Podcast
Questions and Answers
The #1 priority in nursing is to manage the ______, ______, and ______.
The #1 priority in nursing is to manage the ______, ______, and ______.
Airway, Breathing, Circulation
In Maslow’s Hierarchy, the second concern after ABC’s is ______.
In Maslow’s Hierarchy, the second concern after ABC’s is ______.
Safety
The acronym RACE stands for Rescue, Activate alarm, ______ fire, and Extinguish fire if able.
The acronym RACE stands for Rescue, Activate alarm, ______ fire, and Extinguish fire if able.
Contain
The ______ Degree burn is characterized by blisters and edema.
The ______ Degree burn is characterized by blisters and edema.
The formula to calculate total fluid requirement after a burn is 4ml x Total Burn Surface Area x ______.
The formula to calculate total fluid requirement after a burn is 4ml x Total Burn Surface Area x ______.
The Glasgow Coma Scale is used to assess a patient's level of ______.
The Glasgow Coma Scale is used to assess a patient's level of ______.
Patients with Rh ______ should NOT receive Rh positive blood.
Patients with Rh ______ should NOT receive Rh positive blood.
After a blood transfusion starts, you must stay with the patient for the first ______ minutes.
After a blood transfusion starts, you must stay with the patient for the first ______ minutes.
In children, the order of assessment should go from least to most ______.
In children, the order of assessment should go from least to most ______.
In case of a transfusion reaction, the first step is to ______ the transfusion.
In case of a transfusion reaction, the first step is to ______ the transfusion.
Increased pressure and restricted blood flow to an extremity can cause pain and ______.
Increased pressure and restricted blood flow to an extremity can cause pain and ______.
Damage from increased pressure is irreversible after ______ to ______ hours.
Damage from increased pressure is irreversible after ______ to ______ hours.
The 5 P’s of assessing for compartment syndrome include pain, paresthesia, paralysis, ______, and pulselessness.
The 5 P’s of assessing for compartment syndrome include pain, paresthesia, paralysis, ______, and pulselessness.
When dressing a sucking stab wound, tape it on ______ sides to allow air to escape.
When dressing a sucking stab wound, tape it on ______ sides to allow air to escape.
If a chest tube is accidentally removed, cover the site with an occlusive dressing taped on ______ sides.
If a chest tube is accidentally removed, cover the site with an occlusive dressing taped on ______ sides.
To manage a disconnected chest tube, place the end of the tube in a container of sterile ______.
To manage a disconnected chest tube, place the end of the tube in a container of sterile ______.
Fluctuations in a chest tube setup indicate that the tube is ______.
Fluctuations in a chest tube setup indicate that the tube is ______.
Continuous bubbling in the chest tube system indicates an ______ leak.
Continuous bubbling in the chest tube system indicates an ______ leak.
Having all ______ side rails up is considered a form of restraint.
Having all ______ side rails up is considered a form of restraint.
For contact precautions, don gloves and a ______.
For contact precautions, don gloves and a ______.
Flashcards
Compartment Syndrome
Compartment Syndrome
Increased pressure in an extremity restricting blood flow, causing pain and numbness.
5 P's of Compartment Syndrome
5 P's of Compartment Syndrome
Pain, paresthesia, paralysis, pallor, pulselessness—signs of compartment syndrome.
Sucking Stab Wound
Sucking Stab Wound
A penetrating wound that allows air to enter the chest.
Occlusive Dressing
Occlusive Dressing
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Chest Tube Disconnection
Chest Tube Disconnection
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Chest Tube Fluctuations
Chest Tube Fluctuations
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Chest Tube Bubbling
Chest Tube Bubbling
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Patient Room Safety
Patient Room Safety
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Pressure Ulcer Stages
Pressure Ulcer Stages
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Don and Doff Order
Don and Doff Order
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ABCs in Nursing
ABCs in Nursing
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Maslow's Hierarchy
Maslow's Hierarchy
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Parkland Formula
Parkland Formula
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Rule of Nines
Rule of Nines
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Primary Prevention
Primary Prevention
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Secondary Prevention
Secondary Prevention
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Tertiary Prevention
Tertiary Prevention
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Allen's Test
Allen's Test
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Blood Transfusion Reaction
Blood Transfusion Reaction
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Compartment Syndrome
Compartment Syndrome
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Study Notes
General Nursing Priorities
- ABCs: Airway, Breathing, Circulation are the top priorities in emergencies.
- Maslow's Hierarchy: Physiological needs (like ABCs) take precedence over higher-level needs in stressful situations. Safety, comfort, psychological, social, and spiritual needs follow.
- Fire Safety: RACE (Rescue, Alarm, Contain, Extinguish) is the protocol for fire emergencies involving patients.
- Prevention Types: Primary prevention aims to prevent disease or injury (education, first aid). Secondary prevention focuses on treating injuries (emergency room triage). Tertiary prevention involves follow-up care.
Nursing Process
- Assessment: Gathering information about the patient's condition.
- Diagnosis: Identifying the problem.
- Outcome/Planning: Creating a plan of care.
- Implementation: Carrying out nursing interventions.
- Evaluation: Assessing the effectiveness of interventions.
Order of Assessment
- Adults: Inspection, auscultation, palpation, percussion.
- Children: Inspection, auscultation, percussion, palpation (least to most invasive).
Burns
- Priority: Maintain a patent airway.
- Rule of Nines: A method of estimating the surface area of a burn.
- Parkland Formula: A calculation for fluid resuscitation after a burn.
- Burn Degrees:
- 1st Degree: Red, painful, superficial, heals quickly (3-7 days).
- 2nd Degree: Blisters, edema, heals within 21 days.
- 3rd Degree: Deep tissue damage, no pain (nerve damage), requires skin grafting.
- 4th Degree: Extends to muscle, bone, tendon.
Glasgow Coma Scale
- Used to assess level of consciousness. Higher scores indicate better neurological function. Low scores signal severe impairment.
Cranial Nerves
- A list of the 12 cranial nerves and their functions.
Cultural Considerations
- Specific cultural beliefs should be considered when providing care.
Blood
- Universal donor = O-
- Universal recipient = AB+
- Patients with Rh-negative blood should not receive Rh-positive blood.
Blood Transfusions
- Monitor the patient closely for the first 15 minutes.
- Multiple transfusions can increase the risk of hyperkalemia.
- Transfusion reactions present with symptoms such as fever, shortness of breath, and hypotension.
Compartment Syndrome
- Increased pressure in a tissue compartment, causing pain, and other detrimental symptoms. Requires immediate care since it results in permanent damage.
Chest Tube
- Continuous bubbling indicates a leak.
- Fluctuations in the chest tube provide good evidence that the chest tube is working correctly.
Precaution
- Contact Precautions:
- Used for patients with infections spread by direct contact
- Handwashing, gloves, gowns are important to prevent spread.
- Droplet Precautions:
- Used for diseases spread through respiratory droplets
- Masks, eye protection, and gown are necessary.
- Airborne Precautions:
- Used for diseases spread through the air
- N95 masks and respiratory protection are critical.
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