Odds & Ends
Meds
Neuro
D/T
Rando
100

If the client has signs and symptoms of dilerium or early onset dementia, and has no power of attorney, who should sign the consent?

Spouse, if available, or next of kin

100

This med reduces increased intracranial pressure.

Mannitol.

100
Describe the nasal drainage following a basilar skull fracture and what is this an indicator of?

Rings of light fluid and serous blood. Indicates cerebrospinal fluid. Tests positive for glucose. 

100

Which states are DMAT employees licenses accepted in?

All 50 United States

100

When I say Flail Chest, you Say...

Paradoxical Chest Movement

200

What do we do if we notice eviceration of a post-op pt?

Place the client supine with legs bent at the knees and hips.

200

Why would pantoprazole help a patient with a new burn injury?

Prevents/ aids in healing stomach ulcers. Common after burns.
200

What is something a nurse has to rememeber to do for a tonic-clonic seizure?

Keep record of the beginning and end of the seizure.

200

A patient presents to triage stating, "it feels like an elephant is sitting on my chest." They are diaphoretic, clammy, dizzy. Their vs are: BP 149/88, HR 89, SPO2 87% on RA, and Temp is 98.6*F. What is your priority action? A: Notify the Doctor. B: Place O2.

Place Oxygen on the client. Then go get the doctor. 

200

Describe serous drainage. What do you do if you notice this type of drainage on a post op dressing?

Blood tinged watery fluid typically found in the early stages of healing. 

Document the dressing and move on with cares.

300
During the initial care of a lightning strike patient, skin burns are a priority. 

True or False

False, iceberg effect, we are initially concerned about ABCs. What happened inside the body, mainly the heart. Are they in V-fib, can they breathe?, do they have an airway?

300

Why is baclofen helpful for a person with MS? 

Reduces spasticity of muscles

300

What is Papiledema?

Swelling of the optic disc- typically due to increased intracranial pressure.

300

When would you activate the hoispital's disaster plan?

Chemical explosion at a factory

Hurricane 

Flood

Mass Casualty Events

Disease Outbreaks

300

How do we test a pain response peripherally?

Nailbed pressure

400

Describe Decorticate Posturing

Internal rotation, adduction, and flection of the arms. Arms pull in towards the core of the body. Hips internally rotate. Toes plantar.

400
How often must the RN check vital signs when administering nitro for a person in shock? Why?
At least q 15, systemic vasodilation which could increase shock manifestations further.
400
Describe what a chronic subdural hematoma and how would you note it was chronic?

Collection of blood that accumulates slowly over time typically between the dura mater and the arachnoid mater. Typically caused by an outside force injury that leads to a break in the veins. Bleeding occurs slowly. Causes headaches, confusion, seizure activity. Since the bleeding occurs slowly, symptoms can appear weeks or months after the injury. Often from falling.

400

How many days, should a nurse have enough supplies for in their personal preparedness kit?

3 days

400
When ausculating a client with a pneumothorax, what breath sounds will you hear?

Absent breath sounds

500

This type of drain uses gravity to assist with drainage.

Penrose

500

Why would someone take edrophonium?

For MG to increase their energy and help their muscle fatigue.

500

What should we remind a stroke client with homonymous hemianopsia to do?

Scan the room to increase their lost visual field.
500

What color would you place on a patient with an open fracture with a present pulse.

Yellow tag (urgent)

500

What stage of burns is this; dry, pale, and hard skin?

Full-thickness, third degree