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51 Cards in this Set
- Front
- Back
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in a disaster and emergency personnel is not yet arrived; what should you do?
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in a disaster and emergency personnel is not yet arrived; what should you do
- determine what your priorities are |
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when you are caring for an unconscious pt. where do you start your treatment first?
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when you are caring for an unconscious pt. where do you start your treatment first
- airway (ABC) |
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from the list below, who are you going to care for first?
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from the list below, who are you going to care for first
- 15 yr old bruising on his sternum - 34 year old with fracture femur - older pt. with dislocated elbow - child with facial lacerations |
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an elderly has productive cough, progressive forgetfulness and cannot concentrate, she looks shriveled and not well for; of those finding what is you primary priority to take care of this person?
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an elderly has productive cough, progressive forgetfulness and cannot concentrate, she looks shriveled and not well for; of those finding what is you primary priority to take care of this person
- airway because of her cough shrivel: to lose or cause to lose vitality or intensity |
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you are working with a rescue team in a thunder storm searching for victim and find a gentleman laying next to a broken gas pipe; he is not breathing and he is bleeding heavily from the wound on his leg, what is the first thing you would do ?
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you are working with a rescue team in a thunder storm searching for victim and find a gentleman laying next to a broken gas pipe; he is not breathing and he is bleeding heavily from the wound on his leg, what is the first thing you would do
- remove him from danger |
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you are working in ER and have 4 pts, all have serious health problems. Who would you work on first and why?
- pt with fx - pt has penetrating abd wound - pt with head injury - pt with chest pain |
you are working in ER and have 4 pts, all have serious health problems. Who would you work on first
- pt with fx - pt has penetrating abd wound - pt with head injury - >>>> pt with chest pain why because chest pain might cut off the circulating of blood throughout the body |
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you are monitoring pt’s BP and notice there is a change, BP goes down, what is the next thing you do
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you are monitoring pt’s BP and notice there is a change, BP goes down, what is the next thing you do
- check pulse then other VS (do the same with BP goes up) |
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pt. start vomiting while laying on bed; what position should you put him in
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pt. start vomiting while laying on bed; what position should you put him in
- left lateral why - when laying on the left side the esophagus moves over and if pt. should vomit and aspirate the aspirate goes down the right main bronchus and that is up and it is harder to do the left one is at the angle need to keep up the esophagus and we going to make it harder to aspirate into the right main bronchus and if vomit the emesis will vomit down instead of up and it goes into the left bronchus (laying at the angle) instead of the right bronchus |
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under the good Samaritan act, when should the nurse be liable for her action
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under the good Samaritan act, when should the nurse be liable for her action
- when commit to gross negligence *** gross negligence means serious carelessness |
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you’re responding to pt in a collapse building, who do you treat first
why? |
you’re responding to pt in a collapse building, who do you treat first
- children - ppl with head injuries - ppl that are bleeding - ppl with minor injuries why - so they can help other ppl |
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you’re working in the ER and ER received a notice of a mass casualties event caused by an unknown biological agent, what document in the ER that going to tell you how to respond
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you’re working in the ER and ER received a notice of a mass casualties event caused by an unknown biological agent, what document in the ER that going to tell you how to respond
- emergency operations plan |
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pt. has heat exhaustion and received 500mL of fluid challenge over 20 minutes, which of the following requires your immediate intervention
- BP of 110/70 - Pulse ox of 95 - Urine output 100mL in 3 hrs - Crackles in the lungs |
pt. has heat exhaustion and received 500mL of fluid challenge over 20 minutes, which of the following requires your immediate intervention
- BP of 110/70 - Pulse ox of 95 - Urine output 100mL in 3 hrs - > Crackles in the lungs (ANSWER) Why Because he is getting too much fluid too fast at once *** fluid challenge is generally used to resuscitate purpose and can be simple as given a specific amount of fluid of normal saline over 20 minutes STAT, normally use in pt. that is hypovolemic (low fluid) |
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pt. with heat stroke comes in ER, he has temperature of 105 F (hyperthermia), hot dry skin; what is the first thing you would do?
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pt. with heat stroke comes in ER, he has temperature of 105 F (hyperthermia), hot dry skin; what is the first thing you would do
- cold compresses - ice bath - cooling blanket Would you encourage him to drink cold fluids? NO With pt. with heat stroke anything that taking by mouth will not go down-NPO |
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common S/S for hypothermia (temperature drop below normal)
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common S/S for hypothermia (temperature drop below normal)
- mental status altered (combative, stuporous, comatose…) *** stuporous: a state of mental numbness that result from shock *** symptoms of hypothermia like shivering, lethargy, confusion, apathy, delerium, heart rhythm irregularities, or coma |
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what body system would be effect by hypothermia
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what body system would be effect by hypothermia
- entire body system |
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pt.. with hypothermia what his skin color would be
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pt.. with hypothermia what his skin color would be
- pale due to bp constricted |
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how are you warming pt. with hypothermia
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how are you warming pt. with hypothermia
- warm blankets - warm fluids - warm IVs |
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why do we need to keep the water warm when treating frostbite
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why do we need to keep the water warm when treating frostbite
- to prevent tissue damage |
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pt. is bitten by rattle snake and waiting for antivenom drug from doctor; what would you do while pt. is waiting for the medication
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pt. is bitten by rattle snake and waiting for antivenom drug from doctor; what would you do while pt. is waiting for the medication
- monitor VS every 15 minutes |
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you’re assisting the triage in ER, which one would get the highest priority
- pt. with N/v - pt. with twisting ankle - pt. with minor laceration on finger - pt. with spider bite and facial edema (ptosis) and dyspnea (effecting airway) |
you’re assisting the triage in ER, which one would get the highest priority
- pt. with N/v - pt. with twisting ankle - pt. with minor laceration on finger - > pt. with spider bite and facial edema (ptosis) and dyspnea (effecting airway) *** triage is a process of determine the priority of pt. treatment base on the severity of their condition *** ptosis is drooping eyelid |
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pt. with history of allergy to bee sting and comes in ER with bee sting and having trouble breathing; what condition that pt. could die from
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pt. with history of allergy to bee sting and comes in ER with bee sting and having trouble breathing; what condition that pt. could die from
- asphyxia (condition that caused oxygen to go down and carbon dioxide to go up à suffocation à death) |
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what is the appropriate action to remove wasp sting
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what is the appropriate action to remove wasp sting
- constricting band (tourniquet) proximal to the wound |
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pt. is brought down from mountain and has AMS (acute mountain sickness), with the following select the most important
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pt. is brought down from mountain and has AMS (acute mountain sickness), with the following select the most important
- maintain fluid intake - decadron IV push - start large IV - > oxygen at 2L per minutes |
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with the following 4 near drowning pt., which one would you assess first for hypovolemia
- elderly pt rescued from the lake (water from the lake is hypotonic compared to normal saline in your cell à lower sodium concentration à sodium is going to move into the lung à is not hypovolemic) à hypervolemia - a kid resuscitated from bath tub (same as above à hypotonic) à hypervolemia - teenage rescued from back yard pool (same as above à hypotonic) à hypervolemia - pt rescued from ocean (hypertonic) à hypovolemia |
with the following 4 near drowning pt., which one would you assess first for hypovolemia
- elderly pt rescued from the lake (water from the lake is hypotonic compared to normal saline in your cell à lower sodium concentration à sodium is going to move into the lung à is not hypovolemic) à hypervolemia - a kid resuscitated from bath tub (same as above à hypotonic) à hypervolemia - teenage rescued from back yard pool (same as above à hypotonic) à hypervolemia - > pt rescued from ocean (hypertonic) à hypovolemia |
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pt. near drowning in ocean hypertonic is going into the lung what is that going to cause
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pt. near drowning in ocean hypertonic is going into the lung what is that going to cause
- pulmonary edema |
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pt. tried to commit suicide, slashing her wrist, what is the first would you do
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pt. tried to commit suicide, slashing her wrist, what is the first would you do
- apply direct pressure |
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pt. is in hemorrhagic shock, what position would you put pt. in
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pt. is in hemorrhagic shock, what position would you put pt. in
- supine with feet elevated (modified trendelenburg) *** hemorrhagic shock is condition resulting in inadequate delivery of oxygen and nutrients that necessary for cell function, whenever cellular oxygen demand outweigh supply, both cell and organism are in state of shock |
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if you suspect pt. is going into shock what VS is changed first
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if you suspect pt. is going into shock what VS is changed first
- pulse and respiration *** pulse and respiration should go up and BP goes down |
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what is the purpose of putting in a foley catheter when pt. is in the shock phase
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what is the purpose of putting in a foley catheter when pt. is in the shock phase
- to measure urinary output (pt. cannot urinate when in shock) |
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what are the two indications that we don’t put pt.’s feet up when in shock
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what are the two indications that we don’t put pt.’s feet up when in shock
- head and neck injury |
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what VS are you going to monitor to determine the effectiveness of fluid replacement therapy
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what VS are you going to monitor to determine the effectiveness of fluid replacement therapy
- BP and pulse (pulse should comes down and BP should goes up) |
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while helping pt ambulate to the bathroom, pt. suddenly get dizzy and need buckle, what do you do
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while helping pt ambulate to the bathroom, pt. suddenly get dizzy and need buckle, what do you do
- lower pt. gently to the floor |
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pt. is swallowed a bottle of Tylenol to commit suicide, what is the antidote for overdose
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pt. is swallowed a bottle of Tylenol to commit suicide, what is the antidote for overdose
- mucomyst |
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what is the risk for children that live in housing built before 1970
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what is the risk for children that live in housing built before 1970
- they are prone to get lead poisoning (due to lead based paint) |
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what is the problem with lead poisoning
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what is the problem with lead poisoning
- irreversible brain damage (CNS) |
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what do you advice mom to do with 1 year old baby that just ingested liquid furniture polish
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what do you advice mom to do with 1 year old baby that just ingested liquid furniture polish
- call poison control |
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what do you do if a child is acting strangle or not breathing?
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what do you do if a child is acting strangle or not breathing
- call 911 |
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of the following which one would get botulism
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of the following which one would get botulism
- mother dip the pacifier in the honey (poisoning from bee feces) *** botulism is rare but serious cause by clostridium botulinum bacteria, enter the body through wounds, or improperly canned or preserved food |
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what do you do when bleach splashed into a child’s eye?
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what do you do when bleach splashed into a child’s eye
- continuous water irrigation |
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a kid comes to you after got hit by a ball against his eyeglasses, complains of something is his eyes. What do you do?
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a kid comes to you after got hit by a ball against his eyeglasses, complains of something is his eyes. What do you do
- patch him open and take him to ER |
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why don’t we do blind finger sweeps for airway obstruction
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why don’t we do blind finger sweeps for airway obstruction
- you might push it back further |
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pt. with burned to the neck and face, what is your concern?
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pt. with burned to the neck and face, what is your concern
- airway |
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you have pt. in ER with fever of unknown ideology , which of the following is abnormal
- BUN of 18 à normal - Potassium of 4.2 à normal - Specific gravity of 1.020 à normal - WBC of 30000 à abnormal (normal = 8000-10000) |
you have pt. in ER with fever of unknown ideology , which of the following is abnormal
- BUN of 18 à normal - Potassium of 4.2 à normal - Specific gravity of 1.020 à normal - > WBC of 30000 à abnormal (normal = 8000-10000) |
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you take care of pts after an chemical explosion, which of the following pt. need to have clothes remove immediately
- pt. is burned by down hypertension wire - pt. with severe smoking inhalation - pt. with burned on the arm - pt. with spilled chemical on the body |
you take care of pts after an chemical explosion, which of the following pt. need to have clothes remove immediately
- pt. is burned by down hypertension wire - pt. with severe smoking inhalation - pt. with burned on the arm - > pt. with spilled chemical on the body |
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what would you do with pt. that injured from chemical explosion, laying on his back, complain of back pain and inability to move the lower extremities
what could he have? |
what would you do with pt. that injured from chemical explosion, laying on his back, complain of back pain and inability to move the lower extremities
- don’t move him, go get help what could he have? - spinal injury |
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female pt comes in ER with ecchymotic ankle, what question should you ask her
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female pt comes in ER with ecchymotic ankle, what question should you ask her
- are you taking blood thiners or aspirin |
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pt. comes in ER with herniated intervertebral disk, what pt. do that would increase the pain
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pt. comes in ER with herniated intervertebral disk, what pt. do that would increase the pain
select all that apply - coughing, sneezing - bending over - lifting |
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pt. with c-diff (clostridium difficile) has positive stool culture, what kind of caution do you have to take
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pt. with c-diff (clostridium difficile) has positive stool culture, what kind of caution do you have to take
- contact isolation |
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what is pt. losing when has intestinal suctioning by NG tube
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what is pt. losing when has intestinal suctioning by NG tube
- hydrochloric acid and electrolytes (mainly potassium) |
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pt. comes to ER after several of vomiting, her breathing is shallow and slow. What kind of acid base is she going to have
- respiratory acidosis with metabolic compensation - respiratory alkalosis with metabolic compensation - metabolic acidosis with respiratory compensation - metabolic alkalosis with respiratory compensation |
pt. comes to ER after several of vomiting, her breathing is shallow and slow. What kind of acid base is she going to have
- respiratory acidosis with metabolic compensation - respiratory alkalosis with metabolic compensation - metabolic acidosis with respiratory compensation - > metabolic alkalosis with respiratory compensation |
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What helps you to determine pain on pt. based on the location and duration?
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what does it helps you to determine pain on pt. based on the location and duration
- so we can determine the cause (etiology) |
