Sleep
Which gland secretes melatonin?
What is the pineal gland?
A patient is going into labor and states she is feeling a lot of pain in her uterine area. What kind of pain is this patient experiencing?
What is visceral pain?
A nurse is about to administer 40 units of insulin to a patient. She removes the medication, double checks to make sure it's the right patient, labels the syringe and goes into the room. The nurse checks again to make sure the patient is correct and then gives the medication. Which safety area was missed by the nurse?
What is preventing infection?
What are the five things within a physical assessment?
What is sitting, standing, range of motion, gait and exercise?
True or false: A patient can have an order for PRN restraints.
What must be inhibited in order for us to start winding down to sleep?
What is the Reticular Activating System?
A non-verbal, autistic child comes in to primary care after falling off their bike. You need to figure out how to assess their pain. Which pain scale would you refer to in this situation?
A nurse is assisting a patient to the bathroom. While they are walking, her phone rings so she steps out to take the call. The patient falls and breaks their wrist. What event has happened?
What is a sentinel event?
A patient states that when the move their right leg away from their body it hurts. What range of motion are they having trouble with?
What is abduction?
You go to sleep and eventually your temperature drops, your heart rate and respiratory rate drops. Which stage of sleep are you experiencing?
What is N2?
What percent of sleep is spent in N2?
What is 45-55%?
A patient with a pacemaker comes in to talk about his pain. He states he does not want pharmacological relief and would like to try more natural ways. Which nonpharmacological pain is inappropriate for this patient?
A. Herbal Medications
B. TENS
C. Heat/Cold Application
D. Distraction
What is B. TENS?
Name the acronym for RACE and PASS.
What is Rescue, Alarm, Contain, and Extinguish? What is Pull, Aim, Squeeze, Sweep?
When moving a partial assist patient, what stand should both nurses be in before moving the patient?
What is a forward-backward stance?
True or false: The more sleep cycles you experience, the longer you'll experience REM; however if you wake up, your sleep cycles do not start over.
What is false?
Which patient is having abnormal sleep patterns?
A. A 3 year old that sleeps 12 hours with only one nap during the day.
B. A 6 year old sleeping 13 hours, but no longer requiring a nap.
C. An infant sleeping 9 hours, but now able to sleep longer at night.
D. A 20 year old who sleeps 8 hours soundly through the night.
What is B. A 6 year old sleeping 13 hours, but no longer requiring a nap?
A chronic opioid user comes in for treatment. They end up being admitted for up to four weeks. After a few days they state they are feeling headaches, nausea, and vomiting and that they need opioids to help. You check their vitals and they are experiencing tachycardia and hypertension. The patient is considered what in regards to opioid drugs?
What is physically dependent?
Name two intrinsic factors versus two extrinsic factors.
Intrinsic: medications, diseases, age
Extrinsic: trash on floor, wires on floor, rugs
A patient is experiencing urinary stasis from laying flat in bed. The patient is now complaining about having trouble urinating. What other issues should the nurse be concerned about finding?
What is renal calculi, UTI, decreased bowel sounds, decreased perstalisis and constipation?
Name the 6 anti-anxiety medications for sleep.
What is: Triazolam, Temazepam, Quazepam, Flurazepam, Estazolam, Lorazepam.
Explain the difference between central and obstructive sleep apnea.
Central is likely unfixable due to it being something someone is born with such as muscular dystrophy, or a defect in the respiratory center. Obstructive is most common and occurs when something is in the way, such as enlarged tonsils or a deviated septum.
A patient comes in because they are having stomach pain. They state their pain is a 2/10 and they just need something to help them get through work for the day. You look in their chart and see they drink alcohol occasionally, but are also a hemophillac. Which analgesic would we recommend for this patient?
A. Meloxicam
B. Acetaminophen
C. Ibuprofen
D. Celecoxib
What is B. Acetaminophen?
Name the four types of restraints.
What is chemical, physical, environmental, side rails?
A nurse is moving a patient to their side and the patient states it hurt her hip. The nurse tells the provider who orders an x-ray and they see there's a small fracture on her hip that was not there before being moved. During her hospitalization the patient was bed ridden with concerns of osteoporosis. What did the patient experience?
A patient is needing to apply a topical medication. Where should they not apply it? Select all that apply.
A. Upper Arm
B. Calf
C. Inside Forearm
D. Under the eyes
What is C and D?
A lack of what chemical can cause daytime sleepiness?
What is the most common side effect when giving opioid medication?
What is constipation?
A patient is having a seizure. The nurse loosens their clothing, rolls them to their side, lowers the side rails, removes the pillows, opens their chin slight, and calls for help. What did the nurse do wrong?
What is lower the side rails?
Which bed position is best for respiratory patients and those with foot drop concerns?
What is prone?
A patient is experiencing 6/10 pain after waking up from surgery. Which medication would not be considered right away for their pain?
A. Codeine
B. Oxycodone
C. Tramadol
D. Hydrocodone
What is B. Oxycodone?
What is bruxism and what stage of sleep does it occur at? What is somnambulism?
What is clenching/grinding your teeth at night during N2? What is sleep walking?
Describe the first pass effect. What route do we commonly use to avoid this?
When the stomach will break down oral medications and waste some part of it so therefore more medication has to be given in order to achieve wanted effect. We avoid this using nasal routes.
A child accidentally drinks shampoo. They are awake, but foaming at the mouth and getting dizzy. The parents frantically reach for their phone, but are unsure who to call first, 911 or poison control. Who should they call?
Poison control
A patient is doing ROM exercises with a PT. The patient is demonstrating that they can lift their foot with their toes to the sky. What ROM is this?
What is dorsiflexion?
Which safety intervention is not appropriate for a preschool aged child?
A. Internet Safety
B. Trampoline Safety
C. Swimming Safety
D. Road Crossing Safety