CNS
Critical
PNS
Peri-Op
RANDO
100

This stage of Alzheimer's Disease has decreased sense of smell.

The early stage or stage 1
100

Patient arrives to the ED with NEW slurred speech and generalized weakness. Family member stating they are not acting normal and they don't smell alcohol on their breath. What does the RN need to check before you call a code stroke?

Blood glucose

100
Client presents to the ED when they cannot wrinkle one side of their face and cannot smucker one side of their lips. Name this condition/disease. Most likely.

Bell's Palsy. Will still do a CT to r/o stroke. 

100

Who's job is it to make sure the consent is signed and the site is marked for surgery?

Perioperative Nurse

100

The RN can delegate the following tasks to the UAP (unlicensed assistive personnel) before surgery.

Vital signs, performing hygiene, CHG bath, ambulating patient to bathroom, change the patient into a hospital gown. The UAP cannot administer meds or do an assessment. The RN needs to make sure these tasks are done. 

200

What are the 3 B's to assess and potentially correct in autonomic dysreflexia?

Bowel, Bladder, and breakdown of the skin.

200

The patient has a confirmed CT with a hemorrhagic stroke, what can the ED nurse prepare to do?

Prepare the pt to go to the OR

200
A great intervention for bacterial meningitis is to...
Elevate the HOB to decrease ICP
200

Who answers clarifying questions about the surgery?

The surgeon

200

For a patient with Parkinson's Disease, what does their levodopa medicine help with?

Rigid Muscles

300

Describe an Atonic seizure

Sudden loss of muscle tone, doesn't last long, postictal disorientation.
300
Generally, where does an embolic stroke come from? 

Blood clots in the heart have traveled to the brain. Blood clots may have formed from a heart condition called A-fib. ECHO can look at heart to see if blood clots are present. 

300

What does the GCS assess?

Best Eye opening, motor response, and verbal response.

300

Sudden chest pain, along with dyspnea and fast heart rate following surgery could be s/s of what?

Pulmonary Embolism

300

What is the RN's main concern once someone is diagnosed with "brain death"?

To maintain tissue perfusion for possible organ donation.

400

Beta blockers are preventative therapies for migraines and should be taken daily even when the client feels well. True or false.

True

400
For a patient with a confirmed ischemic stroke, what is the main consideration for making them a t-PA candidate?

TIME- When their last known well was- needs to be within 3 hours. 

400

If Guillain-Barre syndrom reaches the diaphram, what can happen to the patient?

Respiratory failure/distress, possibly mechanical vent.
400

What is general anesthesia?

Inhalation and IV administration.

400

Along with verifying allergies, what must we also clarify that the pt isn't allergic to when administering contrast dye?

Shellfish or Iodine

500

Mask-like facial features and pill-rolling tremors resting in upper extremities are common in this disease

Parkinson's Disease

500
A basilar skull fracture pt comes into the ED and you see clear drainage coming from their nose with a "Halo sign" what do you do next?

Check it for glucose- could be cerebral spinal fluid.

500
What is a big risk for someone with Myasthenia Gravis and eating/drinking?

Aspiration

500

What do you do if eviceration happens?!

Apply warm, moist, sterile normal saline dressing and call the doctor.

500

You can push your father's PCA button if he is sleeping, right?

NO! Only the patient can push their own PCA, button.