IV Fluid Maintenance
Musculoskeletal Injury & RICE Protocol
Increased Intracranial Pressure (ICP)
Stroke patients
Surgery/Post-op care
100

What type of IV Fluid is considered isotonic and commonly used for maintenance hydration

What is Normal Saline (0.9% NaCl)?

100

What does the acronym RICE stand for in musculoskeletal injury care?

What is Rest, Ice, Compression, Elevation?

100

What is the normal range for intracranial pressure (ICP) in adults?

What is 5-15 mmHg?

100

What is the most common type of stroke?

What is Ischemic stroke?

100

What is the purpose of the "Time-Out" before surgery?

What is to verify the correct patient, procedure, and site?

200

Which IV fluid is hypertonic and used to reduce cerebral edema

What is 3% Sodium Chloride?

200

How long should ice be applied during each session in the first 24-48 hours after injury?

What is 15-20 minutes?

200

Which triad of symptoms indicates a late sign of increased ICP?

What is Cushing's Triad (Bradycardia, widened pulse pressure, irregular respirations)?

200

What is the priority nursing assessment for a patient suspected of having a stroke?

What is Airway, Breathing, and Circulation?

200

Which post-op complication is most likely if a patient is not encouraged to use an incentive spirometer?

What is Atelectasis?

300

What effect do hypotonic IV fluids have on cells

What is cause the cells to swell as water moves into them?

300

What is the most important assessment when applying a compression bandage?

What is check for circulation (color, sensation, capillary refill?

300

What is the most appropriate position for a patient with increased ICP?

What is Head of bed elevated to 30 degrees?

300

Why is it critical to determine the time of symptom onset in a stroke patient?

What is to assess eligibility for thrombolytic therapy (tPa)?

300

What is the priority nursing intervention to prevent deep vein thrombosis (DVT) in a post-op patient?

What is encourage early ambulation and leg exercises?

400

Why should Lactated Ringer's be used cautiously in patients with liver disease?

What is the liver metabolizes lactate, and impaired function can lead to lactic acidosis?

400

Why should the injured limb be elevated above the heart level?

What is to promote venous return and reduce edema?

400

Which type of IV Fluid should be avoided in patients with increased ICP?

What are Hypotonic solutions (e.g., 0.45% saline)?

400

How should the head of the bed be positioned for a stroke patient with increased ICP?

What is elevated to 30 degrees?

400

A patient's surgical incision is red, warm, and draining purulent fluid on post-op day 3.  What is the nurse's priority action?

What is notify the surgeon and obtain a wound culture?

500

A patient with Hyponatremia is ordered IV fluids.  Which type of fluid is most appropriate?

What is Hypertonic saline (e.g., 3% NaCl)?

500

Which of the following should NOT be done in the first 24 hours after a sprain?

What is apply heat?

500

A nurse notes unequal pupils in a patient with head trauma.  What is the priority action?

What is notify the provider immediately?

500

what is the most important nursing intervention before giving oral medications or food to a stroke patient?

What is perform a swallow assessment?

500

What is the most important assessment before advancing a post-op patient's diet?

What is the presence of bowel sounds?