A
This is the nomogram for the primary survey of a trauma patient.
What is ABC.
This is what you should ask an elderly patient who arrives with multiple injuries in multiple stages of healing.
What is do you feel safe at home?
A patient with this color tag in a mass casualty incident needs to be treated first.
What is red?
Of the following what patient would take priority?
S/P MI 2 days ago with crackles in the bases
T5 injury 1 week ago with HR 54
Urosepsis with new orders for cultures and antibiotics
Anaphylaxis 3 hours ago with clear lung sounds
What is urosepsis with new order for cultures and antibiotics.
This would be a sign that a patient with a spinal cord injury was in neurogenic shock.
What is bradycardia.
A nursing intervention when initiating therapeutic hypothermia.
What is initiating the facility protocol for temperature management.
This medication is the antidote for a Tylenol overdose.
What is acetylcysteine?
This is what you would do if a patient has visitors in the room when they suffer a cardiac arrest.
What is ask them if they would like to stay or wait outside the room?
What you would do if a patient was up for transfer out of the ICU after 1 week with sepsis became confused with stable vitals.
What is inform the receiving nurse and transfer the patient.
This is what you would check to determine effectiveness of pantoprazole in a patient with SIRS.
What is stool for occult blood.
The neurologic assessment that would be done on an unconscious person.
What is Glasgow Coma Scale.
This is when the chest wall moves in on inspiration and out on expiration, which can be caused by chest trauma.
What is paradoxical chest motion?
This is what a patient who had a deep human bite would be required to take.
This is what you would expect to do if a patient has low CVP pressures.
What is increase the IV fluid?
This is how you would know that a patient is adequately fluid resuscitated.
Urine output of greater than 30 ml/hr.
Discharge teaching for a patient who was treated for hypotension and elevated temp after doing yardwork all day would include this.
What is increasing fluids when working outside on a hot day?
This is what the nurse would do if a patient was exposed to powdered lime.
What is brush off visible powder.
This is how you would remove a tick.
What is use tweezers.
This is what you would assess in a patient who had pancreatitis with a decreased venous oxygen saturation.
What is temperature.
This is the priority assessment for a patient in cardiogenic shock.
What is monitor breath sounds frequently.
This is the assessment that would take priority for a patient who had a drowning accident but is now awake and breathing on their own.
What is auscultate their breath sounds.
This is the assessment that takes priority in a patient brought to the ER after a clod water drowning.
What is pulse check?
These are interventions that the nurse can complete or assist with when a patient in on a therapeutic hypothermia protocol.
What is intubation, foley catheter, and continuous ECG.
You would question this order for a patient who is in septic shock with a pulse of 120 and a low urine output after fluid resuscitation.
What is administer Lasix.
This is what you would assess to know if the treatment for anaphylactic shock was effective.
What is oxygen saturation.