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Patient with the highest priority?
- TKR w/ scant serous drainage
- COPD with cough
- Pneumonia pt who is experiencing thick yellow secretions w/ low pulse ox
-Pneumonia patient with low pulse ox
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What type of medical condition may potentially need a amputation?
Severe peripheral vascular disease w/ open lesions
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Who can successfully use a single point cane?
CVA patient with mild weakness
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A post operative patient just entered PACU, would be your immediate assessments? What complication may happen immediate to the patient?
hypoventilation
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How do you determine the appropriate size TEDS?
From the heel to gluteal fold
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Which lab result would indicate a left shift in the differential?
elevated band neutrophils
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What medications would be held if a patient was preparing to have bone marrow aspiration done?
aspirin
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Who has lowest risk for electrolyte imbalance?
patient who has an estimated blood loss of 1/2 pint due to traumatic injury
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Which patient would you check first?
patient with CHF with IVF running at 125 ml/hr
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Which blood product would be given for a coumadin overdose?
fresh frozen plasma
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Order: 0.5 g q8hrs
Supply: 125mg/5ml
how much would you give?
20 ml
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after you draw up med and in the syringe there is a bubble, what would you do?
tap the barrel to float the bubble towards the needle
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1L D5W over 8 hours
whats the rate?
125 ml/hour
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250 ml D5W, with drip factor of 10 gtt to infuse over 2 hours; whats the gtts per minute?
21 gtts/min
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Characteristics of veins?
- carry blood back to the heart
- have valves
- they are superficial
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What length of time would you leave a tourniquet on after drawing blood specimen?
none, you immediately release after completing draw
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describe the characteristics of phlebitis?
- swelling and redness
- warmth
- burning along vein
- vein feels cordlike
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Which drug classification is used for seizures?
anti convulsants
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describe how you would give medications to a dysphagia patient?
crush meds and mix with a small amount of applesauce or ice cream
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what are the early signs of ICP?
decreased LOC
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Your patient is having a tonic clonic seizure, what should you do?
- lower them to the floor
- and maintain the airway
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What meds would a newly diagnosed seizure patient be placed on upon discharge?
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SCI patient in the ECU, the patient cannot move or sense any of his extremities, the injury is most likely to be in which area of spinal cord?
above C4
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Signs and symptoms of Parkinson's disease?
- slow shuffling gait
- difficulty swallowing
- pill rolling tremor
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what assessment findings would indicate the patient is entering the early stages of Alzheimer's disease?
forgetfulness
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The patient has just been diagnosed with an ischemic stroke, what meds should be available for the MD?
tPA
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What are several risk factors for exacerbation of MS.?
- UTI
- overheating
- exposure to prolonged sun/cold
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What emergency equipment must you have at the bedside for a patient experiencing dysphagia and difficulty handling their own secretions
Suction
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What supplies would have on hand to wash your patients face that is experiencing trigeminal neuralgia?
luke warm water and cotton balls
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What signs and symptoms are associated with Bells Palsy
unable to close affected eye
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PERRLA?
pupils are equal, round, reactive to light, accomodation
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What reading would represent normal vision?
20/20 in both eyes
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When given several post op patient scenarios, which precaution would warrent more teaching?
rolling THR on their operative side
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