1
WEEK 3
1. Consequence of too much O2 → dry & cracking oral mucosa
2. PE s/sx → petechiae, pleural rub, tachycardia (not bradycardia, hypertension)
3. 1 day post surgery (thoracotomy), what should the nurse do? → teach about incentive
spirometer and high fowler’s position (not give O2 nasal cannula)
4. CVP increase → possible right ventricular failure
5. Digoxin toxicity s/sx → nauseous with loss of appetite [REPEAT]
6. Apical pulse location → (image) mitral location
7. PaO2 50 mm → severe hypoxia (anything > 60 mm)
WEEK 4
1. Hypokalemia → “U” wave formation on EKG
2. Client’s partner will suction, ready to be sent home? → they perform it independently
3. Best indicator for heart damage → troponin I
4. Patient is on coumadin, what is concerning → PT 45 seconds (normal: 11-12.5)
5. Suspected MI, what do you do first → oxygen
WEEK 5
1. Type I patient insulin therapy, barriers? → literacy, dexterity, culture, motivation
2. Give Lispro, when do you wanna give insulin → 15 minutes before breakfast
3. Give furosemide, what do you teach → give foods high in potassium
4. What does coumadin do → prevent stroke in patients with atrial fibrillation
5. SIADH → fluid restriction
6. DKA, blood sugar goes down to 240 → change to D5 NS IV fluid
7. Cushing’s SATA → buffalo hump, purple striation, moon face
8. tPA (tissue plasminogen), what is the most concerning → LOC (not oozing blood)
WEEK 6
1. Teaching of Hep B → increase appetite (anorexia)
2. Allergic reaction of blood transfusion → generalized urticaria
3. Asthma exacerbation, priority intervention → nebulizer (not high-fowler's position)
4. +4 edema intervention → pressure relieving mattress
5. Warfarin, contraindication → cabbage (green leafy)
6. Severe cirrhosis → nose bleeding & bruising *bleeding priority*
7. Acute pancreatitis teaching → no cheddar cheese
8. Intervention for ascites → high carbs, high calorie s (NOT 3in above umbilicus)
9. Cirrhosis, further teaching → “I can eat anything I want”
10.Acute pancreatitis, after pain med → keep them NPO
11.TPN at home teaching (SATA) → keep refrigerated, start D10 if feeding is finished, keep infusion
rate if behind on feeding (3)
, 1
12.Patient is falling asleep as nurse is talking to them → increased ammonia levels
13.Cholecystitis (SATA) → back rub, incisional splinting, identify pain level, change client
position (4)
, 1
WEEK 7
1. Spinal cord injury, what will occur? → flaccid paralysis
2. What contributes to ICP → sodium 110 (hyponatremia) *always think sodium!*
3. Hep A, early indication → anorexia
4. Acute pancreatitis, where is the pain → epigastric radiating to back
5. What should be reported → ICP of 19
6. Left HH, teaching → put tray & items on patient’s right side
7. Cane teaching with AP → move cane first before legs
8. Stroke teaching → put the patient semi fowlers to facilitate swallowing
9. Associated with embolic stroke → chronic a fib
10.L1, what should you do? → give anticoagulants (they are paralyized → not active ROM
exercises)
11.TIA where will you monitor, symptoms go away → go to neurotele & monitor
12.Embolic stroke → it travels
13.Most concern to nurse → unresponsive with arousal
14.ICP sata → headache, slurred speech, eye changes, disorientation
15.Trauma, s/sx hypovolemia → increased HR (tachycardia)
, 1
Quiz 1
1. SATA AP
a. Record Urinary Output
b. Assist ambulation pt. Who has a cane
c. Move pt to stretcher
d. NOT irrigate wound
e. NOT eye drops
2. Best position for getting IAP
a. Supine
3. PCA
a. Pain scale
b. IV bolus before lock out
c. 30 min lock
d. Let fam do it
4. Heparin
a. PLT 73,000
b. NOT PTT 65 sec
c. Hct 45% d.
5. Holistic care SATA
a. Legal members
b. Non legal partners
c. Anyone the patient identifies as support system
d. Siblings
6. Ibuprofen
a. Take with food
7. Aspirin
a. Expect dark stools
b. Monitor tinnitus
c.
8. Football on a hot day
a. Dehydration Na 152
9. increased CVP what would be the level
a. 7
10. What reflects L SIDE afterload
a. SVR
11. What would you expect in L HF
a. JVD
b. Abdominal girth
WEEK 3
1. Consequence of too much O2 → dry & cracking oral mucosa
2. PE s/sx → petechiae, pleural rub, tachycardia (not bradycardia, hypertension)
3. 1 day post surgery (thoracotomy), what should the nurse do? → teach about incentive
spirometer and high fowler’s position (not give O2 nasal cannula)
4. CVP increase → possible right ventricular failure
5. Digoxin toxicity s/sx → nauseous with loss of appetite [REPEAT]
6. Apical pulse location → (image) mitral location
7. PaO2 50 mm → severe hypoxia (anything > 60 mm)
WEEK 4
1. Hypokalemia → “U” wave formation on EKG
2. Client’s partner will suction, ready to be sent home? → they perform it independently
3. Best indicator for heart damage → troponin I
4. Patient is on coumadin, what is concerning → PT 45 seconds (normal: 11-12.5)
5. Suspected MI, what do you do first → oxygen
WEEK 5
1. Type I patient insulin therapy, barriers? → literacy, dexterity, culture, motivation
2. Give Lispro, when do you wanna give insulin → 15 minutes before breakfast
3. Give furosemide, what do you teach → give foods high in potassium
4. What does coumadin do → prevent stroke in patients with atrial fibrillation
5. SIADH → fluid restriction
6. DKA, blood sugar goes down to 240 → change to D5 NS IV fluid
7. Cushing’s SATA → buffalo hump, purple striation, moon face
8. tPA (tissue plasminogen), what is the most concerning → LOC (not oozing blood)
WEEK 6
1. Teaching of Hep B → increase appetite (anorexia)
2. Allergic reaction of blood transfusion → generalized urticaria
3. Asthma exacerbation, priority intervention → nebulizer (not high-fowler's position)
4. +4 edema intervention → pressure relieving mattress
5. Warfarin, contraindication → cabbage (green leafy)
6. Severe cirrhosis → nose bleeding & bruising *bleeding priority*
7. Acute pancreatitis teaching → no cheddar cheese
8. Intervention for ascites → high carbs, high calorie s (NOT 3in above umbilicus)
9. Cirrhosis, further teaching → “I can eat anything I want”
10.Acute pancreatitis, after pain med → keep them NPO
11.TPN at home teaching (SATA) → keep refrigerated, start D10 if feeding is finished, keep infusion
rate if behind on feeding (3)
, 1
12.Patient is falling asleep as nurse is talking to them → increased ammonia levels
13.Cholecystitis (SATA) → back rub, incisional splinting, identify pain level, change client
position (4)
, 1
WEEK 7
1. Spinal cord injury, what will occur? → flaccid paralysis
2. What contributes to ICP → sodium 110 (hyponatremia) *always think sodium!*
3. Hep A, early indication → anorexia
4. Acute pancreatitis, where is the pain → epigastric radiating to back
5. What should be reported → ICP of 19
6. Left HH, teaching → put tray & items on patient’s right side
7. Cane teaching with AP → move cane first before legs
8. Stroke teaching → put the patient semi fowlers to facilitate swallowing
9. Associated with embolic stroke → chronic a fib
10.L1, what should you do? → give anticoagulants (they are paralyized → not active ROM
exercises)
11.TIA where will you monitor, symptoms go away → go to neurotele & monitor
12.Embolic stroke → it travels
13.Most concern to nurse → unresponsive with arousal
14.ICP sata → headache, slurred speech, eye changes, disorientation
15.Trauma, s/sx hypovolemia → increased HR (tachycardia)
, 1
Quiz 1
1. SATA AP
a. Record Urinary Output
b. Assist ambulation pt. Who has a cane
c. Move pt to stretcher
d. NOT irrigate wound
e. NOT eye drops
2. Best position for getting IAP
a. Supine
3. PCA
a. Pain scale
b. IV bolus before lock out
c. 30 min lock
d. Let fam do it
4. Heparin
a. PLT 73,000
b. NOT PTT 65 sec
c. Hct 45% d.
5. Holistic care SATA
a. Legal members
b. Non legal partners
c. Anyone the patient identifies as support system
d. Siblings
6. Ibuprofen
a. Take with food
7. Aspirin
a. Expect dark stools
b. Monitor tinnitus
c.
8. Football on a hot day
a. Dehydration Na 152
9. increased CVP what would be the level
a. 7
10. What reflects L SIDE afterload
a. SVR
11. What would you expect in L HF
a. JVD
b. Abdominal girth
