Right Into the Danger Zone
"Pad the side rails, ensure suction and O2 are at bedside — for this safety protocol
What is seizure precautions?
"The route an organism uses to gain access into a new host."
What is a portal of entry?
"Pulmonary congestion, crackles, and dyspnea are hallmark signs of this side of cardiac failure."
What is left-sided heart failure?
DUAL ANSWER "The minimum flow rate required on a simple face mask, and the gas this flow rate prevents the patient from rebreathing."
What is 6 L/min — and what is CO2?
DUAL ANSWER "Name 2 characteristics of a Stage III pressure injury."
What is full-thickness skin loss and What is visible subcutaneous tissue (fat) but no exposed bone, tendon, or muscle?
— "This type of incontinence occurs when increased abdominal pressure from coughing, sneezing, or laughing causes urine leakage."
What is stress incontinence?
"The single most effective way to prevent CAUTI in a catheterized patient."
What is maintaining a closed sterile system / removing the catheter ASAP?
"Precaution type for active TB, plus the respirator required."
What is airborne precautions — and what is an N95?
DUAL ANSWER: "Closure of the tricuspid and mitral valves produces this heart sound, while closure of the pulmonic and aortic valves produces this one."
What is S1 — and what is S2?
DUAL ANSWER "A ruptured bleb causes this type of pneumothorax to occur spontaneously, and this is the space air abnormally enters as a result."
What is a spontaneous pneumothorax — and what is the pleural cavity (pleural space)?
“This wound care therapy uses negative pressure to remove fluid and promote granulation tissue."
What is a wound VAC (NPWT)?
"Name 2 signs or symptoms of a UTI."
What is dysuria / What is frequency, urgency, hematuria, cloudy/foul-smelling urine, or low-grade fever? (accept any 2)
DUAL ANSWER "Required before applying a restraint, and the max time it can stay on (adult, non-violent) before a new order is needed."
What is a provider order — and what is 24 hours?
-- "Clean technique using handwashing and clean gloves — vs. sterile technique."
What is medical asepsis?
DUAL ANSWER "This structure normally generates the heart's electrical impulse, and this is the name for the dysrhythmia caused by multiple irritable sites firing at once."
What is the SA node — and what is atrial fibrillation?
Gentle fluctuation (tidaling) with respiration in this chest tube chamber confirms proper function; continuous bubbling here instead signals an air leak."
What is the water seal chamber?
"This occlusive dressing interacts with wound exudate to form a gel, ideal for shallow wounds with minimal to moderate drainage."
What is a hydrocolloid dressing?
DUAL ANSWER "Name the device used to measure post-void residual AND an abnormal PVR value."
What is a bladder scanner / What is greater than 100 mL-150 mL (or per facility protocol)?
--"The first nursing action after a medication error — before notifying the provider."
What is assess the patient?
DUAL ANSWER "Foul, watery diarrhea after antibiotics — the organism, and the precautions required."
What is C. diff — and what is contact precautions?
--"This is the location on the chest wall where the heartbeat is felt strongest, typically at the 5th intercostal space, midclavicular line."
What is the apical pulse location?
"This chest wall deformity, marked by an increased AP diameter, is commonly seen in patients with long-standing COPD."
What is a barrel chest?
"This is a process that uses the body's own enzymes and moisture to remove necrotic tissue."
What is autolytic debridement?
—"This continuous bladder irrigation system uses a three-way catheter to flush the bladder and prevent clot formation, typically after prostate surgery."
What is CBI (Continuous Bladder Irrigation)?
DUAL ANSWER "The tool used to score fall risk, and the colored band that alerts staff to it."
What is the Morse Fall Scale — and what is a yellow armband?
"Drawn 30 min before the next vancomycin dose, and the term for a patient vulnerable to infection."
What is a trough level — and what is a susceptible host?
— DUAL ANSWER "Name the assessment framework used for arterial insufficiency, and give all the findings (the Ps) it includes."
What are the 6 Ps — and what are pain, pallor, pulselessness, paresthesia, paralysis, and polar?
DUAL ANSWER "Collapse of alveoli due to shallow breathing or retained secretions is called this, and this device is used at the bedside to help prevent or treat it."
What is atelectasis — and what is an incentive spirometer
DUAL ANSWER "Name the term for wound edges held in alignment AND the term for their separation."
What are approximated edges / What is dehiscence
"This urinary catheter is surgically inserted directly through the abdominal wall into the bladder, bypassing the urethra entirely."
What is a suprapubic catheter?