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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.
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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 ______.
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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 ______.
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Patients with Rh ______ should NOT receive Rh positive blood.
Patients with Rh ______ should NOT receive Rh positive blood.
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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.
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In children, the order of assessment should go from least to most ______.
In children, the order of assessment should go from least to most ______.
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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.
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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 ______.
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Damage from increased pressure is irreversible after ______ to ______ hours.
Damage from increased pressure is irreversible after ______ to ______ hours.
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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.
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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.
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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.
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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 ______.
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Fluctuations in a chest tube setup indicate that the tube is ______.
Fluctuations in a chest tube setup indicate that the tube is ______.
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Continuous bubbling in the chest tube system indicates an ______ leak.
Continuous bubbling in the chest tube system indicates an ______ leak.
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Having all ______ side rails up is considered a form of restraint.
Having all ______ side rails up is considered a form of restraint.
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For contact precautions, don gloves and a ______.
For contact precautions, don gloves and a ______.
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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.
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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
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Contact Precautions:
- Used for patients with infections spread by direct contact
- Handwashing, gloves, gowns are important to prevent spread.
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Droplet Precautions:
- Used for diseases spread through respiratory droplets
- Masks, eye protection, and gown are necessary.
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Airborne Precautions:
- Used for diseases spread through the air
- N95 masks and respiratory protection are critical.
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Description
This quiz explores essential nursing priorities including the ABCs of emergency care, Maslow's Hierarchy of needs, and fire safety protocols. Additionally, it covers the nursing process from assessment to evaluation and the order of assessment for adults. Test your knowledge and understanding of these critical concepts in nursing.
