You are working on a medical-surgical floor, and the doctor orders the infusion of 0.9% normal saline, 5000cc, over 18 hours. Your IV tubing has a drop factor of 10 drops per ml. What should you set the tubing to deliver how many drops per minute?
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You are working in pediatrics. The doctor has ordered 15mg/kg of acetaminophen every 6 hours for pain of 1-3 on the pain scale or a fever greater than 101 PO, every 4 hours. Your patient weighs 75 pounds. The acetaminophen arrives in liquid form. There is 160mg/5cc.
Your patient is complaining of headache pain with a pain rating of 5. Based on the above doctor's order, what is your intervention?
Your patient has a fever of 101.6 taken PO. According to the doctor's order above, what is your intervention?
How many ml(s) are in a tablespoon?
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A culture takes how long to be final?
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You are preparing to start fluid resuscitation for a new burn patient. The patient has 36% BSA of burns. He weighs 246 pounds. Using the Parkland Burn Formula, answer the following questions:
What would you set the IV pump rate at for the first 8 hours?
What would set the IV pump at after the first 8 hours?
What kind of shock are you trying to prevent using the Parkland Burn Formula?
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This is an essay-style question. Explain VEAL CHOP mnemonics. Explain in detail the VEAL, then how to treat each.
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Your patient has telemetry showing a sinus tachycardia of 132. The patient’s remaining VS are BP 90/40, resp rate 16, oxygen saturation 98% on 2L nasal cannula, Temp 100.4 F by mouth. What do you expect the doctor to order?
A. Fluids
B. Metoprolol
C. NSAID
D. Culture and sensitivity
Please identify which of the following is airborne:
A. Influenza A
B. Larger germs that will float in the air less than 3 feet
C. Measles
D. Herpes
You are preparing a patient for their peritoneal dialysis. What should you do first?
A. Change the dressing using sterile technique.
B. Assess the bruit and thrill.
C. Warm the dialysate solution.
D. Place the patient in L Sims position.
Which of the following is used to treat acute alcohol withdrawal?
A. Romazicon
B. Chlordiazepoxide
C. Disulfiram
D. Narcan
During Erikson's sixth stage (young adult 18-40) of psychosocial development, what happens?
A. Autonomy vs. Shame
B. Identity vs. Confusion
C. Intimacy vs. Isolation
D. Integrity vs. Despair
Nursing care during labor consists of four stages. What stage is complete dilation to delivery of the baby?
A. Stage 1
B. Stage 2
C. Stage 3
D. Stage 4
You are caring for a patient who has a chest tube. You should intervene if the following happens:
A. The fluid level is 2cm.
B. The chest tube is unclamped.
C. The tubing has no kinks or loops in it.
D. The water seal system is above the patient’s chest.
Your patient is on lithium. You’ve done all the teaching about taking lithium. You know your patient understands the teaching if she states the following:
A. I should follow a fluid restriction of 1200cc/day.
B. If I increase my salt intake, my lithium levels may drop.
C. If my potassium is low, I am at risk for lithium toxicity.
D. I should expect hand tremors that will not go away.
You are caring for a patient in active labor who has received an epidural for pain control. She is now complaining of light-headedness with nausea. What should you do first?
A. Administer 100% oxygen via a non-rebreather mask.
B. Take the patient's BP.
C. Perform a vaginal exam.
D. Administer ondansetron.
You are caring for a patient with Peripheral Artery Disease (PAD). The patient complains of lower leg pain during the night. What is your best teaching?
A. Take gabapentin 1 hour before bedtime.
B. Take acetaminophen 1 hour before bedtime.
C. Get ice packs for your lower legs. 15 min on and then remove for 15 min. Repeat three times.
D. Dangle your foot off the bed.
You are caring for a patient who has difficulty swallowing. You know this is called:
A. Dysphasia
B. Dysphagia
C. Trachea dysplasia
D. Poor dental care resulting in an inability to chew food to swallow.
You are caring for a patient with dumping syndrome. What teaching would not be appropriate? Select all that apply.
A. Be sure and eat bread with every meal.
B. Eat foods high in fiber.
C. Be sure and eat several small meals a day
D. Sit down after you eat and rest.
E. Stay active after you eat.
Please identify the true statements about preeclampsia: (Select all that apply)
A. HELLP is considered a severe form of preeclampsia.
B. Hypertension
C. High levels of protein in the urine
D. Visual disturbances
E. Edema
F. Low platelets
G. Elevated liver enzymes
You know that restraints are the LAST option for patients. Using restraints USUALLY will NOT be the answer. However, you will have individual questions on restraints and you need to know about all kinds of restraints. Below please select all that are considered restraints. (Select all that apply)
A. Your patient is hitting his head on the wall and is given ketamine for his protection.
B. Having a sitter stay with a patient to prevent the patient from pulling at his lines.
C. Raising all four side rails of the bed so the patient can't get out of bed and fall.
D. Using a sheet over the patient's chest and thighs tied tightly to the bed.
E. Wrapping the call light around the bed rails so the patient can get to the call light easily and ask for help.
F. Attaching a food tray over the patient's chair so the patient can't get up.
If your patient complains of "it is like a curtain fell over my field of vision," "I am seeing flashes of light," "I see black spots," "my visual changes happened all at once." You should recognize this to be signs and symptoms of?
A. A stroke
B. Hypertension
C. Detached Retina
D. Retinoblastoma
You are caring for a laboring mom and her unborn baby. You notice the following while looking at the fetal heart monitor: Decelerations that begin near the onset of the contraction and the heart rate's lowest point is at the peak of contraction. What is this?
A. Early decelerations
B. Late decelerations
C. Variable decelerations
D. Symptomatic Fetal bradycardia
How much is too much blood loss in the first 24 hours after a baby is born?