The Med Pass
Assessment
Patient situations
Resp Conditions
MedSurg
Med Terms
Final Jeopardy
100
What are the 7 rights of medication administration
Right med, dose, patient, route, time, doc, indication
100
Four techniques used during a head to toe assessment
What are inspection, auscultation, palpation, and percussion
100
During assessment your patient has a red, non blanchable area to their coccyx
what is a stage 1 pressure ulcer
100
You patient has TB what isolation precaution will be used ?
airborne, standard
100
During your assessment you hear this lung sound
what is normal lung sound
100
Does not have a fever
Afebrile
100
You receive a call that you are expecting a patient who appears to have overdosed on a narcotic. There RR rate is 4 and they were last seen a few hours prior. You as the nurse anticipate that they blood work will show what acid base imbalance ?
Resp acidosis
occurs when the body cannot adequately eliminate carbon dioxide (CO2) through the lungs, leading to an accumulation of CO2 in the blood and a decrease in pH (acidity)
200
What sites can be used for a subcutaneous injection
what is back of arm, abdomen, back of leg, anywhere with fat .
200
We ask these questions when trying to determine our patients baseline orientation
Who are you ?
where are you ?
What year it ?
do you know why you're here ?
200
You notice your patient has new EKG changes what electrolyte would you expect to see elevated in their morning blood work ?
Potassium, K
200
Name this device 
NRB
200
your patient is at risk for aspiration , tell me 2 nursing interventions for this patient ?
HOB elevated
Thickened liquids
suction set up
perform bedside swallow eval
200
Blood in the urine
Hematuria
200
if you need a hint it will cost you 300 points
this is what their blood work shows
ph - 7.12
pc02 78
300
You are a nurse that is passing medications on a patient who has a nasogastric tube and is NPO he tells you his pain is a 10. Your medication is ordered as, give 1 tablet of ibuprofen orally as needed for fever. What part of this medication order is incorrect ?
the route, the indication
300
A nurse is checking the IV insertion site for infiltration for a client who is receiving fluid replacement. Which of the following findings should the nurse identify as infiltration of the IV infusion site.
Taut skin around the IV catheter site that is cool to the touch
300
Your patient is complaining of SOB w/ excretion after being on a long flight her HR is elevated and you are concerned she may have a blood clot . What lab value would you expect to see elevated ? what medication would you expect to give
D dimer
Blood thinner
300
What are 3 items you would expect to have in a patients room who has a trach or laryngectomy
Suction set up
yankour
shiley tube size up size down
saline bullets
suction caths
trach mask
oxygen tank
purple cap
writing board
300
Your patient is in hypovolemic shock you would expect to administer this IV solution ?
IVF normal saline 0.9
300
Bluish discoloration of the mucus membranes
Cyanosis
400
You are going to administer metoprolol tartrate to your patient what needs to be checked prior to administering this type of medication?
BP / HR
400
Name this lung sound
What is crackles
400
What two conditions would cause a patient to have a chest tube ?
what is a
1. pneumothorax
2. hemothorax
* removal or air or removal of fluid .
400
A patient has a hx of COPD with a baseline sp02 of 91% . The nurse tells you to increase their nasal cannula until they have a 02 sat of 100% .Would you or would youn not complete this task.
you will not
400
Increased pulse, Bounding pulse, Distended neck veins, Hypertension, Pale + cool skin, and Muscle weakness, SOB, Edema
What are signs and symptoms of fluid overload?
400
Secretion of sweat, especially profuse secretion associated with an elevated body temperature, physical exertion, or emotional stress
Diaphoresis
500
Explain why it is important to rotate subcutaneous injection sites
what is lumps of fatty tissue under the skin that will decrease absorption of insulin. lipohypertrophy
500
Your patient was diagnosed with pneumonia, you are doing their resp assessment and anticipate hearing what lung sound ?
Crackles
500
your patient has CHF and you notice during your assessment they have pitting edema to their lower extremities. What medication would you expect the provider to order ?
lasix, diuretic
500
Give me 2 reasons you may hear stridor in a patient
croup, foreign body, Upper airway infection
500
Your patient asks you what is flail chest how would you explain it to them ?
3 or more consecutive ribs fractured in 2 or more spots.
500
Offensive breath resulting from poor hygiene, dental or oral infections, certain foods, and systemic diseases.
Halitosis