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Nurses should not delegate to Non Certified personnel - Answer –
E - evaluate
A - assess
T - teach
S/S Addisons Disease - Answer - Down, down, down, up, down
Hyponatremia, hypotension, low blood volume, hyperkalemia, hypoglycemia
S/S Cushings Disease - Answer - Up, up, up, down, up
Hypernatremia, hypertension, increased blood volume, hypokalemia, hyperglycemia
If there is no urine output
No Pee - Answer - Do not give Potassium
No K
For perfusion = EleVate - Answer - Veins
For perfusion = DAngle - Answer - Arteries
TRANSMISSION-BASED PRECAUTIONS
**AIRBORNE** - Answer - MY = measles
CHICKEN = chicken pox/varicella
HEZ = herpez zoster/shingles
TB
TRANSMISSION-BASED PRECAUTIONS
DROPLET - Answer - SPIDERMAN
S = sepsis, scarlett fever, streptococcal pharyngitis
P = parvovirus B19, PNA, pertussis (whooping cough)
I = Influezna
D = diptheria (pharyngeal)
E = epiglottitis
R = rubella
M =meningitis, mumps
AN = Adenovirus (private room or cohort mark)
, USE CONTACT PRECAUTIONS WITH...... - Answer - MRS. WEE
M = multidrug resistant organisms
R = respiratory infection
S = skin infection
W = wound infection
E = enteric infection - c-diff
E = eye infeciton - conjunctivitis
TYPES OF SKIN INFECTIONS - Answer - VCHIPS
V - varicella zoster
C - cutaneous diphtheria
H - herpez simpex
I - impetigo
P - pediculosis
S - scabies
APGAR - Answer - A = appearance ( color all pink, pink and blue, blue (pale))
P = pulse (>100, <100, absent)
G = grimace ( cough, grimace, no response)
A = activity (flexed, flaccid, limp)
R = respirations (strong cry, weak cry, absent)
S/S Air/Pulmonary Embolism - and tx - Answer - Chest pain, difficulty breathing,
tachycardia, pale/cyanotic, sense of impending doom.
TX: turn pt to LEFT side and lower head of bead
S/S Woman in labor w/un-reassuring FHR - and tx - Answer - late decels, decreased
variability, fetal bradycardia, etc
TX: turn on LEFT side and give O2, stop Pitocin, and increase IV fluids
TX for Tube Feeding w/Decreased LOC - Answer - Position pt on right side (promotes
emptying of the stomach) with HOB elevated to prevent aspirations
Position during Epidural Puncture - Answer - Side Lying
TX after lumbar puncture - Answer - Pt is to lie in FLAT SUPINE to prevent headache
and leaking of CSF (Cerebrospinal fluid)
Position for pt w/ Heat Stroke - Answer - Lie FLAT w/ LEGS ELEVATED
Position during CBI (Continuous Bladder Irrigation) - Answer - Catheter is taped to thigh
so leg should be kept straight. No other positioning restrictions.
Position after MYRINGOTOMY (procedure of eardrum or tympanic membrane) -
Answer - Position on side of AFFECTED EAR after surgery (allows drainage of
secretions)