Specialized Nursing Quizz
This describes an MI:
The patient stated it felt like an elephant was sitting on his chest
Mid-sternum chest pain
Pain over the chest that radiates to arms
Pain that disappears
Analgesic treatment for an MI includes
Voltaren
Paracetamol
Ibuprofen
Morphine
Two bio markers for an MI patient include:
C-reactive protein and Troponin protein
Troponin protein T and Troponin 1
Triglycerides and Troponin protein
IGF-1 and Troponin 1
Best drug of choice for MI:
Antiplatelet family Acetylsalicylic Acid 325mg
Intravenous Anti-hypertensive
Nitroglycerine
Albuterol
V1 lead is placed:
4th intercostal space LT sternal edge
5th intercostal space mid clavicular line
Mid way between V2 and V4
4th intercostal space RT sternal edge
V2 lead is placed:
5th intercostal space mid clavicular line
4th intercostal space LT sternal edge
4th intercostal space RT sternal edge
. Anterior axillary line with V4
V3 lead is placed:
Midway between V2 and V4
Anterior axillary line with V4
Mid axillary line with V4 and V5
5th intercostal space mid clavicular line
V4 lead is placed:
Mid axillary line with V4 and V5
4th intercostal space RT sternal edge
5th intercostal space mid clavicular line
Anterior axillary in line with V4
V5 lead is placed:
Anterior axillary in line with V4
. Midway between V2 and V4
Mid axillary line with V4 and V5
4th intercostal space Lt sternal edge
V6 lead is placed:
Midway between V2 and V4
5th intercostal space mid clavicular line
Mid axillary line with V4 and V5
Anterior axillary in line with V4
Reasons for the initiation of mechanical ventilation:
Restore pH level within normal limits
Improve blood pressure levels
Airway protection
Restore alveolar ventilation
If patient is found not breathing and no pulse. Next best action:
Leave the patient
Call the health practitioner
Start chest compressions at a rate of at least 100-120/min
Administer Epinephine
Improve quality of compression by:
Switch providers about every 5 minutes or every 5 compression cycles
Switch providers about every 2 minutes or every 5 compression cycles
Switch providers about every 10 minutes or every 5 compression cycles
Switch providers about every 15 minutes or every 5 compression cycles
Ligament tear in the wrist, If postoperative c/o pain, swelling, tingling distal to surgical site. Priority action:
Assess circulation, movement and sensation of the fingers
Administer pain medication
No action needed because this is normal in post op patient
Give Cataflam to help decrease the swelling
Cerebrovascular accident with hemiparesis, pt risk factors are:
Anxiety
Impaired skin integrity
Risk for falls
Impaired peripheral tissue perfusion
Assessment of Cranial nerve 1 (olfactory)
The ability to taste foods
The ability to hear sounds
The ability to smell and identify an aromatic odour
The ability to touch and feel
DKA best route for insulin administration
Intravenous infusion
PO
SQ
MI
Patients in DKA is at risk for:
Low sodium
Ketone production
Metabolic acidosis
Severe dehydration
Electrolyte disturbances
Hypokalemia causes:
Peaking of T-waves, loss of P-wave, ST elevation
Narrowing of T-wave, with U-wave and ST depression
Flattening or inversion of T-wave, with U-wave and ST depression
Widening of T-waves, loss of P-wave, ST elevation
Hyperkalemia causes:
Peaking of T-waves, loss of P-wave, ST elevation
Widening of T-waves, loss of P-wave, ST elevation
Flattening or inversion of T-wave, with U-wave and ST depression
. Narrowing of T-wave, with U-wave and ST depression
DKA treatment includes
Insulin and Dextrose cocktail , 3 doses given 15-20 minutes apart, Humulin R 10 units added, Monitor blood glucose at the beginning and 30 minutes after the last cocktail
Insulin and Dextrose cocktail , 5 doses given 5-10 minutes apart, Humulin R 10 units added, Monitor blood glucose at the beginning and 30 minutes after the last cocktail
Insulin and Dextrose cocktail , 3 doses given 10 -20 minutes apart, Humulin R 10 units added, Monitor blood glucose at the beginning and 30 minutes after the last cocktail
Insulin and Dextrose cocktail , 2 doses given 5 -15 minutes apart, Humulin R 10 units added, Monitor blood glucose at the beginning and 30 minutes after the last cocktail
Number one cause of DKA
Stress
Skip Insulin
Younger adults
Infection (Sickness)
Management of DKA
Best IVF- Litre 0.9% Normal saline with Humulin R added
Administer Potassium during insulin Intravenous infusion
If a patient is vomiting, continue to give IV insulin
Hourly blood glucose monitoring until levels at 200mg/dl or 11 mmol/l
Lactated ringers
DKA classical signs:
Urinalysis reveals ketones
Elevated glucose levels 250-500 mg/dl Kussmaul respirations
Tachycardia
Kussmaul respirations
Fruity breath
HHNS classic characteristics
No ketones
Inadequate insulin to transport glucose into the cells
Slower onset
Neurological changes, Confusion
Fruity breath
A patient has a PH of 7.20, Paco2 55, O2 80 and Hco3 28. What findings does this determine?
Respiratory Acidosis
Respiratory Alkalosis
Metabolic Acidosis
Metabolic Alkalosis
Calculate the map of a blood pressure of 130/80
97
81
150
45
Calculate the map of a blood pressure of 120/75
89
100
90
50
If a petition is made by BNA for all 4th year students to be actively involved in caring for patients with COVID 19:
Nurse and Profession
Nurse and People
Nurse and Co-worker
Nurse and practice
Failure of a nurse to report her colleague pilfering morphine for her own personal use
Nurse and co- worker
Nurse and practice
Nurse and profession
Nurse and people
AN ACT OR FAILURE TO ACT THAT LEADS TO AN INJURY OF ANOTHER
Intentional tort
Unintentional tort
Contributory tort
Negligence
THE FAILURE TO DO WHAT THE REASONABLE, PRUDENT NURSE WOULD DO UNDER SIMILAR CIRCUMSTANCES:
Contributory Tort
Intentional Tort
Negligence
Unintentional Tort
Leaving patient confidential information exposed on a computer screen:
Nurse and Profession
Nurse and People
Nurse and Co- Worker
Nurse and Practice
NO ACTUAL CONTACT IS NECESSARY
Intentional tort
Negligence
Contributory tort
Unintentional tort
Failure of the nurse to maintain quality and safe care:
Nurse and people
Nurse and Co worker
Nurse and practice
Nurse and profession
A Registered nurse refusing to care for a homeless patient admitted to the ward due to his dirty appearance.
Nurse and people
Nurse and Profession
Nurse and practice
Nurse and Co worker
Nurse is responsible for maintaining a research based professional knowledge:
Nurse and Co worker
Nurse and Practice
Nurse and people
Nurse and profession
Intentional torts are INTENTIONAL THREAT TO BRING ABOUT HARMFUL OR OFFENSIVE CONTACT
True
False
Unintentional torts are AN UNINTENTIAL ACT OR OMISSION
True
False
Failure to report a witnessed abuse of a patient by a co-worker:
Nurse and people
Nurse and profession
Nurse and co worker
Nurse and practice
Violated when a nurse slaps a patient:
Nurse and profession
Nurse and practice
Nurse and people
Nurse and coworker
By slapping a patient these two ethical principles are violated:
Non maleficence and justice
Beneficence and justice
Autonomy and justice
Fedelity and maleficence
Failure of a nurse to report a witnessed abuse by her colleague to the management of the institution, would violate these two principles:
Autonomy and justice
Fedelity and maleficence
Beneficence and justice
Non maleficence and justice
This is a major fundamental responsibility, under the professional, caring and ethical practice of nurses:
Promote health
Prevent Illness
Restore health
Alleviate suffering
If a nurse witnessed a colleague abusing a patient and fail to report to the relevant authorities, this law of Tort would be applicable.
Intentional tort
Unintentional tort
Malpractice
Contributory negligence
Violated if a 4th year student objected to taking care of a patient with a spontaneous pneumothorax, assigned by a Senior Nursing Officer, with reason that she has never nursed a patient with a chest tube before:
Nurse and profession
Nurse and practice
Nurse and co worker
Nurse and people
If the relatives are informed or made aware of the slapping of their relative by the nurse and decided to sue, this law of tort would be applicable
Intentional tort
Unintentional tort
Contributory negligence
Mal practice
Discrimination against other nurses that has traveled to another country to work:
Nurse and Co worker
Nurse and people
Nurse and profession
Nurse and practice
If the patients relatives found out accidentally about the slapping or abuse of their relative, and the relatives decided to sue the hospital, the Tort would be applicable:
Contributory negligence
Unintentional tort
Intentional tort
Malpratice
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