Patient Hx
Medications
Nursing Dx
Mystery
100
What does STICU stand for
What is Surgical Trauma Intensive Care Unit
100
What is a sign that the drug Keppra is working
What is the patient remains seizure free
100
Which nursing diagnosis takes priority: Ineffective airway clearance r/t excessive mucus secretions AEB rhonchi auscultated over lug fields bilaterally and excessive sputum, Impaired physical mobility r/t neuromuscular impairment AEB limited ROM and motor function, Disturbed sensory perception r/t subdural hematoma secondary to neuromuscular impairment AEB inconsistent ability to report sensations
What is Ineffective airway clearance r/t excessive mucus secretions AEB rhonchi auscultated over lug fields bilaterally and excessive sputum
100
what is the normal range for Hemoglobin
What is 13.5 – 16.5
200
What surgical procedure did the patient have a month before this MVC
What is titanium plates inserted in his face
200
What is Metaxalone, and why would it be prescribed
What is metaxalone is a muscle relaxant, it is used with rest, physical therapy, and other measures to relax muscles and relieve pain and discomfort caused by strains, sprains, and other muscle injuries.
200
What is a short term goal for this patient with the nursing diagnosis of Ineffective airway clearance r/t excessive mucus secretions AEB rhonchi auscultated over lug fields bilaterally and excessive sputum
What is client will have decreased secretions aeb decreased rhonchi heard over lung fields
200
Which diagnositic test was used to view the hematomas in his brain
What is an MRI
300
Name 3 injuries the patient sustained from the motor vehicle accident
What is a right subdrual hematoma with a 3-4 millimeter shift,subarachnoid hematoma, temporal bone fracture, multiple left sided rib fractures, bilateral pulmonary contusions, pneumomediastinum, head laceration to occipital and right forehead
300
Why would you want to monitor a patients respiratory status who is on fentanyl
What is Fentanyl causes respiratory despression, you would want to make sure respirations stay WNL of 12-20 breaths per minute
300
what is a long term goal for this patient with the nursing dx of Disturbed sensory perception r/t subdural hematoma secondary to neuromuscular impairment AEB inconsistent ability to report sensations
What is By the time of discharge the client will be verbalize awareness of sensory needs.
300
What can cause a decreased RBC value
What is Anemia, malnutrition
400
How many days was the patient on mechanical ventilation and what is a potential complication on being on the ventilator for this long
What is 18 days (from 8/26-9/14) being on mechanical ventilation for that long increases the patients risk for infection
400
What is Bacitracin ointment used for, and where would it have been applied
What is Used to prevent and treat infections, applied to his head sutures.
400
What are 2 nursing interventions that could be performed with this patient related to ineffective airway clearance
What is Monitor respirations and breath sounds q4hours. Assess for respiratory distress and accumulation of secretions while providing pt. care. Position client with HOB elevated greater than 30 degrees. Provide suction PRN to assist client with clearing secretions. Encourage the patient to cough ad deep breath every 2 hours. Maintain adequate hydration
400
What was the client’s initials
What is M.J.T