System Failure
Bugs and Drugs
When Good Cells Go Bad
Below the Belt
Prioritize This!
200
Rapid fluid boluses are contraindicated in this type of shock.

What is cardiogenic shock?

200

These precautions are used for both MRSA, and VRE.

What are contact precautions?

200

This is the most common early symptom of colorectal cancer.

What is a change in bowel habits?

200

While this female cancer is often asymptomatic until later in the disease, abdominal bloating is a common symptom.

What is ovarian cancer?

200

A patient receiving a blood transfusion develops angioedema, itching, and hives. This is the nurse’s priority action.

What is stop the infusion?

400

The nurse suspects a patient with cool, pale extremities and decreased urine output is in this stage of shock. 

(Blood pressure 108/70, pulse 120, SpO2 88%, respirations 24, and Temperature 98.4F)

What is compensatory shock?

400

A patient with atopic dermatitis presents with excoriated areas with honey colored crusts.  The nurse suspects this complication.

What is a secondary staph infection?

400

This is the most common early sign of bladder cancer.

What is painless hematuria?

400

Unusual bleeding is a common symptom of this female cancer.

What is endometrial cancer?

400

The nurse is caring for three patients. Based on the following lab results, this patient is the nurse's priority. 

(A) Postoperative patient- Hgb 10 g/dL

(B) Immunocompromised patient- WBC 3,000 cells/mm3

(C) Patient with thrombocytopenia- PLT 18,000

What is (C), the patient with thrombocytopenia and a platelet count of 18,000?


600

DAILY DOUBLE!

This process causes mottling of the skin as shock progresses.

600

Community types of this infection often present as a pimple or a bug bite that can rapidly progress to necrotizing fasciitis.

What is MRSA? (Methicillin-Resistant Staphylococcus Aureus)

600

This type of bone marrow cancer primarily affects children.

What is ALL (acute lymphocytic leukemia)?


(*Remember, ALL kids should be cancer-free)

600

This cancer is linked to HPV infection.

What is cervical cancer?


600

A patient with sepsis is receiving oxygen and antibiotics.  The patient has a BP of 84/46, HR 128, and warm, flushed skin. What’s the nurse’s priority intervention?

What is administering IV fluids to restore perfusion?

800

The nurse prepares for this priority intervention when MODS is suspected.

What is intubation and mechanical ventilation?

800

This infectious disease is treated with PO vancomycin and IV metronidazole.

What is C-Diff?

800

The Philadelphia Chromosome is the hallmark diagnostic indicator of this cancer of the bone marrow.

What is CML (chronic myeloid leukemia)?


(Memory trick: Philadelphia= "city of brotherly love"

If you add a B to the end of CML you can think "city of my little brother" to help you remember*)

800
Hip pain, back pain, and rectal discomfort may indicate metastasis of this male cancer.

What is prostate cancer?

800

A patient with leukemia develops a temperature of 100.6°F (38.1°C). This is the nurse's priority action.

What is to obtain blood cultures?

1000

This is the hallmark sign of progressive shock.

What is SBP < 100 and/or MAP < 65?

1000

In addition to an elevated WBC, this elevated laboratory finding indicates a progression of sepsis.

What is lactic acid?


(IVF indicated if >4)

1000

Daily Double!

This cancer is caused by the Reed-Sternberg cell.

1000

This age group has the highest risk of developing testicular cancer.

What is 15-40 yo?

1000

A patient with septic shock has a MAP of 58 mm Hg after fluids. The nurse should anticipate this medication order next.

What are vasopressors? 

(ex: norepinephrine)