Math & Meds Redux
"Dx" Marks the Spot
Symptom Spotting
Prioritize This!
Beyond the Bedside
100
Order: Tylenol 650 mg PO. Supply: 325 mg tablets. How many tablets?
What is 2 tablets?
100
This is a clinical judgement about individual, family, or community responses to actual or potential health problems/life processes.
What is a nursing diagnosis?
100
The standard acceptable heart rate range for a healthy adult in beats per minute.
What is 60 to 100 bpm?
100
The nurse uses this skill to determine which patient requires attention first based on symptom severity.
What is prioritization/triage?
100
This core principle of person-centered care ensures the patient's specific needs, values, and preferences guide clinical decisions.
What is respect for patient values/preferences?
200
Order: Heparin 5,000 units SubQ. Supply: 10,000 units/mL. How many mL?
What is 0.5 mL?
200
When writing a nursing diagnosis, the "related to" (R/T) part of the statement identifies this component.
What is the etiology or related factor?
200
Other than the pain rating, this is the most important assessment a nurse must make before administering morphine.
What is the respiratory rate?
200
This component of clinical judgement involves weighing the potential benefits and consequences of various patient care actions.
What is decision-making?
200
Engaging the patient and their family in care discussions promotes this essential aspect of person-centered care.
What is involvement or collaboration?
300
A client weighs 110 lbs. The order is for a medication dosed at 2 mg/kg. How many mg will the nurse administer?
What is 100 mg?
300
This specific type of nursing diagnosis is supported by actual problem-focused assessment data (signs and symptoms).
What is an actual nursing diagnosis?
300
The medical term for liver poisoning, which can be caused by acute acetaminophen toxicity.
What is hepatotoxicity?
300
The nurse recognizes subtle cues in a patient's vital signs and decides to call the provider immediately. This is an example of using this refined skill.
What is intuition or "knowing the patient"?
300
A nurse asking a patient about their cultural food preferences before ordering a meal is practicing this type of care process.
What is culturally competent care or individualized planning?
400
An IV bag contains 500 mg of a medication in 250 mL of D5W. The order is to infuse at a rate of 50 mg per hour. What is the flow rate in mL/hr?
What is 25 mL/hr?
400
A nursing diagnosis of "Risk for Infection" is an example of this type of problem statement.
What is a potential/risk nursing diagnosis?
400
An irregularly irregular rhythm is the classic description for this common cardiac dysrhythmia.
What is Atrial Fibrillation (A-Fib)?
400
When a nurse uses the SBAR format to communicate with a physician, they are utilizing this framework for effective clinical judgment transfer.
What is a standardized communication tool?
400
Providing clear, timely, and accurate information to the patient is key to promoting this aspect of care delivery.
What is clear communication/education?
500
A patient needs a dopamine drip started at 5 mcg/kg/min. The patient weighs 60 kg. The pharmacy supplies 400 mg in 250 mL D5W. What is the IV pump rate in mL/hr?
What is 11.25 mL/hr?
500
A patient presenting with shortness of breath and a new oxygen saturation of 88% is experiencing this type of problem, requiring immediate intervention.
What is a collaborative problem or an acute physiological problem (e.g., Impaired Gas Exchange)?
500
The nurse finds a "currant jelly stool" when caring for a pediatric patient, which is a classic sign of this emergent GI condition.
What is intussusception?
500
The nurse administers an extra dose of furosemide without a physician's order because the patient's legs are severely swollen. This action demonstrates a failure of this aspect of clinical judgement.
What is ethical/legal accountability or adherence to the scope of practice?
500
The patient requests that their primary support person stay overnight in the room. A person-centered care model supports this concept.
What is continuity/transition of care or family presence?