Skin
Pain
Pressure Injuries
CAM and Communication
Activity
100
What kind of gloves do you wear when cleaning a PenRose drain?
Sterile
100
What is the reversal drug for opioid overdose?
Narcan
100
What type of drainage is this?
Serosanguinous
100
What does SOAP stand for?
Subjective data, Objective data, Assessment, Plan
100
Which leg does the cane go by?
The unaffected leg
200
What type of injury is this?
Avulsion
200
What does OPQRST stand for?
Onset
Provocative/Palliative Factors
Quality
Region/Radiation
Severity
Timing
200
What type of diet facilitates wound healing?
High protein
200
List 5 non-pharmacological methods to reduce stress
Yoga, Deep breathing/meditation, Guided Imagery, Art therapy, Music therapy, Tai Chi, Massage, Acupuncture
200
Name 5 risk factors for DVT?
Paralysis, recent surgery or hospitalization, birth control use, LE trauma, prolonged immobilization, pregnancy/postpartum, Hx stroke, advanced age, obesity, Hx of previous DVT/PE
300
What are the 6 categories of the Braden Scale?
Sensory perception, Moisture, Activity, Mobility, Nutrition, Friction/Shear
300
Give an example of when to use cold and heat therapy.
Cold: acute pain, MSK injuries, swelling, muscle spasms
Hot: arthritis, menstrual cramps, chronic MSK pain, abscess, hemorrhoids
300
Name the 5 types of debridement
Autolytic, Enzymatic, Mechanical, Surgical, Maggots
300
What herbal medicine can reduce the effectiveness of birth control?
St. John's Wort
300
How many people are needed for a horizontal transfer?
3 minimum
400
What is a wound dehiscence and what is an early warning sign?
Incision site fails to heal; Early sign is increase in serosanguineous fluid
400
When do you reassess a patient's pain after IV pain medication?
30 minutes
400
Stage this pressure ulcer: full thickness tissue loss extending to the subcutaneous tissue with drainage
Stage 3
400
What type of communication should the nurse use when calling a provider about a patient's change in condition?
SBAR (situation, background, assessment, recommendation)
400
What does UP WITH THE GOOD mean?
Transfer crutches to bad leg, advance with the good leg up the stair, and then advance bad leg with crutches. Repeat.
500
A patient comes in with burns to the following areas: perineum, abdomen, and anterior aspect of both legs. Calculate the percentage of burns using the rule of nines. Will they be transported to a burn center?
28%; YES
500
What is the most serious complication of opioid use the nurse should monitor for?
Respiratory Depression
500
Name the criteria for a stage 1 pressure injury
Skin must be intact; non-blanching erythema
500
What 3 herbal medications can increase the risk of bleeding?
Ginkgo Biloba
Garlic
Ginger Root
500
Name 3 strategies to help prevent DVTs
Compression stockings
SCDs
Low molecular weight heparin SQ