Basics
Nurses role with informed consent
What is witnessing a signature?
Explain why myasthenia gravis is a medical emergency
What is weakness of the respiratory muscles?
Identify 5 meds to treat hyperkalemia
What are furosemide, insulin w/ dextrose, calcium gluconate, sodium bicarb, & sodium polystyrene?
Identify 3 lab values with cirrhosis
What are inc. ammonia, inc. bilirubin, dec. albumin, prolonged PT & INR, & elevated liver enzymes?
Identify 3 medications for MI
What are oxygen, nitroglycerin, morphine, aspirin, thrombolytics (alteplase)?
Name the 5 Stages of Grief
What are DABDA (denial, anger, bargaining, depression, & acceptance)?
Identify 3 nursing interventions for meningitis
What are droplet precautions, assist with LP, ABXs, HOB at least 30, assess s/s of inc. ICP?
Respiratory depression puts a patient at risk for which ABG imbalance
What is respiratory acidosis?
Name 2 interventions to help with urinary incontinence
What are Kegel exercises, avoiding ETOH & caffeine?
Identify 5 nursing intervention for blood transfusions
What are type & cross match, VS prior/15 mins after, hang with NS, remain w/ patient 1st 15 mins, & must finish w/in 4 hrs?
Identify the 5 Rights of Delegation
What are right person, task, circumstance/situation, communication/direction, & supervision/evaluation?
List 5 adverse effects of morphine
What are hypotension, urinary retention, constipation, n/v, respiratory depression, sedation, & ALOC?
Severe vomiting puts a client at risk for which ABG imbalance
What is metabolic alkalosis?
List 5 risk factors for UTIs
What are improper peri hygiene (wiping back to front), not voiding after intercourse, immobility, dec. fluid intake, & frequent catheterization?
Identify 3 signs of chest tube complication
What are disconnection (put in a cup of sterile H2O), pulled out (apply dressing & tape on 3 sides), & air leak (identify)?
Two things registered nurses can’t delegate to LVNs or UAP
What are assessment & teaching?
Identify type of clients autonomic dyreflexia occurs in, 3 triggers, 3 clinical manifestations, 3 nursing interventions, & biggest complication
What are SCI above T6, distended bladder, fecal impaction, tight clothing, diaphoresis, severe HTN, bradycardia, restlessness, nausea, high fowlers, remove clothing (find cause), administer anti-hypertensives, CVA?
Identify the ABG imbalance listed below . . .
pH 7.41. CO2 47 HCO3 29
What is metabolic alkalosis with complete compensation?
Provide 3 client instructions for 24 hour urine collection
What are discard the first void, remain on ice (refrigerator), collect all urine for 24 hours?
Identify 5 clinical manifestations of end of life
What are cheyne stokes respirations (death rattle), dec. urine output, stages of grieving, loss of reflexes, bradycardia, hypotension, dec. sensation/perception, cold, clammy, pale, loss of sphincter control?
Provide 3 client teaching instructions for PCA pumps
What are client is the only one to push the button, don’t worry about overdosing (machine locks out), use as needed (don’t wait until absolutely necessary)?
Identify 5 adverse effects of furosemide
What are hypokalemia, hyponatremia, hypotension, dehydration, and ototoxicity?
List 5 clinical manifestations of fluid volume deficit
What are tachycardia, hypotension, inc. H & H, dry mucus membranes, poor skin turgor (tenting), thready pulse, confusion, weakness, dec. urine output, & inc. urine specific gravity?
Identify 3 nursing interventions for aspiration precautions
What are oxygen & suction set up, assistance with feeding, no thin liquids, high fowlers position, tuck chin when swallowing, & turn head to the side with oral care?
List 5 complications of immobility
What are pressure ulcers, atelectasis/PNA, constipation, UTI, depression, muscle contractures, & thrombus formation?