Medication
You are passing your morning medication and are in the middle of telling your patient which medications you are giving them. You patient stops you and asks why they were prescribed Pantoprazole. What other medication are they likely taking that indicates the need for a PPI?
What is: Celebrex
Name 4 activities require checking two patient identifiers
medication administration
initial patient assessments
treatments, therapy and procedures
diagnostic tests/procedures/imaging
specimen collection
internal and external patient transfers
A patient must follow posterior or anterior hip precautions to prevent the risk of this complications
What is: hip dislocation
This common post-operative lung condition causes patients to need low-flow oxygen
What is: atelectasis
Your patient has a cervical collar. How often should collar care be performed?
What is: once a shift and PRN
True or false: a patient on a continuous ketamine infusion must have a nurse accompany them to tests.
False, they must be accompanied by hospital staff (Porter, CA or Nurse)
When are patients assessed for VTE? (4 points of care)
What is:
- on admission
- changes in clinical condition
- transfers
- at discharge
A patient on T/L spine precautions must follow what bed mobility instructions
What is: log roll
This is the earliest and most sensitive sign of compartment syndrome
What is pain out of proportion to injury
When teaching how to use an incentive spirometer, you tell the patient to slowly do this to expand their lungs
What is: inhale
A patient reports an anaphylactic reaction to cephalosporins. Which of the following antibiotics should be avoided: vancomycin, clindamycin, or ancef
What is: ancef
What are 2 safety features included on the Alaris IV pumps?
What is:
- pump lock at the back (black button)
- drug library with guardrails (hard & soft limits)
- automatic flow stops: air in line, occlusion, door open,
A patient on C-Spine Precautions who does not have an AAT order must follow what bed mobility instructions?
What is: CTL/log roll
Name 5 common orthopaedic post-operative complications most likely to occur within POD 0 to POD5.
1. Bleeding / Hematoma
2. Atelectasis
3. Surgical Site Infection (early)
4. DVT
5. Pulmonary Embolism
6. Delirium
7. Medication-Related Issues
8. Urinary Retention
9. Compartment Syndrome
10. Pneumonia
A Form 1 is valid for ___ hours
What is: 72 hours
Which IV fluid is not compatible with a continuous Ketamine infusion?
What is Lactated Ringers
How do you know if your units fall prevention strategies are working?
What is: review the falls data on the Quality Board
You perform SCT during your initial shift assessment. The assessment does not reveal any sensory abnormalities. At your next assessment interval, the patient denies any new numbness or tingling. As per the policy, you can defer the _______ assessment.
What is: sensory/pin prick assessment.
Your patient becomes sick and CCRT is called. The MD is very busy assessing the patient and asks you to take a verbal order for bloodwork. The MD requests that you order "extended lytes". What does this include?
What is: Ca, Mg, Phosphate (calcium panel)
Your patient's complaining that their room is really, really hot. The clerical went home sick for the day. The patient states they are going to go to the news if you don't request to have it fixed. Where do you find the form to submit an engineering request?
What is: UnityNet, Engineering Request
Your patient starts seizing. The doctor orders IM lorazepam to be administered. What do you dilute the lorazepam with?
What is: you do not dilute lorazepam for IM injection. it is administered undiluted into muscle mass.
Mandatory reporting of adverse drugs and medical device incidents falls under which law?
What is: Vanessa's Law
The nurse may exclude the sensory and motor assessment of the upper limbs in patients with conditions affecting level T___ and/or below
What is: T6 and/or below
T6, T7, T8, T9, T10, T11, T12,
L1, L2, L3, L4, L5
S1, S2, S3
A seizure lasting longer than this duration is considered status epilepticus and requires emergency intervention and Code Blue activation
What is: 5 minutes
If a patient on a Form 1 leaves the hospital, a Form __ must be completed and police called
What is: Form 9