma?
This lower respiratory problem may present with a cough productive of rust colored sputum, fever, body aches.
What is pneumonia?
If a COPD patient's FEV1 is between 50-80% of the expected value, what GOLD class are they?
What is GOLD class 2, moderate?
Name 2 possible treatments for pleural effusions?
What is a chest tube, diuretics, antibiotics, surgery?
Which type of oxygen device can administer the highest FiO2 concentration? Which device delivers the most precise FiO2 concentration?
What is a NRB; Venti mask?
Any patient, regardless of age, that is prescribed estrogen should be educated to monitor regularly for this adverse event.
What is thromboembolism?
What organ acts as a filter and houses most of your proteins for clotting, as well as clotting factors?
What is the liver?
Name 1 of the 3 treatments commonly done for thrombocytopenia?
What is splenectomy, anticoagulants, platelet transfusions?
This is a potential complication of thoracentesis for up to 24 hours after the procedure.
What is a pneumothorax?
What is the characteristic breath sound associated with an asthma attack? What rescue medication should the patient have for asthma attacks? What medication is the building block for asthma treatment?
What is wheezing; ICS + formoterol; ICS therapy?
A patient diagnosed with this may be intubated, sedated, paralyzed, and proned.
What is acute respiratory distress syndrome (ARDS)?
What blood type can accept ANY kind of blood via transfusion?
What is AB+?
A patient is being educated on how to use an ICS and a LABA inhaler for asthma treatment. How does the nurse instruct the patient to use them?
What is use the LABA first and wait about 10 minutes to use the ICS?
There is noted to be an increase in the percent of bands on the CBC. What is this called and what does it indicate? (2 answers)
What is 'a shift to the left' and infection?
Name at least 3 common symptoms or signs of an anemia.
What is pallor; cool to touch; cold intolerant; chronically brittle and concave nails; glossitis; tachycardia; orthostatic hypotension; SOB with exertion; fatigue?
A nurse is preparing a Tb patient for discharge. Name 2 education points for the nurse to address with the patient.
What is eat a well balanced diet and have adequate nutritional intake; wear a mask in public places or crowds; make sure to follow up as scheduled for the duration of treatment (due to long tx and noncompliance); local health dept will be contacting the patient regularly?
Name 3 signs and/or symptoms of Cor Pulmonale.
What is ascites, enlarged liver and spleen, JVD, weight gain, dependent edema, circumoral cyanosis, anorexia and/or GI distress?
Name 3 steps of the ventilator associated pneumonia bundle.
What is good hand hygiene, keep HOB elevated, turn pt q2hr, limit sedation as ordered, daily SBT, oral care q2hr, suction as needed?
What technique is utilized when performing trach suction? What about trach care?
What is sterile technique; sterile and clean technique?
Your patient presents with WBC 10,000/mm3, Hgb 6.1, Hct 19%, platelets 34000. What do you expect the doctor to order?
What is pRBCs and platelets?
Name 2 expected findings associated with hematological changes with aging.
What is decreased blood volume with lower levels of plasma proteins; few blood cells; lower total RBC and WBC counts; less reactive lymphocytes and decreased immune fx; decreased hemoglobin levels?
Platelets do not generally decrease with aging
Your patient presents with low hgb, low platelets, very elevated WBC count. What do you suspect the provider to order for diagnosis?
What is a bone marrow biopsy?
A patient was found down, unconscious but breathing. ABG checked in the ER shows pH 7.31, CO2 51, HCO3 24, PaO2 76. What is their ABG interpretation?
What is respiratory acidosis, uncompensated?
Name 4 treatment measures of a CF patient.
What is pancreatic enzymes, mucolytics, inhaled hypertonic saline, bronchodilators, antibiotics, insulin (if diabetic), caloric supplements, and fat soluble vitamin, lung transplant?
Name 2 treatment modalities for a PE.
What is pulmonary embolectomy; heparin drip with oral anticoagulant bridge; thrombolytics; IVC filter?