Finals Jeopardy

CV/Resp

100

Drug cocktail used for Tuberculosis

Isoniazid (monitor for neuritis), ethambutol, Rifampin, Pyrazinamide. Vitamin D can reduce clinical recovery time.

200

These are modifiable risk factors for CV disease

 Inactivity, smoking, hypertension, atherosclerosis, DM, emotional stress, cholesterol, diet, exercise

300

the third system that is often affected by both the cardiovascular and respiratory systems

neurologic

400

The first and second actions to take when your patient is desatting

1. sit them up

2. provide O2 support

500

These lower blood pressure by inhibiting conversion of angiotensin 1 to angiotensin 2, preventing vasoconstriction and restrict volume expansion mediated by aldosterone

Ace Inhibitors

What diet is that?

100

A regular diet modified in texture and includes foods that require minimal chewing before swallowing

Mechanical soft diet

200

This diet includes clients who have chewing or swallowing difficulties, oral or facial surgery, and wired jaws.

Pureed diet

300

Acceptable foods are water, tea, coffee, fat-free broth, carbonated beverages, clear juices, ginger ale, and gelatin.

Clear liquid diet

400

Prescribed when swallowing is impaired with manifestations of drooling, pocketing food, choking or gagging.

Dysphagia diet

500

Food supplements/snacks in between meals to add calories but are low in fiber and predisposes clients to constipation

Soft (bland, low-fiber) Diet

Skin Integrity/Infection

100

The components of the chain of infection.

What is 1) Infectious Agents 2) Reservoir 3) Portal of Exit 4) Mode of Transmission 5) Portal of Entry 6) Susceptible Host?

200

A sign indicative of a systemic infection resulting from a wound is _____________.

What is fever.

300

Name and describe the 4 kinds of wound exudate.

What is - 

serous: thin and watery 

serosanguineous: thin and watery with blood

sanguineous: bloody drainage

purulent: green/yellow drainage 

400

Stages can range from reddened area that does not blanch (stage 1) to a crater to the bone (stage 4) or be covered in eschar, making it unstageable. Diet recommendations include foods high in protein and vitamin c to promote healing

Pressure ulcers. ( turning every two hours and maintaining clean, dry skin as well as good nutrition are ways to help prevent this complication)

500

Health care acquired infections are reduced by:

What is hand-washing?

post op care

100

How often should vital signs be monitored after surgery?

 every 15 minutesX4, then q30minX4, then q1hX4 and then finally, every 4 hours for the first 24 to 48 hours

200

Incentive spirometer, deep breathing, coughing, ambulation

Prevention of atelectasis after surgery

300

Poor positioning and malalignment can lead to these complications.

What is contractures, fluid in lungs, and pressure sores?

400

Action to take if a patient has evisceration of the surgical site?

Lay the patient supine with knees up, cover area with saline-soaked gauze or towels, notify doctor so the patient can be taken back to surgery.

500

Goals of the post-op nurse

Maintain fluid balance, Promote bowel elimination and nutrition, maintain temperature,  Promote rest and activity, and Promote wound healing

Misc

100

Biggest priority when administering enteral nutrition

Vomitting/Aspiration

200

Proper intraprocedure for nasogastric tube insertion in the correct sequence.

• Auscultate for bowel sounds, and palpate the abdomen for distention, pain, and rigidity.
• Raise the bed to a level comfortable for the nurse.
• Assist the client to high-Fowler’s position (if possible).
• Assess the nares for the best route to determine how to avoid a septal deviation or other obstruction during the insertion process.
• Use the correct procedure for tube insertion, wearing clean gloves, and evaluate the outcome.
  • Determine tube length ...
• If the client vomits, clear the airway, and provide comfort prior to continuing. 
• Check placement. Aspirate gently to collect gastric contents, testing pH (4 or less is expected), and assess odor, color, and consistency.
• After placement verification, secure the NG tube on the nose
  • Confirm placement with an x-ray. 
  • Injecting air into the tube and then listening over the abdomen is not an acceptable practice.
• If the tube is not in the stomach, advance it 2.5 to 5 cm (1 to 2 in).
• Clamp the NG tube, or connect it to the suction device.

300

When leaving a client's room, you should leave the bed in this position.

What is the low position?

400

The type of precautions to take when a client has a wound infection.

What is contact precautions?

500

This data is included in a fall assessment.

What is age, medications, and balance.