Nervous System
Eyes/Ears and miscellaneous
Skeletal
GI
Ostomies
Osteoporosis
Arthritis
Oh, NO, GI again!
Are you kidding? GI?
100
This is the primary assessment area to monitor for a client with a C-spine injury
What is Respiratory Status?
100
An elderly client has developed hearing loss over the past week. A competent nurse would check the client for this
What is a buildup of cerumen?
100
What to assess in a client who had a left knee arthroscopy a hour ago, when the left leg is pale, cool, and has a thready pedal pulse
What is the right leg?
100
The primary area of assessment for a client with ulcerative colitis having severe diarrhea
What is cardiac: rhythm and heartrate?
100
Stool drainage from an ascending colon colostomy bag will always be this
What is liquid?
100
Your elderly client may have this condition if their serum calcium level is low
What is osteopenia or osteoporosis OR JUST age related low serum calcium?
100
Paraffin wax dips are helpful for this condition, especially when used just prior to activities that require dexterity of the hands
What is rheumatoid arthritis?
100
Your client had midazolam (Versed) for sedation during their EGD. Now they have a respiratory rate of 8 breaths per minute and are not responding. This is your next intervention
What is physical stimulation? (Sternal rub, painful stimuli)
100
This specialty consult is recommended for a client with dumping syndrome
What is dietary?
200
After finding CSF drainage on the surgical dressing, you do this before notifying the surgeon
What is lower the head of the bed, so the client is lying flat?
200
Wearing eye/head protection, sunglasses, and stopping smoking can all help prevent the formation of these
What are cataracts?
200
Two important assessment areas that should be included when evaluating a client with back pain
What are prior injuries and current activity risks?
200
The primary concern for a client with Crohn's disease with a draining fistula
What is electrolyte imbalance?
200
New colostomies need this done frequently at first
What is emptying them frequently and burping them to decrease gas collection?
200
What an elderly client with osteopenia should do for exercise
What is walking? (weight-bearing exercise)
200
For a client with rheumatoid arthritis, these items in the home will increase their independence
What are ?
1- grab bars
2- long handled bath brushes
3- toothbrushes with built-up handles
200
This is your primary assessment area for a client who just had an open hiatal hernia repair.
What is preventing respiratory complication?
200
When a peptic ulcer disease client is having gastric pain and orthostatic hypotension, this becomes your primary intervention
What is initiating NS through large bore IV sites?
300
What you anticipate the provider will order after notifying the provider that a Multiple Sclerosis client is having difficulty with spasms and tremors,
What is Baclofen (or another antispasmodic)?
300
What a nurse should do if the order says to give Timolol eye drops to a client who has a heartrate of 48 beats per minute
What is hold the medication and call the provider?
300
This is the primary intervention for a client with metastatic bone cancer
What is pain management?
300
A primary assessment area for a client with Crohn's disease having heavy drainage from a fistula
What is skin integrity?
300
A client who is afraid their new ileostomy will be visible and embarrassing, needs a referral this specialist
What is a wound care and ostomy nurse?
300
Elderly clients are at risk for frequent falls and fractures due to this dietary habit
What is avoidance of dairy products?
300
Pre-op teaching for the client with a planned elective total hip surgery should include this
What is completing dental procedures at least 2 weeks before surgery?
300
This is the primary assessment area for a client with a large oral tumor
What is the airway?
300
Hypotension, dizziness, hematemesis, and low urinary output all are symptoms of this condition
What is peptic ulcer disease with an Upper GI bleed?
400
Before sending a female client with a spinal injury to an open MRI scan with gadolinium, the nurse should assess these four areas
What are kidney function, pregnancy, presence of metal/electronic devices, and communication skills?
400
This is the proper order for abdominal assessment
What is inspection, auscultation, and then light palpation?
400
Treatment for this condition requires the client to be on long term antibiotics, follow a high protein and carbohydrate diet, and properly use IV equipment
What is chronic osteomyelitis?
400
These 3 things are done to prevent the spread of gastroenteritis from one client to another
What are?
1-refusing to share eating utensils with others
2-practicing proper hand washing
3- keeping the bathroom sanitized
400
Expectations for assessment of a new ileostomy would include these 3 results
What are?
1-a pink stoma
2-dark green liquid stool with some blood present
3-an intact appliance
400
This should be conducted prior to sending a client with osteoporosis home, especially if they live alone
What is a Home Safety Evaluation?
400
For clients with Osteoarthritis, the maximum dose of this medication is 4,000 mg/day; or only 3,000 mg/day if they are elderly
What is acetaminophen?
400
Abnormal assessment finding for a client with this condition would include: dyspepsia, dysphagia, regurgitation, belching, coughing, and chest discomfort
What is GERD?
400
NG tube assessments should include these
What are?
1-checking placement every 4 hours
2-temporarily discontinue suction prior to auscultation
3-monitoring skin integrity around the tube site
500
Due to the potential for this condition, a nurse who discovers reddened areas on a spinal injury client's buttocks would reposition the client off the reddened areas and provide a pressure reducing mattress
What is autonomic dysreflexia?
500
This isolation precaution should be initiated for newly arrived, elderly diabetic client with a heavily draining wound
What is Contact Precautions?
500
Primary assessment sites for this device include pin sites (for infection) and chest and back sites (for breakdown)
What is a halo fixator?
500
The primary treatment for gastroenteritis
What is the prevention of dehydration by drinking plenty of fluids?
500
To prevent colon surgery, clients with a family history of colon cancer should have this done more frequently to identify abnormal polyps as early as possible
What is a colonoscopy?
500
Clients with a T-score below -2.5 will likely be placed on this type of medication
What are biphosphonates?
500
Freebie!!!
Freebie!!!
500
Comfort measures for this condition include applying warm compresses and encouraging frequent intake of oral fluids
What is Sialadenitis?
500
Interventions for minimally invasive hernia repair include these
What are?
Ice packs, ambulation, and frequent VS x first few hours; deep breathing (not coughing), rest at home, and not lifting over 10 pounds