Priority & Safety
This framework helps determine which patient the nurse should see first.
What is ABCDE?
This diabetes medication must be held before contrast dye studies.
What is metformin?
Dark red bloody drainage from a JP drain is documented as this.
What is sanguineous?
Chest pain caused by decreased oxygen to the myocardium is called this.
What is angina?
Which insulin types can be mixed together?
What are regular and NPH?
Preventing harm to a patient reflects this ethical principle.
What is nonmaleficence?
A patient with dyspnea is struggling to breathe. What is the nurse’s first action?
Answer: What is elevate the head of the bed?
This pain medication commonly causes constipation and requires stool softener teaching.
What is morphine?
Visible subcutaneous tissue without exposed bone is which pressure injury stage?
What is Stage 3?
Use of accessory muscles in a COPD patient requires what action?
What is notify the provider immediately?
A patient should inspect their feet how often?
What is daily?
Obtaining a daily weight on a stable heart failure patient can be delegated to this staff member.
Who is the assistive personnel (AP)?
Which patient is most unstable: febrile child with HR 190, postop adult ambulating, migraine teen, or healthy newborn?
Answer: Who is the 5-year-old with fever and tachycardia?
Vision changes, nausea, and vomiting are warning signs of toxicity for this medication.
What is digoxin?
A wound with slough and exposed bone is documented as this stage.
What is Stage 4?
Which medication requires checking apical pulse before administration?
What is metoprolol?
Sweating, tachycardia, and confusion are signs of this blood sugar imbalance.
What is hypoglycemia?
Encouraging a patient to talk about concerns is an example of this communication type.
What is therapeutic communication?
A patient on IV fluids develops crackles and a wet cough. What is the nurse’s priority action?
What is call the provider for possible fluid overload?
This medication is commonly used for diabetic neuropathic pain.
What is gabapentin?
The first piece of PPE removed before leaving a contact isolation room.
What are gloves?
A pounding headache after nitroglycerin administration is best described as:
What is a common side effect?
Kussmaul respirations and fruity breath are signs of this condition.
What is diabetic ketoacidosis (DKA)?
Posting a patient’s photo online—even with permission—is considered this.
What is a breach of confidentiality?
Using ABCDE, which patient should be seen first: pneumonia with wheezing, postop low urine output, confused dementia patient, or febrile discharge?
Who is the patient with pneumonia and wheezing?
This medication reversal agent is given for opioid overdose causing respiratory depression.
What is naloxone (Narcan)?
A surgical incision opens with visible bowel protrusion—this is a medical emergency called:
What is evisceration?
Dependent edema, ascites, and hepatomegaly indicate this type of heart failure.
What is right-sided heart failure?
A sodium level of 128 mEq/L may cause confusion and seizures due to this condition.
What is hyponatremia?
Providing pain medication before ambulation demonstrates which ethical principle?
What is beneficence?