Unit 3 Jeopardy

Complications

100

Abdominal hernias

Hemorrhoids 

Peritonitis 

Leakage 

Bleeding

Constipation

What is Peritoneal Dialysis

200

Absent distal pulses

Loss of bruit 

Loss of thrill

What is occluded AV fistula/AV graft?

300

Take on an empty stomach or one hour before meals

The client should avoid tyramine and histamine-containing foods

Monitor for hepatoxicityy

Used in the treatment of tuberculosis

What is Isoniazid (INH)?

400

Monitor B/P & take meds as prescribed 

Tight management of hyperglycemia 
Routine follow-up visits with the PCP and lab appointments 
Teach s/s of hyperkalemia Teach about low sodium and low potassium diet

Avoid IV contrast dye, NSAIDS, ACE and ARBs, & certain antibiotics

What are teaching interventions for ESRD

500

Candidiasis 

 Wasting syndrome 

Pneumocystis carinii pneumonia (PCP) 

Mycobacterium avium complex

(MAC)TuberculosisKaposi’s sarcoma

What are complications of AIDS?

Signs and Symptoms

100

Cough lasting longer than 3 weeks 

Purulent sputum, possibly blood tinged

Fatigue & lethargy  

Weight loss & anorexia 

Night sweats & low-grade fever

What is tuberculosis?

200

Used to increase HCT & Hgb 

Stimulates bone marrow to produce RBC’s. 

Usually given IV during dialysis.

Side effects: HTN, ↑clotting of vascular access, seizures, & body iron depletion

What is Epoetin Alfa?

300

Universal precautions

Use needleless devices& do not recap needles

Hand hygiene

Personal protective equipment

What are NI to prevent HCP HIV exposure?

400

Bleeding

Hematoma

Pneumothorax

Infection

Thrombus

What are complications of dialysis vascular access

500

Nausea & vomiting

Loss of appetite

Fatigue

Bloody diarrhea

Phases of effects are based on exposure

What is radiation exposure?

Meds/Nursing Interventions

100

Used to treat exposure to the most likely weaponized biologic agent available (Anthrax)

What is ciprofloxacin (Cipro)?

200

Assess and evaluate the abdomen

Use aseptic technique

Warm dialysate to body temp

Monitor dialysis system for kinks & check the level of the drainage bag.

Teach client to minimize straining abdominal muscles (for BM)

What is NI for peritoneal dialysis?

300

Loss of communication

Lack of food, water, & electricity

Rationing of resources

Abandoned pets

What are complications of Natural Disasters?

400

What is AIDS?

Pancytopenia

CD4+ < 200

Night sweats

Diarrhea

Presence of opportunistic infections

500

Involves using 3-4 HIV medications in combination with other antiretroviral medications

Combination is to reduce medication resistance, adverse effects, and dosages

Taken on a rigid time schedule Includes

Nucleoside reverse transcriptase inhibitors 

Non-Nucleoside reverse transcriptase inhibitors Protease inhibitors

What is Highly active antiretroviral therapy (HAART)?

Nursing Interventions

100

Triage by first responders using a survivability system

Rapid assessment 15 seconds of less

Keep non-essential personal, media, etc. out!

Follow your facility’s response system.Caring for families

What are NI for mass casualty?

200

Electrolyte imbalances

 Hyperkalemia

Dysrhythmias

Pericarditis

Hypertension

AnemiaBone disease

Metastatic and vascular calcifications

What are complications of ESRD

300

Increased WBC’s

Cloudy dialysate drainage

Abdominal pain & rebound tenderness

What is peritonitis?

400

Binds in the GI tract

 Taken with meals.

Serum calcium levels should be checked frequently

Side effects can include hypercalcemia, nausea, and itching.

What is Ca++/phosphorus binders?Phoslo, Renegel, Sevelame

500

Educate on proper hand washing

Instruct client on completing full course of medications

Teach client cough etiquette

Teach client to dispose of tissues properly

What is educating on TB?

Emergency

100

Emergent

Urgent

Nonurgent

These are the 3 phases of Emergency Triage?

200

Clutching at the throat

Cyanosis

Unresponsiveness

What is the universal sign of an upper airway obstruction?

300

Activated Charcoal

Gastric Lavage

What is the most effective way to dissolve and rid poison from an overdose of benzos?

400

First place victim usually go for help

Place where nurses can provide needed help

Mandatory reporting

What is violence/abuse/neglect?

500

Earthquakes

Floods

Hurricanes

Tidal waves

What are natural disasters?