MEDS
An elderly patient being treated for kidney disease develops muscle weakness and irregular heartbeats. Lab results show low potassium. The nurse recognizes this as a potential complication of this medication class.
What are diuretics?
These two assessment techniques—used to detect joint swelling, tenderness, and crepitus—are standard in a musculoskeletal exam.
What are inspection and palpation?
A nurse documents FALSE information in the chart that harms a patient’s reputation. This specific type of defamation, because it is written, is legally classified as this.
What is Libel
Common cardiac arrythmia that can increase risk of falls
What is A-Fib or Atrial Fibrillation
This action's purpose is to clear dust and particles from the eyes
What is Blinking
Med class a pt with AFib must be on
What is Anticoagulant
A permanent shortening of a muscle or tendon that restricts joint mobility, often resulting from prolonged immobility or poor positioning.
What is a contracture?
A nurse distributes limited life-saving medications during a shortage based on medical need rather than patient status or personal preference. This action exemplifies this principle.
What is Justice
This is the term for the abnormal heart sound caused by turbulent blood flow across an impaired valve, often described as blowing or swishing.
What is a heart murmur?
To assess balance and proprioception
What is a Rhomberg test
A patient with unstable angina is given this med, but their blood pressure drops to 82/54 mmHg. The med, med class and what should the nurse do
Nitro
Nitrates
Call the provider, hold further doses
Characterized by increased muscle tone and exaggerated tendon reflexes, this condition is commonly associated with upper motor neuron injuries.
What is spasticity?
A nurse charts that a patient is “drug-seeking and manipulative” without objective evidence. If this documentation harms the patient’s reputation or care, the nurse may be liable for this legal offense.
What is defamation?
Name 5 abnormal findings you might see when assessing a patient with a severe cardiac issue such as heart failure, valve stenosis, severe dysrhythmias
What is:
Diminshed pulses, edema, lack of hair growth to lower legs, wounds, pallor or cyanosis, cough, dyspnea, fatigue, crackles, weight gain or loss, confusion, disorientation, pale nail beds, cap refill >3 seconds, abnormal heart sounds, increased RR, ascites
When the SNS is activated, what the pupils look like
What is Dilated
A patient on Keppra and a sedative demonstrates respiratory depression and hypotension. The nurse must prioritize this action according to legal and ethical standards of patient safety.
What is assess airway, breathing, and circulation and notify the provider immediately?
Bells Palsy affects this cranial nerve (NAME, ROMAN NUMERAL AND NUMBER FOR CREDIT)
What is Facial, VII (7)
A competent adult patient with a broken ankle refuses an X-ray. The nurse calls the radiology tech and tells them to “just take it anyway so we stay on schedule.” If carried out, this would legally constitute this.
What is battery?
This condition can have patients who complain of fatigue, cyanosis, cough, crackles, confusion, restlessness and paroxsymal nocturnal dyspnea
What is Left sided heart failure
Part of the autonomic system that slows breathing
What is the Parasympathetic nervous system
A patient on Keppra shows increasing confusion and agitation. The nurse considers using a sedative to calm them. Ethical and legal considerations require the nurse to first do this before giving medication.
What is attempt nonpharmacologic de-escalation and obtain a provider’s order?
An asymmetric soft-palate rise and diminished gag reflex point to dysfunction of this cranial nerve involved in swallowing and phonation.
What is the glossopharyngeal nerve (CN IX)(9)
A newly licensed LPN notices that a patient’s blood pressure is critically low, but the nurse decides not to notify the provider immediately, thinking “someone else will handle it.” The patient later suffers a fall and develops a serious complication.
2 part answer:
1. The legal complaint that can be filed
2. The holder of the policy regarding the nurses actions
1. What is negligence
2. The state board of nursing
Trace blood flow through the heart, including valves
Deoxygenated blood enters the heart through:
Superior vena cava (SVC)
Inferior vena cava (IVC)
Coronary sinus
Right atrium
Tricuspid valve (right AV valve)
Right ventricle
Pulmonic (pulmonary semilunar) valve
Pulmonary artery → Right and left pulmonary arteries
Lungs (gas exchange occurs; blood becomes oxygenated)
Pulmonary veins (4 veins return oxygenated blood)
Left atrium
Mitral (bicuspid) valve (left AV valve)
Left ventricle
Aortic valve
Aorta
What is Varicella/Shingles