Trauma/Neuro | Burns | Endocrine | Triage/Disaster | Miscellaneous |
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What is a tension pneumothorax and needle decompression/chest tube?
A patient is complaining of severe chest pain and shortness of breath. There are diminished lung sounds on the right side of the chest, and the trachea is deviated towards the left side. This is the most-likely diagnosis, and how it is treated.
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What is airway maintenance?
This is a priority concern in any patient with burns.
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What is check a blood glucose?
This is the first thing a nurse should do if a diabetic patient presents with altered LOC.
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What is black tag them?
This is what you should do if you are assessing an awake patient for triage that suddenly loses a pulse.
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What is changes in level of consciousness?
This is the first indicator of increased intracranial pressure.
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What is elevating the head of the bed 30-45?
This is an initial intervention for high intracranial pressure.
A. Mannitol B. Lasix C. Mechanical ventilation D. Elevating HOB 30-45 |
What is apply 100% O2 via non-rebreather?
Your patient was trapped in a burning building until fire arrived. His face is bright red. Pulse oximetry is reading 99%. This is your priority action.
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What is hypovolemia?
This is an initial concern in patients with DKA and HHS. (Hint: Not a lab value).
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What is green?
A client is complaining of arm pain, but vitals are stable. This should be her designated triage color.
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What is an escharotomy?
A patient with multiple, deep burns on his upper body is being mechanically ventilated. His high-pressure alarm is sounding and O2 sats are 89%. This is what the nurse should prepare the doctor for.
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What is ineffective breathing pattern?
The priority nursing diagnosis in patients with narcotic overdose.
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What is wearing a cap, gown, gloves, mask, & performing meticulous hand hygiene?
A patient is being treated for burns by keeping his wounds open to air. This is the best way that nursing staff can protect the patient from the outside environment.
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What is obtain a potassium level?
This should be assessed if a DKA patient begins to have ectopy.
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What is tornado sirens, protection shelters, basements, and storm cellars?
This is something we do in communities in the midwest to protect our homes.
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What is IV push?
This is the best way to control pain in a patient with burns (route).
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What is infection?
This is a serious concern in patients with an intraventricular catheter.
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What is 18%?
A patient has burns to his anterior and posterior chest. Using the Rule of Nines, this is what percentage of the body is burned.
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What is D5W?
--Should be given later! Not early on in treatment.
A patient is newly admitted with DKA. These are your orders: KCL 20 mEQ IV piggy back now, D5W @ 100 mL/hr, ABGs Stat, & Insulin infusion protocol. This is the order that should be questioned.
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What is black?
A patient in the field with respirations of 0 and pulse of 0. This is the designated triage color.
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What is obtain oxygen saturation?
You walk in a patient's room and she is unresponsive with a pulse. This is what you should do next.
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What is 75?
A neuro-surgery patient has a post operative blood pressure of 130/70 with an intracranial pressure of 15. This is her cerebral perfusion pressure.
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What is 8640 mL?
This is how much fluid a patient should receive in 24 hours using the Parkland formula. 80 kg with 27% burns.
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What is a complex carbohydrate and protein?
--Complex carbs and proteins help to stabilize blood glucose and prevent rebound hypoglycemia.
You give a patient with hypoglycemia IM glucagon. This is what you should give them next.
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What is the safety of the water?
This is the biggest concern in disaster areas that floods an entire city.
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What is 30-50 mL/hr?
This is an appropriate urine output value for patients with severe burns.
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