Nursing Assessment/Interventions
Cardiac
Pulmonary
GI/Endocrine
Some of Everything
100
The patient’s feeding tube is occluded and cannot be flushed. The nurse knows that the best irrigant for feeding tube occlusion is
What is water?
100
Cardiac enzymes that are specific biomarker for myocardial damage
What is troponin I?
100
This device gives the lowest flow of oxygen
What is a nasal cannula?
100
The best method of checking placement of a feeding tube is ????
What is an x-ray?
100
A normal HbA1c level for a normal person is
What is <5.4%
200
The order of assessment of the abdomen follows these 4 steps_______
What is inspection, auscultation, percussion, and palpation?
200
The possibility of microshock when handling a temporary pacemaker can be minimized by
What is wear gloves?
200
Name 2 measures to prevent ventilator acquired pneumonia. (VAP)
What is oral care, HOB elevated 30-45 degrees, providing daily sedation vacations?
200
Grey-blue discoloration on the patients flank may be indicative of_____
What is pancreatic hemorrhage?
200
In this illness the patient puts out excessive amounts of dilute urine
What is Diabetes Insipidis?
300
After administering a fibrolytic the nurse knows to monitor the patient for this serious complication
What is bleeding/hemorrhaging?
300
This type of angina goes away with rest and/or use of nitrites
What is stable angina?
300
pH, 7.38 PaCO2, 52 mm Hg HCO3, 34 mEq/L
What is compensated respiratory acidosis?
300
The vomiting of blood is also known as
What is hematemesis?
300
Name three signs/symptoms of hypervolemia
What is Crackles Edema S3 High blood pressure Jugular vein distension dyspnea Tachycardia, bounding pulses elevated CVP Ascites
400
Name a drug that may be given to treat hyperkalemia?
What is insulin?
400
The P wave represents
What is atrial depolarization?
400
The correct procedure for selecting an oropharyngeal airway is to:
What is measure the airway from the corner of the patient’s mouth to the angle of the jaw?
400
This is a non-diabetic cause of ketoacidosis
What is starvation?
400
Patients with central DI are treated with
What is vasopressin? (synthetic ADH)
500
The primary intervention for hyperglycemic hyperosmolar syndrome (HHS) is
What is rapid rehydration?
500
Name 3 things that might causes tachycardia?
What is stress, fever, hypervolemis or hypovolemia, fear, pain, anxiety, drugs (epinephrine etc.)
500
In the patient at risk for ventilator-induced lung injury, ____________________________ is used to avoid end-expiratory alveoli collapse and reopening.
What is PEEP?
500
The patient in liver failure is at greatest risk for
What is bleeding?
500
Severe hyperglycemia with minimal or absent ketosis is known as ....
What is hyperglycemic hyperosmolar syndrome (HHS)?