Mental Health
This is a key safety teaching when starting lithium on a patient with bipolar.
What is maintain consistent sodium/fluid intake and report GI upset/tremor?
All adults should receive counseling to quit this modifiable risk behavior—the top preventable cause of death.
What is tobacco use (smoking/vaping)?
To reduce aspiration risk during continuous feeds, keep the HOB at this angle.
What is 30–45 degrees?
This patient is on an aminoglycoside for an infection with elevated liver enzymes.
That patient has type 2 diabetes on metformin going for a CT with and without contrast.
Who do you see first?
What is the patient on metformin going for a CT with contrast?
FHR shows severe variables; exam reveals umbilical cord prolapse. Immediate nursing action.
What is elevate the presenting part and place in knee-chest/Trendelenburg?
This is the highest-priority assessment in severe depression.
What is suicide risk assessment?
The HPV vaccine is routinely given starting at this age range.
What is 11–12 years (catch-up through 26)?
The first action when a trach patient has acute respiratory distress.
What is assess airway patency and suction if needed?
This patient sustained burns over 70% of his body with a respiratory rate of 6bpm.
That patient has 30% burns and is back from surgery with a temperature of 103.2.
Which patient will you prioritize?
What is that patient has 30% burns and is back from surgery with a temperature of 103.2.
After stroke admission, nursing priority before oral intake.
What is a swallow screen?
These are the immediate safety measures for high-risk inpatient.
What is 1:1 observation, remove hazards, and create a safety plan?
Average-risk adults should begin colorectal cancer screening at this age.
What is 45 years?
Your ventilator is alarming "high pressure", these are all items that could potentially cause this alarm.
What are kink in the tubing, secretions blocking tube or patient fighting over the ventilator?
This patient has a blood pressure of 170/98 at a routine doctor's appointment.
That patient has pre eclampsia with a BP of 144/90 on magnesium in a darkened environment.
Which patient will you prioritize?
What is This patient has a blood pressure of 170/98 at a routine doctor's appointment?
Manic client is hyperactive and not eating. Your first nursing priority?
What is provide high-calorie finger foods and fluids?
These are the long-term treatment focus/goals when treating a patient with Historionic personality disorder.
What are building trusting relationships and building self esteem?
Adults 65+ should receive these vaccinations/boosters yearly.
What are Herpes zoster (Zostavax), Influenza (quadrivalent) and (Tdap) booster (Tetanus, diphtheria, and pertussis)?
These are all findings that could cause a ventilator to alarm low pressure.
What are tubing disconnection and cuff deflation?
This patient is 8 years old playing on her ipad with a heart rate of 129bpm.
That patient is 9 months old pulling to a stand and using their pincer grasp during feeds.
Which patient will you prioritize?
What is This patient is 8 years old playing on her ipad with a heart rate of 129bpm?
Seizure in pregnancy with severe HTN and RUQ pain—first-line medication to prevent more seizures.
What is magnesium sulfate?
This finding signals medical instability requiring higher level of care for a patient with anorexia nervosa.
What is bradycardia, hypotension, or K⁺/phosphate abnormalities?
Men should do a monthly self-testicular exams and women should do self-breast exams. These are examples of this level of health promotion and illness prevention.
What is secondary?
These 3 steps are important to include in your gastric postop patient's plan of care.
What are DVT prevention, turning and clear documentation of where the NG tube is and to not manipulate it?
This patient has a kidney infection on Ciprofloxacin reporting flank and leg tendon pain.
That patient has endocarditis with a WBC count of 11,000 and temp of 100.8.
Which patient will you prioritize?
What is This patient has a kidney infection on Ciprofloxacin reporting flank and leg tendon pain?
Starting warfarin for acute DVT—what to do with heparin?
What is continue heparin bridge until INR is therapeutic for ≥24 hours?