ASSESSMENT TESTED CONTENT WITH
ACCURATE SOLUTIONS
◉ Priority intervention for a patient with sepsis before cultures.
Answer: Administer broad spectrum antibiotics within one hour of
diagnosis until cultures identify the infectious organism.
◉ Who can determine a patient's pain level?. Answer: Patient
◉ Good example of QSEN of teamwork and collaboration. Answer:
Discharge planning
◉ When is PRN medication administered?. Answer: As needed
◉ Time until nurse checks back after giving oral pain med. Answer:
30 minutes
◉ What is analgesia?. Answer: Inability to feel pain
◉ Purpose of a laryngectomy. Answer: To maintain airway patency
, ◉ How often should TED socks be removed?. Answer: 20 minutes
each shift
◉ How long should a patient go without eating or drinking before
surgery?. Answer: NPO for 8 hours before surgery
◉ What is systemic inflammation response syndrome?. Answer:
Usually happens with patients who are septic. Signs and symptoms
include hypothermia and narrowing pulse pressures.
◉ Is sepsis a respiratory or metabolic disorder?. Answer: Metabolic
◉ Priority interventions to monitor when a patient is high risk for
infection. Answer: Vital signs and mental status
◉ Purpose of PACU. Answer: The ongoing evaluation & stabilization
of pts to anticipate, prevent, & treat complications after surgery,
including impaired GAS EXCHANGE, PAIN, CLOTTING, INFECTION,
and impaired TISSUE INTEGRITY.
◉ Pre-existing conditions put a patient at risk for what?. Answer:
Increase in wound dehiscence