1ST SEMESTER
What is the best indicator for renal function?
GFR
A client taking furosemide reports muscle cramps. Which electrolyte imbalance is the nurse most concerned about?
Hypokalemia
What is the treatment for compartment syndrome?
Fasciotomy
If a child starts puberty early, what is the average age? Name? Boys? Girls?
Precocious puberty
Boys <9
Girls <8
How many national championships did Nick Saban win?
6
How would you interpret this ABG?
PH 7.32
CO2 55
HCO3 28
Respiratory acidosis
A nurse is preparing to administer metoprolol. Which assessment finding requires the nurse to hold the medication?
Heart rate below 60bpm
Which of the following is not a clinical manifestation of the oliguric phase of AKI?
- hyperkalemia
- hyponatremia
- elevated BUN
- hypokalemia
Hypokalemia
A 6-year-old weighing 22 kg presents to the ED with partial thickness burns covering 18% TBSA after a house fire. Using the Parkland Formula, calculate:
1. The total fluid requirement for the first 24 hours
2. The amount to give in the first 8 hours
3. The amount to give in the remaining 16 hours
1. 1584
2. 792
3. 792
The first five star recruit under Nick Saban?
Julio Jones
What are the 2 signs you see in patients with hypocalcemia?
Positive Chvostek and Trousseau's sign
A patient receiving IV vancomycin suddenly develops flushing, hypotension, and a red rash on the upper body. What is the nurse's immediate action?
Slow the infusion rate
When do you initiate neutropenic precautions?
When the neutrophil count is below 5000
What precautions are needed for a child with Rubella?
Droplet
Highest draft pick under Nick Saban?
1st overall, Bryce Young
What is one early and one late sign of shock (in relation to vital signs)?
Early: Tachycardia
Late: Hypotension
A patient newly prescribed levothyroxine asks when to take the medication. What is the best instruction?
Take it in the morning on an empty stomach.
What is the onset of long acting insulin?
1-2 hours
What would be the priority intervention for a patient in DKA?
Fluid Resuscitation
All time sac leader?
Derrick Thomas
A 35-year-old woman with a history of untreated hyperthyroidism presents with fever, anxiety, palpitations, and sweating. She reports a recent bout of pneumonia.
Vitals:
HR 148
BP 162/78
RR 24
Temp 104.3 F
What is the likely endocrine emergency?
Thyroid Storm
A 34 year-old-female with depression and migraines takes:
- Fluoxetine (SSRI)
- Tramadol PRN
- Sumatriptan
She presents with agitation, sweating, tremors, and diarrhea/ Her partner reports she became "very confused and restless" after taking medication for a severe migraine earlier today.
Vitals-
HR 136bpm
BP 152/94
RR 24
Temp 103 F
SpO2 98%
Assessment findings:
- Hyperreflexia
- Bilateral Clonus
- Mydriasis
- Skin warm and flushed
Which drug-related condition is most likely?
Serotonin syndrome due to SSRI and tramadol and triptan interaction.
A 30-year-old woman presents with 8-10 bloody stools per day, abdominal cramping, fatigue, and urgency.
Vitals:
HR 96bpm
BP 112/70
RR 18
Temp 100.2 F
Findings: Pale, fatigued, colonoscopy showed continuous inflammation limited to the colon
Labs:
Hgb 9.8
ESR 58 (elevated)
Which gastrointestinal disorder is most likely?
Ulcerative Colitis
A 14-month-old is brought to the ED after turning blue and becoming limp during play. The mother reports the child become cyanotic when crying and sometimes squats, which improves the color. The child has poor weight gain and tires easily with feeds.
Vitals:
HR 168bpm
RR 58 with mild retractions
BP 84/45
SpO2 74% (minimal improvement with O2)
Assessment:
Central cyanosis, clubbing, harsh systolic murmur at the left upper sternal border
During assessment the child becomes extremely irritable and develops a hypercyanotic spell with SpO2 dropping to 67% which improves when placed in a knee-chest position.
Diagnostics:
CBC reveals elevated H&H
CXR shows a boot-shaped heart
Echo shows RV outflow obstruction, VSD, overriding aorta, and RV hypertrophy
What cardiac disorder is most consistent with this presentation?
Tetralogy of Fallot (TOF)
Worst season under Nick Saban?
2007, 7-6, Worst loss: ULM