And Answers/A+ Graded
Do not delegate - Correct Answer -What you can *EAT*
*E*-evaluate
*A*-assess
* T-*teach
Addison's & Cushings - Correct Answer -Addison's = down down down up down
Cushings= up up up down up
hypo/hypernatremia, hypo/hypertension, blood volume, hypo/hyperkalemia,
hypo/hyperglycemia
Better peripheral perfusion? - Correct Answer -Elevate veins, D-Angle Arteries
APGAR - Correct Answer -Appearance (all pink, pink and blue, blue (pale)
Pulse (>100, <100, absent)
Grimace (cough, grimace, no response)
Activity (flexed, flaccid, limp)
Respirations (strong cry, weak cry, absent)
Airborne precautions - Correct Answer -MTV or My chicken hez tb measles, chickenpox
(varicella) Herpes zoster/shingles TB
Airborne precautions protective equip - Correct Answer -private room, neg pressure
with 6-12 air exchanges/hr mask & respirator N95 for TB
Droplet precautions - Correct Answer -spiderman! sepsis, scarlet fever, streptococcal
pharyngitis, parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella,
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)
Contact precaution - Correct Answer -MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric diseases
caused by micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
,Disposal of infectious dressing material into a single, nonporous bag without touching
the outside of the bag
PMGG= Private room/ share same illness, mask, gown and gloves
Skin infection- *VCHIPS* - Correct Answer -Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
Air or Pulmonary Embolism - Correct Answer -S/S chest pain, dyspnea, tachycardia,
pale/cyanotic, sense of impending doom. (turn pt to LEFT side and LOWER the head of
bed.)
Woman in labor (un-reassuring FHR) - Correct Answer -(late decels, decreased
variability, fetal bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV
fluids!
Tube feeding with decreased LOC - Correct Answer -Pt on Right side (promotes
emptying of the stomach) Head of bed elevated (prevent aspiration)
LOC - Correct Answer -Level of Consciousness
After lumbar puncture and oil based myelogram - Correct Answer -pt is flat SUPINE
(prevent headache and leaking of CSF)
Pt with heat stroke - Correct Answer -flat with legs elevated
during Continuous Bladder Irrigation (CBI) - Correct Answer -catheter is taped to the
thigh. leg must be kept straight.
After Myringotomy - Correct Answer -position on the side of AFFECTED ear, allows
drainage.
Myringotomy - Correct Answer -surgical incision into the eardrum, to relieve pressure or
drain fluid.
After Cateract surgery - Correct Answer -pt sleep on UNAFFECTED side with a night
shield for *1-4 weeks*
after Thyroidectomy - Correct Answer -low or semi-fowler's position, support head, neck
and shoulders.
, Infant with Spina Bifida - Correct Answer -Prone so that sac does not rupture
Buck's Traction (skin) - Correct Answer -elevate foot of bed for counter traction
After total hip replacement - Correct Answer -don't sleep on side of surgery, don't flex
hip more than 45-60 degress, don't elevate Head Of Bed more than 45 degrees.
Maintain hip abduction by separating thighs with pillows.
Prolapsed cord - Correct Answer -Knee to chest or Trendelenburg
oxygen 8 to 10 L
Cleft Lip - Correct Answer -position on back or in infant seat to prevent trauma to the
suture line. while feeding hold in upright position.
To prevent dumping syndrome - Correct Answer -(post operative ulcer/stomach
surgeries) eat in reclining position. Lie down after meals for 20-30 min. also restrict
fluids during meals, low CHO and fiber diet. small, frequent meals.
AKA (above knee amputation) - Correct Answer -elevate for first 24 hours on pillow.
position prone daily to maintain hip extension.
BKA (below knee amputation) - Correct Answer -foot of bed elevated for first 24 hours.
position prone to provide hip extension.
detached retina - Correct Answer -area of detachment should be in the dependent
position
dependent position - Correct Answer -supported
administration of enema - Correct Answer -pt should be left side lying (Sim's) with knee
flexed.
supratentorial - Correct Answer -(incision behind hairline on forhead) e
After supratentorial surgery - Correct Answer -elevate HOB 30-40 degrees
HOB - Correct Answer -head of bed
infratentorial - Correct Answer -(incision at the nape of neck)
After infratentorial surgery - Correct Answer -position pt flat and lateral on either side.
During internal radiation - Correct Answer -on bed rest while implant in place