Vitals and Victory
normal adult range for heart rate
60-100 BPM
Commonly used for pain and is known to cause respiratory depression
Morphine
Which client should the RN see first: a diabetic with BG of 250, or a post-op patient with sudden dyspnea?
Post-Op patient with sudden dyspnea
What is the best response to a patient experiencing auditory hallucinations?
“I don’t hear the voices, but I understand they’re real to you”
What’s the first step in using an AED?
Turn it on
Vital sign most critical to monitor for a patient on opioid therapy
Respiratory rate
Class of antihypertensives ends in -pril.
ACE Inhibitors
Which task is appropriate to delegate to a UAP: administering insulin or assisting with ambulation?
assisting with ambulation
Name a therapeutic communication technique that encourages more sharing.
Open-Ended questions
In a code situation, what is the recommended chest compression rate per minute?
100-120 compressions per minute
A temperature of 102.5°F in an elderly patient may present atypically. What is one such symptom?
Confusion or altered mental status
Patient taking warfarin should avoid excessive intake of this vitamin
Vitamin K
What principle guides the nurse when deciding which patient to assess first?
ABCs
A client with bipolar disorder is in a manic phase. What is the priority nursing intervention?
reducing environmental stimulation
Which rhythm is not shockable: V-fib, V-tach, or asystole?
Asystole
Expected oxygen saturation range for a healthy adult
95%-100%
This antipsychotic medication may cause extrapyramidal symptoms
Haloperidol
A newly admitted patient is confused and wandering. What is the priority action?
Safety - Fall precautions
What should you monitor for in a patient newly started on SSRIs?
suicidal ideation or serotonin syndrome
What is the priority when a patient pulls out a central line and begins bleeding?
apply pressure and place the patient in Trendelenburg
This artery is best for checking the pulse in an unresponsive adult?
Carotid
What is the antidote for benzodiazepine overdose?
flumazenil
Who is appropriate for assignment to an LPN: A stable diabetic needing insulin teaching or a new admission with chest pain?
stable diabetic needing insulin administration
Which defense mechanism is seen when a patient attributes their own feelings to someone else?
Projection
What medication is commonly given first during a code for asystole?
epinephrine