Pharmacology
What is the antidote for opioid overdose?
Naloxone (Narcan)
What is the normal range for blood glucose levels?
70-110 mg/dL
The LIP just ordered a Salem Sump to be inserted into your patient. What type of suction do you anticipate to be ordered?
What is low continuous suction?
What is the normal range for sodium levels?
135-145 mEq/L
Balance, Eyes, Face, Arms, Speech, Time
BEFAST
A patient on warfarin should avoid excessive intake of which vitamin?
Vitamin K
What position should a patient be placed in after a lumber puncture?
Supine
This is the best way to confirm the placement of a nasogastric tube.
What is a chest x-ray?
What is the best way to confirm nasogastric tube placement?
X-ray confirmation
Warning Signs of Stroke
What are...sudden severe HA, numbness, weakness, paralysis of face, arm, or leg (especially one side), sudden confusion, difficult or slurred speech, difficulty understanding, blurred vision (in one or both eyes), dizziness, trouble walking, loss of coordination.
What is a common side effect of furosemide?
Hypokalemia
You observe the surgeon palpating around the site of a closed-chest water-seal system drainage thoracic tube on a 1 day post-op patient who underwent thoroscopy. You understand that the surgeon is assessing for this condition
What is subcutaneous emphysema?
Crackles are felt under the fingers upon palpation. Air can leak into the subcutaneous tissue after lung injury, in this case thoroscopy.
In order to determine how much of a nasogastric tube to insert, the nurse should measure the distance from the tip of the patient's nose to this body part, then from this body part to which end point?
What is the ear lobe and the xiphoid process?
What is the most effective way to prevent infection in healthcare setting?
Hand hygiene
Inadequate blood flow to the brain from either partial or total occlusion of an artery.
What is...ischemic stroke (can be thrombotic or embolic)?
Which type of insulin has no peak and provides 24-hr-coverage?
glargine (Lantus)
What is the priority intervention for a patient with suspected pulmonary embolism?
Administer oxygen
You are assessing a patient who has just returned from the post anesthesia care unit after undergoing resection of a rectal tumor. From the knowledge you have regarding caring for patients with colostomy, you do the following when you notice the stoma to be very red.
What is document the findings, this is normal?
What are five rights of medication administration?
Right patient, right drug, right dose, right route, right time
Bleeding into brain tissue or the subarachnoid space / ventricles
What is....hemorrhagic stroke (can be intracerebral or subarachnoid)?
You are preparing to administer insulin novolog to your patient. You will not administer prior to the patient's meal arriving because you are aware that insulin novolg is this type of insulin.
What is a rapid acting insulin?
Novolog has a rapid onset of action. It can start working in 5-10 minutes after injection and will peak within 1 -2 hrs
You enter your 82 y/o patient's room to administer 8am cefazolin IVPB. Upon programming the IV pump, you notice the primary IV is infusing at 175 mL/h. You know the order says to run at 75 mL/h and the night nurse hung a new 1000 mL bag at 3 am. Based on what you know, after correcting the IV pump, you immediately perform this assessment.
What is a respiratory assessment of breath sounds?
This patient received 500 extra mL IV fluid which could cause overload, especially an elderly patient. Assessing for basilar crackles would be representative of pulmonary congestion caused by heart failure.
During SBAR from the night shift on a patient 1 day post bowel resection, you are told he received hydromorphone 1mg every 4hrs during the night, last dose approximately 1 hr ago due to increasing pain. Upon initial assessment, you find him lethargic, with a pulse of 119, a BP of 78/49 and a large, firmly distended abdomen. There is no bleeding noted on the dressing. When you palpate the abdomen he moans with pain. Anticipating this complication. you call a Rapid Response.
What is post operative bleeding?
This patient shows signs of hypovolemic shock. Although there is no bleeding at the incision site, it is within the peritoneal cavity
What type of isolation precaution is required for a patient with tuberculosis?
Airborne precaution
Diagnosis of stroke (including extent of involvement) is accomplished with these tools. BONUS (50pts) Name additional Studies.
What are...CT scan, CT angiography, MRI, MRA, CT/MRI perfusion & diffusion imaging. BONUS: EKG, chest x-ray, transcranial Doppler, echo, cereberal/carotid angiography, CBC, troponin, platelets, PTT, PT, serum electrolytes, blood glucose, BUN, creatinine, cholesterol, CSF analysis