Breathe Easy
Time is of the Essence
Confused Yet?
From the Bottom & Top of My Heart
Total Body Reaction
100

When should you use a humidifyer with a nasal canula?

At 4 LPM or more

100

What is the most common modifiable risk factor for ischemic and hemorrhagic stroke?

Hypertension aka Uncontrolled blood pressure

100

The Confusion Assessment Method (CAM) is an evidence-based tool that assists in the identification and recognition of delirium quickly and accurately. How often should the CAM be completed?

At least once per shift 

(And as a patient's neurological condition changes)

100

Name at least two symptoms of left sided heart failure.

Restlessness

Confusion

Tachycardia

Fatigue

Cyanosis

Orthopenia

Exertional Dyspnea

Pulmonary congestion

Paroxysmal or nocturnal dyspnea

Cough or crakles

100

After IV fluids are administered for a sepsis patient with initial hypotension, how frequently should the blood pressure be checked?

2x within 1 hour of IV fluid bolus completion time

200

What is at least 1 emergency equipment should be at the bedside for a patient with a trach? 

Two extra trach tubes (one current size, one smaller)

An obturator of the current size

Suctioning device and catheters

Bag valve mask

200

True or False...

All Stroke/TIA patients are NPO until they pass a bedside swallow screen. If they fail the bedside swallow screen they are kept NPO until cleared for oral intake by a Speech Therapy Consult.

TRUE!

Swallow screening is critical to prevent post-stroke complications such as aspiration pneumonia. Aspiration pneumonia post stroke can increase length of stay, prolong patient recovery, and increase post-stroke mortality. 

 

200

Name at least 1 treatable cause of delirium

•Toxic situations: CHF, shock, dehydration, deliriogenic medications, new onset organ failure (e.g. kidney and liver)

•Hypoxemia

•Infection/sepsis, inflammation, immobilization, or new nosocomial infection

•Non-pharmacologic interventions: early mobility, sensory aids (e.g. hearing aids, glasses), reorientation, sleep hygiene, music, control noise

•K+ or any other electrolyte imbalance

200

Name at least two signs and symptoms of Right sided heart failure:

Fatigue

Increase peripheral venous pressure

Ascites

Enlarged liver and spleen

Secondary to chronic pulmonary problems

Distended jugular veins

Anorexia or GI distress

Weight gain

Dependent edema



200

Why do you need to check the BP x2 within 1 hour of the fluid bolus completion time?

To check for Persistent Hypotension

300

What is one patient indications for suctioning?

  • Gurgling sounds during respirations

  • Adventitious sounds when the chest is being auscultated

  • Rhonchi or coarse crackles

300

Name 2 diagnostics that are required prior to the administration of tPA.

1. Glucose

2. Non-Contrast Head CT

Note: INR also required if taking Warfarin

300
Name at least one nursing intervention that may help patients with Delirium

•Promoting patient's sleep/wake cycle

•Ambulation and mobility (e.g., in chair for meals, active or passive range of motion)

•Provide sensory stimulation (e.g., glasses/hearing aids, activity blanket)

•Medications such as Haloperidol (Haldol)

300

Btype natriuretic peptide (BNP) is a biomarker released by the ventricle when there is an excessive pressure due to heart failure.            

 A. True          

B. False      

True

300

Patients receiving beta blockers are not likely to exhibit this indication of SIRS

Tachycardia