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33 Cards in this Set
- Front
- Back
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Q1. How do you instruct pt to care for bloody nose?
Q2. pt has posterior nose bleed packing (tampon) asks why she can’t take Motrin? Q3. What is another name for a bloody nose? Q4. Pt with nose trauma with “excessive swallowing” what does that mean? |
Q1. How do you instruct pt to care for bloody nose?
- sit upright - lean forward - squeeze - monitor for excessive swallowing - apply Ice Q2. pt has posterior nose bleed packing (tampon) asks why she can’t take Motrin? - it will make her bleed - question the order Q3. What is another name for a bloody nose? Epistaxis (or a nosebleed) Q4. Pt with nose trauma with “excessive swallowing” what does that mean? - Bleeding requires immediate intervention - Swallowing is a sign of bleeding |
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Q1. What is sinusitis?
Q2. Where would a pt feel pain, if they are having maxillary sinusitis? |
Q1. What is sinusitis?
Inflammation of the sinuses Q2. Where would a pt feel pain, if they are having maxillary sinusitis? - cheek bones |
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pt complains of a cold followed by a high fever, what could be the cause?
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pt complains of a cold followed by a high fever, what could be the cause?
- BACTERIAL INFECTION- needs immediate intervention - ex: Sinus infection- Bronchial infection |
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What test is performed to determine what type of SOTH pt has?
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What test is performed to determine what type of SOTH pt has?
- C & S (Culture and Sensitivity) |
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If a strep throat is left untreated, what problems could it cause?
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If a strep throat is left untreated, what problems could it cause?
-Endocarditis -Rheumatic Fever -Acute Glomerulonephritis -Heart Valve Problems -Otitis Media (Middle Ear) - Scarlett Fever (Peritonsillar Abscess, - Bronchitis, - Pneumonia, - Sinusitis, - Mastoiditis) |
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Q1. What is Peritonsillar Abscess?
Q2. What is the s/s of Peritonsillar Abscess? Q3. If tonsils get swollen and not watched carefully, what happens to the uvula? |
Q1. What is Peritonsillar Abscess?
Abscess on tonsils Q2. What is the s/s of Peritonsillar Abscess? Deviated Uvula (puss pockets on the tonsils) Q3. If tonsils get swollen and not watched carefully, what happens to the uvula? Deviates the Uvula Moves it over or smooches it. |
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What is the 1st sign of a problem?
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What is the 1st sign of a problem?
- restlessness |
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Q1. What is laryngitis?
Q2. What advice would you give a pt with laryngitis for a speedy recovery? Q3. What is the #1 cause or risk factor for laryngeal Cancer? |
Q1. What is laryngitis?
- inflammation of larynx Q2. What advice would you give a pt with laryngitis for a speedy recovery? Rest vocal cords (voice box) Q3. What is the #1 cause or risk factor for laryngeal Cancer? - ETOH (alcohol) - Smoking |
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Q1. What do u do to prepare a patient prior to a total laryngectomy?
Q2. What is total laryngectomy? |
Q1. What do u do to prepare a patient prior to a total laryngectomy?
- establish a means of communication With a chalk board, paper pencil ect.. Q2. What is total laryngectomy? Removal of the larynx |
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Q1. What is T&A?
Q2. What is a possible complication of T & A? Q3. How would you know if your pt is hemorrhaging? Q4. What are the s/s for a post-op T&A pt who is hemorrhaging (bleeding to death)? |
Q1. What is T&A?
-Tonsillectomy & Adenoidectomy - surgical removal of tonsils and adenoids Q2. What is a possible complication of T & A? - bleeding (hemorrhaging) Q3. How would you know if your pt is hemorrhaging? - Excessive swallowing Q4. What are the s/s for a post-op T&A pt who is hemorrhaging (bleeding to death)? - Decreased BP- rapid pulse - Nausea, lethargy |
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Q1. What is a Tracheostomy?
Q2. What is the 1st thing you establish prior to a Tracheostomy? Q3. Post radical neck procedure you’re looking for what sign of a complication? |
Q1. What is a Tracheostomy?
- Surgical incision in the trachea to establish airway (stoma) Q2. What is the 1st thing you establish prior to a Tracheostomy? - Establish a form of communication Q3. Post radical neck procedure you’re looking for what sign of a complication? - Restlessness - & then DYSPNEA |
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Q1. What is your first intervention to perform prior to trach care and why?
Q2. Why do we refrain from cutting into 4x4 gauze for a trach pt? |
Q1. What is your first intervention to perform prior to trach care and why?
Suction the trache and oxygenate them Q2. Why do we refrain from cutting into 4x4 gauze for a trach pt? fibers can enter the airway (there is a special gauze made for trach.) |
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Q1. What is hypoxia?
Q2. What is hypoxemia? |
Q1. What is hypoxia?
- Lack of oxygen in tissues Q2. What is hypoxemia? - lack of oxygen in the blood |
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Q1. What do you ask a pt prior to administering a flu shot?
Q2. What is the influenza vaccine? Q3. Besides vaccinating, what other advice would u give pt that is at high risk for the flu or infection? |
Q1. What do you ask a pt prior to administering a flu shot?
“Are you allergic to Chicken, feather or eggs? “ Q2. What is the influenza vaccine? - flu shot Q3. Besides vaccinating, what other advice would u give pt that is at high risk for the flu or infection? 1 avoid crowded area’s |
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Q1. pt who had chronic bronchitis is having hypoxia, what could be the cause and why?
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Q1. pt who had chronic bronchitis is having hypoxia, what could be the cause and why?
- large amounts of tenacious mucous - Because it blocks access to the alveoli |
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Q1. Who is least likely to be at risk for pneumonia in the hospital?
Q2. Who is most at risk? |
Q1. Who is least likely to be at risk for pneumonia in the hospital?
- Pt who is able to ambulate frequently Q2. Who is most at risk? - post op pt |
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Q1. What groups of people are at highest risk for pneumonia?
Q2. what group of people are encouraged to get pneumonia vaccines? |
Q1. What groups of people are at highest risk for pneumonia?
- Young and Old people - Immuno-compromised - Smokers and/or alcohol abusers - pt who are post op Hospitalized in ICU, mechanical ventilation, aspiration, immobility, recent exposure to viral or influenza infection those with a chronic condition such as chronic lung disease (asthma) or cardiovascular disease) Q2. what group of people are encouraged to get pneumonia vaccines? - Children & Elderly - Pre-Pregnant woman - Hospital workers - Immune compromised |
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Q1. What diagnostic tool is used most frequently to Dx pneumonia?
Q2. What type of lab test would be increased in a pt with pneumonia? Q3. pt who has pneumonia has a chest x-ray how do you confirm on xray that it is pneumonia? |
Q1. What diagnostic tool is used most frequently to Dx pneumonia?
Chest (lungs) x ray Q2. What type of lab test would be increased in a pt with pneumonia? WBC’s Q3. pt who has pneumonia has a chest x-ray how do you confirm on xray that it is pneumonia? - Consolidation (white Patchy cloudy areas) |
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Q1. What is Pleurisy?
Q2. What are the s/s of Pleurisy? |
Q1. What is Pleurisy?
Inflammation of the Parietal & Visceral Tissues (in the pleural space) Q2. What are the s/s of Pleurisy? Severe pain when breathing in (inspiration) and SOB |
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Q1. If you’re working in ER and pt presents with possible TB, what is your initial intervention?
Q2. How is TB spread? Q3. What type of isolation would u have your pt on? Q4. What type of mask do we use to protect us from TB? |
Q1. If you’re working in ER and pt presents with possible TB, what is your initial intervention?
- Isolation or provide them with a mask Q2. How is TB spread? - airborne/ droplets Q3. What type of isolation would u have your pt on? - airborne /droplet precaution - Negative air flow Q4. What type of mask do we use to protect us from TB? - FIPS/HEPA/n95- MASK must be on |
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What is hystoplasmosis?
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What is hystoplasmosis?
Condition of fungal spores in the lungs (Caused from chickens bats and barns) |
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Q1. What does “cavities caused by caseation” mean?
Q2. What evidence of TB is provided by chest xray? Q3. What groups of people are at highest risk for TB? Q4. If you’re working in ER and pt presents with possible TB, what is your initial intervention? |
Q1. What does “cavities caused by caseation” mean?
- caseation (necrotic tissue is converted to cheese like material which forms cavities containing tubercle bacilli) - spores that fall apart - without the chunk = cavity (egg) (cheesy like the egg via caseation) that (((fall apart))) and get cheesy pg. cassation softening of the spores Q2. What evidence of TB is provided by chest xray? “cavities caused by caseation” (egg looking spots with holes in them) Q3. What groups of people are at highest risk for TB? - People living in crowded places - immigrants - homeless - health care providers - immuno compromised Q4. If you’re working in ER and pt presents with possible TB, what is your initial intervention? - Isolation or provide them with a mask |
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Q1. What does PPD stand for?
Q2. if pt has positive PPD skin test, what is the next test? Q3. what does a positive skin test look like? |
Q1. What does PPD stand for?
- Purified protein derivative - Mantoux skin test - intradermal test, 10-15 degree angle, bevel up Q2. if pt has positive PPD skin test, what is the next test? - Then you do chest x ray and if that is positive, you would do a sputum test (AFB) Q3. what does a positive skin test look like? -induration of greater than 10mm in diameter -in the immune compromised it is 5mm or greater |
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Q1. What is the most accurate way to diagnose TB?
Q2. What does the AFB stand for? -Acid Fast Bacillus Q3. How many do you need? |
Q1. What is the most accurate way to diagnose TB?
-Acid Fast Bacillus (AFB) - Need 3 positive tests done on separate days- SPUTUM – this would indicate positive for tb Q2. What does the AFB stand for? -Acid Fast Bacillus Q3. How many do you need? - need 3 positive tests in a row on separate days to confirm TB - need 3 negative to confirm NOT have TB (after max drugs) |
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What is the minimal time you spend on TB drugs?
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What is the minimal time you spend on TB drugs?
6 Months (minimum) |
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Q1. If a pt is suspected of being exposed to inhaled Anthrax, what is your initial intervention?
Q2. If a pt is not sure if they have been exposed to inhalation anthrax, what do you do? |
Q1. If a pt is suspected of being exposed to inhaled Anthrax, what is your initial intervention?
-Separate those from everyone else (isolate them) Q2. If a pt is not sure if they have been exposed to inhalation anthrax, what do you do? - Isolate them - Culture them - and get them on the antibiotic therapy |
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Q1. What does ARDS stand for?
Q2. Does ARDS have a high mortality rate? Q3. Is surfactant production reduced in ARDS pt’s? Q4. after finding the underlying cause in ARDS pt what is the next medical intervention? |
Q1. What does ARDS stand for?
- Acute respiratory distress syndrome (Syndrome=group of symptoms all related) Q2. Does ARDS have a high mortality rate? - yes Q3. Is surfactant production reduced in ARDS pt’s? - YES Q4. after finding the underlying cause in ARDS pt what is the next medical intervention? - mechanical ventilator |
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What is the normal SAO2 rate?
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What is the normal SAO2 rate?
- 95-100% |
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Q1. pt on vents do they have alarms?
Q2. What is your initial response when the alarms go off? |
Q1. pt on vents do they have alarms?
Yes Q2. What is your initial response when the alarms go off? - if it goes off, check your pt |
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Q1. what does intubate mean?
Q2. what types of pts need intubation and ventilation? Who is at highest risk? |
Q1. what does intubate mean?
- tube into the airway Q2. what types of pts need intubation and ventilation? Who is at highest risk? - respiratory distress pt - hypoxic pt - hypoventilated pt - PT WHO AREN’T BREATHING |
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Q1. what does PE stand for?
Q2. What is a Pulmonary emboli? Q3. Does pink frothy sputum indicate Pulmonary Edema (PE)? Q4. what group of people are at risk for PE? Q5. what type of surgical procedures put pt at risk for PE? |
Q1. what does PE stand for?
-Pulmonary Emboli Q2. What is a Pulmonary emboli? Dislodged thrombi. Something blocking the vein including fat, air or blood clots Emboli is something moving (like fat or clot or air) Q3. Does pink frothy sputum indicate Pulmonary Edema (PE)? YES (Because pink is blood tinged) Q4. what group of people are at risk for PE? - Obese - smoking - DVT - surgery - pregnancy - inactivity (lack of exercise) - sickle cell pt - people who fly Q5. what type of surgical procedures put pt at risk for PE? - Abdominal surgery (bloody surgeries) - Any type of orthopedic surg (there is blood in the bones) |
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Q1. What does SARS stand for?
Q2. What is the primary role of nurse during SARS outbreak? |
Q1. What does SARS stand for?
-Severe Acute Respiratory Syndrome Q2. What is the primary role of nurse during SARS outbreak? - Preventing spread of infection to other pt (wash hands, PPE, resp isolation) - isolate pt- keep staff and rest of pt safe |
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Q1. What does sleep apnea mean?
Q2. Do pt who have sleep apnea - have excessive drowsiness during the day? Q3. What is the CPAP machine for? |
Q1. What does sleep apnea mean?
- Periods of no breathing during sleep Q2. Do pt who have sleep apnea - have excessive drowsiness during the day? YES Q3. What is the CPAP machine for? - delivers Continuous Positive Airway Pressure to pt with sleep problems (like sleep apnea) - breathing face mask – breaths for patient |
