CPW
Define GOC
What is a resuscitation plan.
You arrive to clinical on time, prepared, have materials ready for questioning by instructor, you have reviewed skills prior to preforming. This describes indicator?
Note: Indicators are found in your evaluation tool under each core competency.
What is indicator 1.6 Prepares for clinical practice.
Normal Value for HBG (hemoglobin).
What is 120-160 female
140-180 male.
My patient is ordered a blood transfusion. What must be obtained prior to administration?
Hint: vitals are taken already, labs are collect.
What is consent for blood products.
Micky Mouse was created in this year.
What is 1928.
Mickey Mouse first debuted in "Steamboat Willie" on November 18, 1928.
PMHX: What is existing medical conditions that may or may not be influencing current presentation.
Current Illness: What is tangible signs and symptoms, results of diagnostic/lab testing.
You are leaving for break, you have given hand-over to your buddy nurse, you have expressed concerns with them about your patients abnormal but stable blood pressure, you have offered suggestions (I will re-check the patients BP when I get back from break). You are demonstrating which indicator?
What is indicator 4.10 Reports pertinent information promptly to the appropriate individual(s).
The reversal for high INR
What is Vitamin K
You patient is requesting to ambulate to the washroom. You have never worked with this patient before. List the steps you will take to assist this patient.
What is functional assessment, ask other staff, have some one assist you with the patient.
Queen Elizabeth II is a trained mechanic.
Yes or no.
What is yes.
When she was 16, she joined the British employment agency the Labour Exchange, where she learned the basics of truck repair, including how to change a tire and repair engines.
The components of medication research. (10)
What is:
You have completed a CPW and references sources from google, myspace, and blogs. Identify what indicator you are not meeting.
What is indicator 4.7 Demonstrates responsible use of credible resources.
My patient is is taking valproic acid, the physician has order valproic acid levels via blood test. He is monitoring for what? Why is this of importance.
What is therapeutic range. Too high or too low of a level will result in a ineffective therapeutic range.
My patient was admitted for COPD. He tells me he feels more short of breath then earlier in the day. I have not preformed my assessment yet. My interventions would be?
What is vitals, oxygen level and full respiratory assessment.
The first use of the abbreviation of OMG happened in this year.
What is 1917.
In 1917, British Navy Admiral John Arbuthnot Fisher wrote to Winston Churchill about rumors of new titles that would soon be bestowed. "I hear that a new order of Knighthood is on the tapis," he wrote. "O.M.G. (Oh! My God!)—Shower it on the Admiralty!"
What are the Primary Principles of Health Care? (6)
What is:
Accessibility
Availability
Affordability
Immunization
Food and nutrition
Drug availability and distribution
Your patient is ordered a blood transfusion. They express to you, for religious reasons, they are against this treatment. They said they have told the other nurses but they feel like they are not being heard. You bring this information forward in discussion with the team (nurses and primary physician). You are displaying what indicator?
What is 2.10 Advocates for clients’ values, privacy, beliefs, and rights.
The correction of Na (sodium) too quickly will result in?
What is cerebral edema (lowering sodium) or risk of osmotic demyelination from overly rapid correction (increasing sodium).
Target rate of serum sodium correction is 8-10mmol/L in 24 hours
You have administered a new medication to a patient. They begin to develop hives, rash. They do not have any respiratory implications and they have not vomited. They are given Benadryl per physician orders for a suspected allergic reaction. What factor relating to medication research will you need to consider?
What is medication half life. You need to know how long the medication is in the patients system, this provides and expected time the patient is "un-stable" and will require close monitoring. As the medication continues to circulate in the patients system they may become symptomatic again and require further treatment.
The blob of toothpaste that sits on your toothbrush has a name.
What is a "nurdle".
Name and define the 5 social determinates of health.
What is:
1) Physiological defined as medical conditions.
2) Sociocultural defined as social supports and cultural considerations.
3) Spiritual defined as values and beliefs
4) Developmental defined as education level, cognition, speech factors.
5) Psychological defined as ability to adapt to change and circumstance.
Your patient you have cared for all week is scheduled for discharge this afternoon. You note they remain having difficulty with ambulation and activities of daily living. You feel they are not ready to be discharged at this time. You relay this information to the team. You are acting under this indicator.
What is indicator 3.4 Identifies facilitators and barriers to client capacity that may influence clients’ achievement of optimal wellness.
The expected ranges for K (potassium)
Define the treatment for a K (potassium) of 7.9Expected ranges: what is 3.5-5.0 meq/L
Reversal: What is
Dextrose 50% in 50ml IVP (IV push)
Insulin (regular) 10 units IVP (IV push)
Dextrose and Insulin - Redistributes potassium intracellularly
Sodium Bicarb 50g IVP (IV push) -Increases serum pH; reduces H+ ions and redistributes potassium intracellularly
Ventolin 6 puffs - Beta-adrenergic agonist redistributes potassium intracellularly
and/or Calcium Gluconate 1 (Cardioprotective - Antagonizes cardiac conduction abnormalities )
You are about to receive a new admission. He is diagnosis with seizures, he had had 4 in the past 3 hours. The likelihood of him having another. I plan to prep the room with?
What is oxygen, suction supplies, padding for bed rails. Ensure patient is insight of nursing desk or has a support person at bedside.
The earth is made up of what percent of water.
What is 71%
About 71 percent of the Earth's surface is water-covered, and the oceans hold about 96.5 percent of all Earth's water.