practice Qs

nerve agent

Sarin; causes SLUDGEM

what is hospice

a program committed to making the end of life as free from pain, anxiety, and have less than 6 months with death accepted

botulism antitoxin may cause

allergies

what can you give for hypothermia pt if they are less than 88F and v fib

amiodarone, warm IV fluids, sodium bicarb

which cream for minor burns

antimicrobial

what of you give to someone suffering from SLUDGEM or sarin

atropine; drys them up and speeds them up

for heat stoke what do you give for sz and shivering

benzo and thorazine

painful, lactrodectism, ptosis (eyelid drooping)

black widow

RED-WHITE-BLUE-SIGN and loxoscesilism

brown recluse

Beck's triad for ? and what is it

cardiac tamponade JVD, muffled heart sounds, hypotension

first line tx for anthrax

cipro x60 d

zone of no saving zone of maybe salvageable zone of viable

coagulation (no) stasis (maybe) hyperemia (yes)

what temp do you cool to what temp do you stop at initially for heat stroke

cool to 102F but no less than 100.4F initially

snake anti venom

crofab

tularemia from ticks meds

"cycline"

plague meds

"mycin"

body temp of heat exhaustion

102F or 38.8C

what temp bath do we want for frostbite warming intervals

104-108F

which burn do you monitor for hemolysis

3rd full thickness

which burn is the tx graft and which one is not eligible for graft

3rd full thickness gets the graft 4th deep necrosis burn does not get graft; amputation

lethal dose 50

50% chance of dying if older than 65 with 30-35%

what do you keep MAP at for spinal shock

85

mild hypothermia moderate hypothermia severe hypothermia

90-97 82-90 82 or less

core temp for hypothermia

95F or less (35C)

body temp of heat stroke

>104F

what temp do you maintain burn pt

>95F

hematocrit female and male

F 36-48 M 41-50

The registered nurse (RN) is delegating tasks to several members of the healthcare team caring for a client with a bacterial infection and elevated temp. Which of the following would be MOST appropriate to delegate to the licensed practical nurse (LPN)? Select all that apply A. You should administer an antipyretic as prescribed B. You should assess the client's condition C. You should change the bed sheets and dress the client every day D. You should administer prescribed antibiotics to the client twice a day E. You should collect data that can be used in the assessment of client's condition

A,D,E

Which action by the Emergency department nurse is priority for a client with heat stroke? A. Assess the airway and breathing B. Administer diazepam to prevent shivering C. Apply ice packs to the groin, axilla, head, and neck D. Ask the client to state their name and DOB

A. Assess the airway and breathing

Which of the following may be assigned to the unlicensed assistive personnel (UAP) to achieve effective outcomes in the care? A. Assisting a client with knee fracture out of bed to chair B. Ear irrigation of a client with hearing loss C. Assessing urinary output of a patient with kidney stones D. Providing IV medication to a client with anaphylaxis

A. Assisting a client with knee fracture out of bed to chair

A client with a long history of alcohol abuse is admitted to the hospital with ascites and jaundice. A diagnosis of hepatic cirrhosis is made. Which is a nursing priority? A. Institute fall and safety precautions B. Evaluate coping skills C. Measure abdominal girth daily D. Test stool specimens for blood

A. Institute fall and safety precautions

Please identify who can perform the following tasks? RN, LPN, or UAP A. Measuring pulse and respiratory rate B. Administer IV antibiotics & IV dextrose C. Help the client dress and assist with oral hygiene D. Empty drainage and ambulate the client

A. all B. RN C. all D. all

Which nursing action is priority in the care of a young child with severe diarrhea? A. Measuring daily urine output B. Maintaining fluid and electrolyte imbalance C. Replacing lost calories with high fiber foods D. Promoting perianal skin integrity

B. Maintaining fluid and electrolyte imbalance

What is the priority intervention for a dependent client with peptic ulcer disease that is vomiting bright red blood? A. Apply oxygen B. Place client in side-lying position C. Prepare to administer PRBCs D. Assess the client's pulse and blood pressure

B. Place client in side-lying position

Which task is classified as low priority when planning client care for the day? A. Obtaining ABG on a client in respiratory distress B. Turning and positioning a client after hip replacement surgery C. Teaching self-administration of insulin to a patient before discharge D. Obtaining post-op vitals on a client returning from surgery

B. Turning and positioning a client after hip replacement surgery everything else is important or "teaching" or "post op"

Which of the following would be the LOWEST priority issue in a group of clients? A. Complaints of chest pain after ambulating in hallway B. Decrease level of consciousness after an automobile accident C. Difficulty achieving set mark on incentive spirometry post surgery D. Respiratory depression after narcotic pain med administration

C. Difficulty achieving set mark on incentive spirometry post surgery

Which action by the nurse would be the priority for a male client with a history of schizophrenia who comes to the emergency department accompanied by his spouse A. Writing a plan of care for the mental health team B. Obtaining a copy of his past medical records C. Observing and evaluating his behavior D. Meeting separately with the wife and exploring the reason for the visit

C. Observing and evaluating his behavior

The registered nurse (RN) is evaluating the statement of a student nurse after teaching about delegation. Which statement indicates a need for correction? A. Delegation is sharing a set of functions B. Delegation ensures quality client care outcomes C. Professional aspects of care can also be delegated D. The final accountability of the task remains with the delegator

C. Professional aspects of care can also be delegated

Which goal would be priority for the child with autism spectrum disorder who has frequent episodes of self-biting and head banging who also needs help with feeding and toileting? A. Controlling repetitive behaviors B. Being able to feed independently C. Remaining safe from self-inflicted injury D. Developing control of urinary elimination

C. Remaining safe from self-inflicted injury

for severe muscle injuries, watch for rahbdo by monitoring

CK and lactic acid (<2 norm)

After reviewing the following lab results, which priority action should the nurse take for a client who is taking meds for bipolar disorder, type 2 DM, and PVD? Labs- INR=2.6, Troponin T=negative, Lithium=2.5 mmol/L, Hgb A1c- 8.2% A. Move the crash cart outside the patient's room B. Assess the client's stool for blood C. Perform a stat finger stick to check the blood sugar level D. Implement seizure precautions immediately

D. Implement seizure precautions immediately

The delegator working in a rural setting has the task of managing care for a group of clients. Which crucial first step would the delegator take to develop a productive strategy in delegating tasks to a delegate? A. Assigning the task to the delegate B. Providing feedback to the delegate C. Supervising the task at regular intervals D. Understanding the capabilities of the delegates

D. Understanding the capabilities of the delegates

which fluid for hypoglycemia

D50

huge sign of massive hemothorax

flattened neck veins

what would you give for delerium

haladol

BP with etoh

hyper

what kind of thermia can the patient get if loss of spinal control?

hyper

BP with benzos

hypo

tension pneumothorax s/s (5)

hypotension, tracheal deviation to fx lung, absent breath sounds, JVD, central cyanosis

v fib as hypothermia pt warming up. when can you shock them?

if they are warmer than 88

lavage for all chemical burns EXCEPT

lye and white phosphorus

painful and can cause metabolic acidosis

mafenide acetate (sulfamylon)

Tylenol OD acid base

metabolic acidodsis

Mafenide acetate (Sulfamylon) acid base

metabolic acidosis

resp distress and ? are signs of flail chest

paradoxical movement

tx for cardiac tamponade which aspirates and which relieves pressure

pericardiocentis- aspirates thoracotomy- relieves pressure

for an abdominal injury, what do you do if CT not available

peritoneal lavage and send it to lab

cardiac tamponade restricts

pumping of the heart

what is palliative care

relieve suffering and improve quality of life for pts with serious illnesses

hematuria is most common sign of which trauma

renal

autografts homo/allo xeno/hetero

self dead ppl pig; coverage only no vascular

for chemical debreidment, its enzymatic and interferes with

silver

does not penetrate eschar and have to monitor for hyponatremia and hypokalemia

silver nitrate

direct to wound for days and may cause pseudo eschar

silver sheets

check for sulfa allergy

silver sulfadiazine (silvadene)

which do you give ice for spider or snake bite

spider; no ice for snake

pt can be organ donor only if

they are on a mech vent or brain dead

what is in banana bag for etoh

thiamine, folic acid, multivitamin