Blood Transfusion
Stroke
CHF
Sepsis
MISC
100

What is the max length of time a blood transfusion can run for?

4 hours

100

What is the acronym we use for stroke?

B.E. F.A.S.T.

100

What type of diet is expected for this patient?

2g Sodium Diet

100

TRUE or FALSE

You can hang a fluid bolus and antibiotics at the same item?

TRUE

(as long as blood cultures have been completed)

100

What triggers Malignant Hyperthermia?

Administration of Anesthesia

200

What needs to be included on a type and screen label?

Date, Time and Collectors Initials

200

Who can mix TNK? Who can administer TNK?

A trained RN can mix TNK, but only a provider can administer

200

Name two signs of worsening HF

Increased shortness of Breath, Rales, Peripheral Edema, Sudden Weight Gain, JVD, Coughing and Wheezing 

200

What needs to be completed 15 minutes apart AFTER administering your IV fluids?

Vital Signs

200

If there is a patient with suspected Malignant Hyperthermia (MH) , where can you locate the MH tackle box?

D7

OR

L&D (B7)

300

How long is blood consent valid for?


30 days or the duration of treatment

300

A patient goes to sleep normal condition at 9pm, wakes up at 3am and shows signs of stroke. What time is considered onset of symptoms?

Cannot be determined

300

Why is it important to monitor daily weights on HF patients?

To assess for major fluctuations in weight which could indicate fluid retention 

300

When does a repeat lactic acid need to be drawn?

Immediately after fluid bolus is complete

300

National Patient Safety Goals: What are the 3 main elements of a time out?

Right Patient, Right Procedure, Right Site

400

If your patient complains of itchiness and shortness of breath, what is your PRIORITY nursing intervention?

Stop the infusion

400

What does B.E. F.A.S.T. stand for

Balance, Eyes

Face, Arms, Speech, Time

400

Name a medication you would expect a CHF patient to be on

Diuretic (Lasix)

Inotrope (Milrinone)

400

What needs to be done in the first hour of the sepsis bundle?

Draw Lactic Acid, Blood Cultures x2, Fluid Bolus (vasopressors), Broad Spectrum Antibiotics, and Vital Signs  

400

Name three early warning signs of Malignant Hyperthermia?

Masseter spasm, Generalized muscular rigidity, Tachycardia, Hypercapnia, Hypoxia, Combined metabolic-respiratory acidosis

500

What 5 items do you need in place to start the process of a blood transfusion? 

Type and Cross, Physician Order, Signed Patient Consent, Base Line Vital Signs, Patent IV access

500

What diagnostic test needs to be performed with possible stroke patients?

CT Scan

500

What specific lab value indicates that a person may be in heart failure?

BNP

500

What is the standard calculation for fluid bolus on a sepsis patient?

30ml/kg

500

What are the red box rules?

Hand Hygiene

Patient Identification

Time Out