Ati Med Surg Proctored Review

Front 1

The health/wellness/illness continuum model is an assessment tool is used to compare current level of wellness to the patient's optimum level of health. At the center of the continuum is __________.

Back 1

The clients normal state of health.

Front 2

Obstacles to compliance and adherence include ...

Back 2

• Perceptions of illness (awareness of illness severity)

• confidence in the

Belief in the prescribed therapy

• availability of support systems • family role and function

• financial restrictions that may lead to prioritized healthcare (ex/ A parent who seeks medical treatment for their child but not for themselves)

Front 3

A Primary Survey is a rapid assessment of life-threatening conditions. It should take no longer than _________ to perform.

Back 3

60 seconds

Front 4

Mass casualty triage is a system for evaluating a large number of individuals, classifying their injuries using a colored tag system, and prioritizing care.

What are the 4 classifications and their tag colors used?

Back 4

Class I =Emergent - Red tag

Class II = urgent – yellow tag

Class III =non-urgent – green tag

Class IV = Expectant - black tag

Front 5

A patient who sustained 3rd degree burns over 75% TBSA would be classified as which triage class under mass casualty conditions?

Back 5

Class IV (expectant) - patients in this class are expected and allowed to die - marked with a black tag.

Front 6

The first step in performing a primary survey is to establish a patent airway. If A patient is unresponsive without suspicion of trauma, the airway should be opened with a _________________.

Back 6

Head-tilt/chin-lift maneuver

* this is done with the nurse assuming a position at the head of the client, placing one hand on his four head on the other hand on his chin. The patient's head should be tilted while his chin is lifted superiorly. This lifts the tongue out of the

Laryngopharynx and provides a patent airway.

Front 7

Using the ABCDE principal of care an airway is established in an unresponsive client with suspicion of trauma by performing a __________________.

Back 7

= modified jaw thrust maneuver

* The nurse assumes a position at the head of the client and places both hands on either side of the clients head. Locating the connection between the maxilla and the mandible the jaw is lifted superiorly while maintaining alignment of the cervical spine.

Front 8

During the ABCDE primary survey, once an airway has been established a ___________ connected to 100% O2 is used for patients who need additional support during resuscitation. If the patient is spontaneously breathing a ______________ is used instead.

Back 8

bag valve mask - used for patients who need additional support during resuscitation

non-rebreather mask - indicated for patients who are spontaneously breathing.

Front 9

Using the ABCDE principal once an airway has been established and breathing assessed, The nurse moves on to circulation. Interventions gear toward restoring effect of circulation include:

Back 9

• CPR

• assess for external bleeding and controlling hemorrhage

• obtaining IV access - inserting 2 large bore IV catheters into The AC of both arms.

• Infusing IV fluids [LR or NS] or blood products

Front 10

Using the ABCD E priority framework D stands for ____________ and includes evaluation of the patient's ___________.

Back 10

D = Disability

= which includes evaluation of the patient's LOC using neurological assessment tools such as GCS or AVPU mnemonic

Front 11

The last step in the ABCDE framework is E, which stands for _______________. During this step ___________ is performed.

Back 11

E = Exposure

= Removal of the patients clothing and a complete physical assessment

Front 12

In the emergency care of patients who have ingested poison, 3 procedures are used to treat patients, these are:

Back 12

• Activated charcoal

• gastric lavage & aspiration

• whole bowel irrigation

Front 13

A group of critical care experts who respond to an emergency call from nurses or family members went to client exhibits indications of a rapid decline is called a __________________ .

Back 13

Rapid response team

Front 14

A rapid response team includes specially trained members from different specialties, this inter-disciplinary team is made up of:

Back 14

• ICU nurse

• respiratory therapist

• a critical care provider

• hospitalist

Front 15

A CLS protocols for V fib or pulseless V Tach include:

Back 15

• Initiate the CPR components of BLS.

• Defibrillation

• Establish IV access

• Administer IV antidysrhythmic medication

* epinephrine 1 mg IV push every 3 to 5 minutes

OR

*vasopressin 40 units IV x 1 (switch to epinephrine if no response after initial dose)

Front 16

The diagnostic procedure that detects defects, narrowing, or obstruction of arteries or blood vessels in the brain.

Back 16

Cerebral angiogram

Front 17

Instructions for patients undergoing cerebral angiogram include:

Back 17

• No food or drink 4- 6 hours prior to

• no jewelry can be worn during the procedure

• you must remain still during the procedure

• during the angiogram you may experience a metallic taste in the mouth, a warm sensation over the face, job, long, lips and behind the eyes as the dye is injected

Front 18

What are the signs of increased intracranial pressure?

Back 18

• Change in LOC

• abnormal pupillary function

• EOM deficits

• paralysis

• abnormal posturing

• sensory deficits (vision, hearing, touch)

• changes in vital signs

- bradycardia

- abnormal respiratory patterns - widening pulse pressure

• headache

• impaired brainstem reflexes (corneal, gag reflex)