Popcorn Fun

Front 1

Fire safety:

RACE

Back 1

R-rescue
A-alarm
C-confine
E-extinguish

Front 2

Fire Safety:

PASS

Back 2

P-pull pin
A-aim at base of fire
S-squeeze handle
S-sweep side to side

Front 3

Fire Safety:

Extinguisher Type A

Back 3

common materials such as paper, wood, or most combustibles

Front 4

Fire Safety:

Extinguisher Type B

Back 4

Flammable liquids like gasoline, paint remover, or grease

Front 5

Fire Safety:

Extinguisher Type C

Back 5

electrical

Front 6

Fire Safety:

Extinguisher Type D

Back 6

combustible metals usually found in industry

Front 7

Order of Opperations during assessment:

Regular

Back 7

inspection
palpation
percussion
auscultation

Front 8

Order of Operations during assessment:

abdominal

Back 8

inspection
auscultation
percussion
palpation

Front 9

Herberden Nodes are an indication of

Back 9

osteoarthritis

Front 10

Melena

Back 10

blood in stool

Front 11

Snellen chart test

Back 11

Right eye
Left eye
Together

Front 12

4 Phases of Disaster

Back 12

mitigation
preparedness
response
recovery

Front 13

Mitigation

Back 13

prevention/reduction

Front 14

preparedness

Back 14

form plans

Front 15

response

Back 15

action

Front 16

recovery

Back 16

return to normalcy

Front 17

Biological Warfare

Back 17

anthrax
botulism
Hemm. fever
Plague
smallpox
tularemia

Front 18

Chemical Warfare

Back 18

ionizing radiation
mustard gas
phosgene
sarin

Front 19

Triage: Red

Back 19

emergent care
-trauma, chest pain

Front 20

Triage: Yellow

Back 20

urgent
-fractures, fever, abd. pain

Front 21

Triage: Green

Back 21

nonurgent
-local injuries

Front 22

Triage: Black

Back 22

death

Front 23

Removing PPE

Back 23

gloves
mask (lower, upper strings)
gown
eyeware/cap

Front 24

Hand washing: Drying

Back 24

fingertips to forearm

Front 25

Blood Typing: A

Back 25

A & O

Front 26

Blood Typing: B

Back 26

B & O

Front 27

Blood Typing: O

Back 27

O

Front 28

Blood Typing: AB

Back 28

A, B, O

Front 29

Universal RBC donor

Back 29

O Neg

Front 30

Universal RBC recipiant

Back 30

AB Positive

Front 31

Should not tranfuse blood longer than ________ hours

Back 31

4

Front 32

Blood should be started within _______ minutes from the bloodbank

Back 32

30

Front 33

What to assess before blood transfusion?

Back 33

VS s/p first 15 minutes and q HR s/p transfusion

Front 34

Platelets can be administered __________

Back 34

15-30 mins

Front 35

Prophylaxis for transfusion reaction

Back 35

Oral Benedryl/Tylenol 30 mins before or IV immediately before

Front 36

Isotonic solution

Back 36

0.9% NS

Front 37

Change an IV catheter every ________hours and a CVL every ________ hours.

Back 37

72

24

Front 38

Blood/rapid fluids gauge needle

Back 38

14, 16, 18, 19

Front 39

Lipids gauge needle

Back 39

20, 21

Front 40

Standard IV fluids/clear IV meds gauge needle

Back 40

22, 24

Front 41

Older client gauge needle

Back 41

21 or <

Front 42

Microdrip

Back 42

60 gtts
slow rate <100 mL/hr
medium titration

Front 43

Macrodrip

Back 43

thick solution
10/15/20 gtt/mL

Front 44

Flow Rate Formula

Back 44

total volume X drop factor
_______________________________=gtts/min
time in minutes

Front 45

Infusion Time Formula

Back 45

total volume
_______________= time
mL/hr

Front 46

Air Embolism Actions

Back 46

clamp tubing
L side Trendelenburg
trap air in R atrium
contact doctor

Front 47

Hypertonic Solution

Back 47

5% Dextrose in 0.45% NS

Front 48

Parenteral Nutriion

Back 48

-glucose so insulin can be added
-Hep. added; change solution 12-24 hrs
-change tubing every 24 hours
-therapeutic response 1-3 lb gain

Front 49

When a patient is on lipids, they must be checked every

Back 49

10 minutes

Front 50

3 Ps of Hyperglycemia

Back 50

polydipsia
polyuria
polyphagia

Front 51

Hypoglycemia

Back 51

shakiness/weak
diaphoresis
anxiety

Front 52

Normal body pH

Back 52

7.40

Front 53

Avoid taking Vit B6 with

Back 53

Levodopa

Front 54

Mg sulfate antidote

Back 54

Ca gluconate

Front 55

Ischemia on EKG

Back 55

ST depression

Front 56

L sided heart failure s/s

Back 56

decrease UOP
dyspnea
weight gain
edema

Front 57

CVP pressure

Back 57

7-12 cm H2O

Front 58

If taking Epogen supplement with

Back 58

Iron
Folic Acid

Front 59

If you have hypoparathyroidism supplement with

Back 59

Vit D
Ca

Front 60

DKA blood glucose

Back 60

>300

Front 61

Gullian Barre

Back 61

A disorder in which the body's immune system attacks part of the peripheral nervous system. The first symptoms of this disorder include weakness or tingling sensations in the legs spread to the arms and upper body. These symptoms can increase in intensity until the muscles cannot be used at all and the patient is almost totally paralyzed

Front 62

Meniere's Disease

Back 62

Meniere's disease is a disorder of the inner ear that causes spontaneous episodes of vertigo along with fluctuating hearing loss, ringing in the ear (tinnitus), and sometimes a feeling of fullness or pressure in your ear. In many cases, Meniere's disease affects only one ear

Front 63

AIDS testing

Back 63

2 positive ELISA
Western blot

Front 64

Back 64

Atrial flutter
-sawtooth
-atrial rate b/t 250-400
-absent T waves

Front 65

First signs of CRF

Back 65

HTN
changes with urine

Front 66

Digoxin toxicity

Back 66

Bradycardia
visual distrubances

Front 67

name this rhythm

Back 67

normal sinus rhythm
-60-100 bpm

Front 68

name this rhythm

Back 68

sinus bradycardia
-<60 bpm

Front 69

name this rhythm

Back 69

sinus tachycardia
->100 bpm

Front 70

PR interval

Back 70

0.12-0.20 seconds

Front 71

QRS complex

Back 71

0.12 seconds or less

Front 72

Name this rhythm

Back 72

Premature atrial contractions
-narrow QRS complexes
-"skips a beat"

Front 73

Name this rhythm

Back 73

Atrial fibrillation
-no P waves

Front 74

Name this rhythm

Back 74

PVC
-no P wave
-large T wave
- T wave opposite of QRS complex

Front 75

Name this rhythm

Back 75

V Tach

Front 76

Name this rhythm

Back 76

V Fib

Front 77

QT interval

Back 77

0.44 seconds or less

Front 78

Square counting method for EKG

Back 78

regular HR
-Count from first QRS complex to next QRS complex
-300, 150, 100, 75, 60, 50

Front 79

6 second method for EKG

Back 79

irregular HR
-Count the number of QRS complexes that fit into 6 seconds
-multiply by 10

Front 80

If you have a prominent U wave suspect

Back 80

hypokalemia
hypercalcemia
hyperthyroidism

Front 81

Hyperkalemia EKG changes

Back 81

prominent U wave
ST depression
invertted T wave

Front 82

PR wave should be between 0.12-0.20, if not you have a

Back 82

AV block

Front 83

QRS should be less than 0.12 seconds, if not you have a

Back 83

Bundle Branch block

Front 84

MI is shown in an EKG as

Back 84

ST segment elevation and not coming back to baseline (isoelectric)

Front 85

Fahrenheit to Celsius

Back 85

Degrees Fahrenheit – 32 × 5/9 = Degrees Celsius

Front 86

Celsius to Fahrenheit

Back 86

Degrees Celsius × 9/5 + 32 = Degrees Fahrenheit

Front 87

Grading scale for pulses

Back 87

• 4+ = strong and bounding
• 3+ = full pulse, increased
• 2+ = normal, easily palpable
• 1+ = weak, barely palpable
• 0 = absent, not palpable

Front 88

HTN classifications

Back 88

Prehypertension: a systolic BP of 120 to 139 mm Hg or a diastolic pressure of 80 to 89 mm Hg

Stage 1: a systolic BP between 140 and 159 mm Hg or a diastolic pressure of 90 to 99 mm Hg

Stage 2: a systolic BP equal to or greater than 160 mm Hg or a diastolic pressure of 100 mm Hg or greater

Front 89

Radiography precautions

Back 89

• Remove radiopaque objects such as jewelry.
• Ask the female client whether she is pregnant.
• Inform the client that exposure to radiation is minimal and not dangerous.
• Shield the client's abdomen and pelvic area.
• Wears a lead apron if you stay in the room with the client.
• After the radiograph, provide privacy for dressing or help the client dress as necessary

Front 90

Contrast dye precautions

Back 90

• Determine whether the client is allergic to iodine, seafood, or radiopaque dye.
• Assess the client for any other allergies.
• Inform the client of the possibility of throat irritation, flushing of the face, a sensation of
warmth, or a salty taste during the test.
• Encourage the consumption of fluids in the postprocedure period, unless this is contraindicated,
and monitor urine output.
• Assess the venipuncture site for bleeding.

Front 91

Thyroid scan precautions

Back 91

• Before a thyroid scan, determine whether the client has received radiographic contrast agents within the past 3 months, which could invalidate scan results.
• Instruct the client to maintain nothing-by-mouth (NPO) status after midnight on the day of a thyroid scan.
• No client preparation is necessary for needle aspiration of the thyroid

Front 92

Upper GI study precautions

Back 92

• The client should not eat or drink after midnight before the day of the test.
• After the procedure, instruct the client to increase fluid intake to help pass the barium.
• Monitor the stools for the passage of barium (evidenced by chalky whiteness), because barium can cause bowel obstruction.
• A laxative may be prescribed if the client requires assistance in passing the barium

Front 93

Respiratory acidosis

Back 93

In respiratory acidosis, potassium moves out of cells, producing hyperkalemia. Caused by any condition that obstructs the airway or depresses respiratory status

Front 94

Respiratory alkalosis

Back 94

In respiratory alkalosis, Hypokalemia, hypocalcemia, hyperreflexia, and seizures may develop. Any disease that increases metabolism

Front 95

Metabolic acidosis

Back 95

In metabolic acidosis, Kussmaul's respirations (deep and rapid) represent the body attempts to blow off the extra carbon dioxide and compensate for the acidosis
• Diabetes mellitus or diabetic ketoacidosis
• Excessive ingestion of acetylsalicylic acid (aspirin)
• High-fat diet
• Insufficient metabolism of carbohydrates
• Malnutrition
• Renal insufficiency or failure
• Severe diarrhea

Front 96

Metabolic alkalosis

Back 96

• Diuretics
• Excessive vomiting or gastrointestinal suctioning
• Hyperaldosteronism
• Ingestion of excessive sodium bicarbonate
• Massive transfusion of whole blood

Front 97

Respiratory Imbalance

Back 97

• PCO2 is the respiratory function indicator.
• In a respiratory imbalance, you will note opposite responses of the pH and PCO2; in other words, the pH will be down with an increased PCO2 (acidosis) or the pH will be up with the PCO2 down (alkalosis).
• Look at the pH and PCO2 to determine whether the condition is a respiratory problem.
• In respiratory acidosis, pH is down and PCO2 up.
• In respiratory alkalosis, pH is up and PCO2 down

Front 98

Metabolic Imbalance

Back 98

• Bicarbonate (HCO3–) is the metabolic function indicator.
• In a metabolic imbalance, you will find a corresponding response between the pH and HCO3–; that is, the pH and HCO3– will both be down (acidosis) or the pH and HCO3– will both be up (alkalosis).
• Look at pH and HCO3– to determine whether the condition is a metabolic problem.
• In metabolic acidosis, pH is down and HCO3– down.
• In metabolic alkalosis, pH is up and HCO3– up.

Front 99

Blood gas assessment

Back 99

Step 1: Look at the pH. Is it up or down? If it is up, alkalosis may be present. A decreased pH reflects acidosis.

Step 2: Look at the PCO2. Is it up or down? If its response is opposite that of the pH, you know that the
condition is a respiratory imbalance. If its response is not opposite that of the pH, move on to step 3.

Step 3: Look at the bicarbonate (HCO3–). Does the change in HCO3– correspond with that of the pH? If it does,
the condition is a metabolic imbalance.

Step 4: Compensation has occurred if the pH is in the normal range of 7.35 to 7.45. If the pH is not within the
normal range, look at the respiratory or metabolic function indicators to determine the degree of compensation.

Front 100

Warning Signs of CA

Back 100

• Change in bowel and bladder habits
• A sore that does not heal
• Unusual bleeding or discharge
• Thickening or a lump in the breast or elsewhere
• Indigestion or difficulty in swallowing
• Obvious change in a wart or mole
• Nagging cough or hoarseness

Front 101

A yearly mammogram is recommended starting at age _______ and continuing for as long as a woman remains in good health

Back 101

40

Front 102

Clinical breast examinations about every ____ years are recommended for women in their twenties and thirties; women over the age of 40 should have one each ____

Back 102

3

year

Front 103

Perform breast self-exam ________ days after start of menstruation

Back 103

7

Front 104

Normal Breath Sounds

Back 104

• Bronchovesicular: moderately pitched; heard over the major bronchi
• Vesicular: low-pitched rustling; heard over the peripheral lung fields
• Bronchial (tracheal): high-pitched, with a harsh, hollow, tubular quality heard over the trachea and larynx

Front 105

Abnormal Breath Sounds

Back 105

• Crackles
o Fine: discontinuous high-pitched crackling sounds heard during inspiration that do not clear with coughing
o Coarse: loud, low-pitched bubbling and gurgling sounds heard on inspiration (may be present on expiration); may decrease with coughing or suctioning but reappear
• Wheezes: high-pitched, continuous musical sounds heard during inspiration or expiration
• Rhonchi: loud, low-pitched, coarse rumbling sounds heard during inspiration or expiration; may be cleared by coughing
• Pleural friction rub: dry, grating quality sounds heard best during inspiration; does not clear with coughing

Front 106

Tensilon test: cholinergic crisis

Back 106

overmedication with anticholinesterase drugs
-worsening of the s/s after test dose

Front 107

Tensilon test: myasthenic crisis

Back 107

undermedication with cholinesterase inhibitors
-brief improvement in muscle strength