Name the Medications
Nursing To Do
Nursing interventions for a risk
Triage
Nursing diagnosis from symptoms
100

can be given, but has a max dose and can cause heart issues

what is mitoxantrone

100

to do with needle stick

stop what you are doing and wash hands, notify supervisor and go to ED. test will be done and medication will be started within 72H. Will be retested at 6w, 12w and 6mo. Meds to be taken for 28 days. No pregnancy or blood donation for 6-12 weeks.

100

 risk for aspiration

What is: Keep HOB up, soft foods, no straw, possible thickened liquids and never deligate.

100

Patient with visible abdominal injuries, without hemorrhage

what is yellow, delay for 30min-1H

100

patient with what looks like a superficial burn, but was not exposed to a fire, that turns into a vesicles

what is sulfur mustard, soap and water, dont scrub and irrigate

200

what helps bladder dysfunction

what is : oxybutynin for spasms, nitrofurantoin/ABX for antiseptic and VitaminC pills for acidity

200

to do with small pox patient

place in isolation contact/droplet. if exposed get vaccine in 4 days, when rash appears=very contagious, autoclave belongings and cremate after death

200

risk for falls

what is: clutter free room, good lighting, bed locked in low position, call light within reach with bed alarm on.  non skid socks with fall risk band.

200

Patient with a 5%partial thickness burn to right arm, who follows commands

what is green, hours to days delay or urgent care clinic

200

someone who's initial vitals where BP: 122/85, HR: 98, RR: 18 and now have the following vitals: BP 160/70, HR 65, RR: 13 with moments and apnea.

what is cushings triad:

300

to give to a patient from a fire experiencing N/V, bp of 98/58, HR 130 and RR 24.

what is sodium nitrate (look for low BP, psych, arth/my algia) or Vitamin B12 (look for pink membranes, skin or urine, high BP and tachycardia

300

what do for DVT prophylaxis

SCD boots, stockings, ROM, heparin or enoxaparin

300

risk for injury

what is room clear with good lighting, objects within point of view, watching how you walk,

300
person with unequal bilateral chest wall movement with a sucking chest noise, who cannot follow commands

what is red: urgent need

300

someone with a spinal cord injury above t6 appears to have a BP of 170/96, HR of 40, reports a major headache, is sweaty had has a red face/chest and pale legs

autonomic dysreflexia: check and fix the 3 Bs, check BP Q5 minutes and give hypertensive medications, loosed tight objects

400

medications to give to a patient who has a CD4 count of 300, High viral load above 75 and has lymphedema.

any "vir" medications plus cobicistat and ritonavir

400

assessment of a traction patient

neuro assessment q1H, pin site care Qshift/prn, notify HCP of loose pins, weights or difficulty swallowing

400

risk for electrolyte imbalance

what is monitor electrolytes daily, give fluids, add or take away certain intake

400

person showing signs of shock, 3rd degree burns to 70% of body and has multiple big organ injuries

what is black tag: comfort measures only
400

someone was exposed to radiation 5 days ago, shows no symptoms but has low WBC and RBCS

what is latent stage of radiation exposure and lymphocytes below 1200= isolations. what are the 4 stages

500

what do give a person with MG

pyridostigmine: 15-30 minute onset, 3/4 hour duration. diarrhea, cramps and salivation risk. eat at 30 minutes

500

to do with seizure before and during

seizure precautions: bed in lowest position, suction at bedside, padded side rails

in seizure: protect head, lower patient, put on side never put anything in mouth or restrain, give phenytoin or levetiracetam. check toxic levels

500

risk for impaired communication and confusion

use white boards, paper, phone to communicate, reorient patient frequently

500

patient with an open femur fracture and 3rd degree burn of 40% of body

red tag: urgent

500

someone who has skin lesions and eschar, a cough and headache and N/V and ascites, who went and got her mail

what is anthrax exposure. not contagious, fix airway or death will occur, treat with penicillin or doxycycline for 60 days. death = cremation

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