SEPSIS/SHOCK
CARDIAC
RENAL
NEURO
RESPIRATORY
100
Three most common causes of sepsis

Urinary, Respiratory, GI

100

When assessing a cardiac rhythm, what do you want to first determine

If it is regular or irregular

100

What are the two types of dialysis?

Hemodialysis and Peritoneal Dialysis  


100
Scale you use to assess stroke patients

NIHSS

100

Type of medication you give for a patient with a pulmonary emobolism

Anticoagulants

200

Goal for MAP

>65

200

A normal appearing beat on the monitor that occurs earlier than expected

PAC- Premature atrial complex

200

For a patient with an AKI, which laboratory result would cause you the greatest concern?
A. K 5.9
B. BUN 25
C. Sodium 144
D. pH 7.5

A. K. 5.9

**IT CAN CAUSE LIFE THREATENING DYSRHYTHMIAS**

200

Three primary signs that indicate increased ICP

Cushings Triad (increased systolic BP, decreased pulse, decreased respirations)

200

Risk factors for a pulmonary embolism

Oral contraceptives, long term immobility, pregnancy, tobacco use, surgery, long bone fractures, cancer

300

Sepsis induced hypotension despite adequate fluid resuscitation

Septic Shock

300

Nursing interventions for dilated cardiomyopathy

- Monitor cardiac output (blood pressure, heart rate, edema, peripheral pulse, I&O)
- Pain management
- Energy conservation
- Plan for interventions based on origin (LVAD, Pacemaker, ACID etc)
- Monitor for signs of heart failure
- Fluid restrictions


300

What are signs and symptoms of renal transplant rejection?

Temperature >100, pain to grafted kidney, 2-3lbs of weight gain in 24 hours, malaise, elevated BUN and Creatinine

300

Two types of spinal cord injuries and their differences

Complete: No sensory or motor function is preserved in sacral segments S4-S5 

Incomplete: Preservation of sensory or motor function below the level of injury, including the lowest sacral segments

300

Which of the following indicates that a patient with pneumonia is responding to antibiotics?
A. Cough, clear sputum, Temp 99, 96% on RA
B. Wheezing, O2 2L NC, RR 26, no SOB or chills
C. Clear lung sounds, Temp 99, O2 2L NC, yellow sputum
D. Fatigued, RR 28, audible breath sounds

A. Cough, clear sputum, temp 99, 96% on RA.

400

The type of shock where fluid resuscitation is most important

Hypovolemic

400

Atrial dysrhythmia has a "saw tooth" pattern

Atrial Flutter

400

The nurse is caring for a 70 year old male who just had coronary artery bypass graft surgery 3 weeks ago. During the oliguric stage of an acute kidney injury, what action would be appropriate to include in the nursing plan of care?
A. Provide foods high in potassium
B. Restrict fluids based on urine output
C. Monitor output from peritoneal dialysis
D. Offer high protein snacks

B. Restrict fluids based on urine output

400

Nursing Interventions for monitoring ICP

Elevate head of the bed, oxygen saturation >94%, maintain head midline, avoid sudden hip or neck flexion, keep lights low, monitor vital signs.

400

Medications that relax smooth muscle and help the upper airway

Bronchodilators

500

A patient is admitted to the ED after sustaining abdominal injuries and broken femur from an MVC. The patient is pale and diaphoretic. Vital signs are as followed:
Temp 98
HR: 130
RR: 34
BP: 70/42
What type of shock is this patient in

Hypovolemic Shock

500
A client has frequent runs of ventricular tachycardia. The nurse is most concerned with this dysrhythmia because: 

A. It is uncomfortable for the client giving them a sense of impending doom.
B. It produces a high cardiac output that quickly goes to cerebral ischemia
C. It is almost impossible to convert to normal sinus rhythm
D. It can develop into ventricular fibrillation at any time.


D. It can develop into ventricular fibrillation at any time.

500
What nursing interventions would you want to educate your patient with ESRD on?

Skin Integrity: keeping skin clean to relieve itching/dryness, creams as needed, oatmeal baths

Prevent Constipation: High fiber diet, stool softeners, increase activity as tolerated 

Safety: Monitor patient's gait, analgesics as ordered for pain and cramps

500

Medications used for a TBI

Mannitol and 3% Saline

500

The most common early manifestation of ARDS a nurse may see are:
A. Dyspnea and tachypnea
B. Cyanosis and apprehension
C. Respiratory distress and frothy sputum
D. Bradycardia and Increased work of breathing

A. Dyspnea and Tachypnea