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Questions and Answers
What is a potential consequence of hypocalcemia?
What is a potential consequence of hypocalcemia?
What is one of the potential causes of hypomagnesemia?
What is one of the potential causes of hypomagnesemia?
What happens when the RAAS system is activated?
What happens when the RAAS system is activated?
What is a potential cause of a decrease in blood flow to the kidneys?
What is a potential cause of a decrease in blood flow to the kidneys?
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What is a potential complication of hypomagnesemia?
What is a potential complication of hypomagnesemia?
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What is a primary responsibility of a registered nurse (RN) in quality improvement (QI)?
What is a primary responsibility of a registered nurse (RN) in quality improvement (QI)?
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What does 'failure to rescue' primarily refer to in nursing practice?
What does 'failure to rescue' primarily refer to in nursing practice?
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Which of the following best describes the role of the rapid response team (RRT)?
Which of the following best describes the role of the rapid response team (RRT)?
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In the emergency department, what does a primary survey prioritize?
In the emergency department, what does a primary survey prioritize?
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What does the '5 rights of delegation' primarily involve?
What does the '5 rights of delegation' primarily involve?
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What is the primary goal for oral fluid intake in a patient requiring treatment for hemoconcentration?
What is the primary goal for oral fluid intake in a patient requiring treatment for hemoconcentration?
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Which of the following is NOT a symptom of fluid volume deficit?
Which of the following is NOT a symptom of fluid volume deficit?
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Why should potassium be administered only after urine output is adequate?
Why should potassium be administered only after urine output is adequate?
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Which of the following treatments is appropriate for fluid volume deficit in children?
Which of the following treatments is appropriate for fluid volume deficit in children?
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What type of fluid is typically avoided for treating hemoconcentration?
What type of fluid is typically avoided for treating hemoconcentration?
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Which of the following is a common cause of fluid volume deficit in children?
Which of the following is a common cause of fluid volume deficit in children?
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How does aging affect fluid balance in the elderly?
How does aging affect fluid balance in the elderly?
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Which of the following signs would indicate dehydration in an infant?
Which of the following signs would indicate dehydration in an infant?
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What are the components of the triad of death associated with trauma complications?
What are the components of the triad of death associated with trauma complications?
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Which process involves the movement of water from an area of low solute concentration to an area of high solute concentration?
Which process involves the movement of water from an area of low solute concentration to an area of high solute concentration?
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Which of the following is NOT a characteristic of fluid volume overload (FVO)?
Which of the following is NOT a characteristic of fluid volume overload (FVO)?
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Which of the following symptoms is commonly associated with fluid volume deficit (FVD)?
Which of the following symptoms is commonly associated with fluid volume deficit (FVD)?
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What is the primary treatment approach for managing fluid volume overload (FVO)?
What is the primary treatment approach for managing fluid volume overload (FVO)?
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Which electrolyte is NOT considered a cation in the context of fluid and electrolyte balance?
Which electrolyte is NOT considered a cation in the context of fluid and electrolyte balance?
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How is homeostasis maintained in organisms?
How is homeostasis maintained in organisms?
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What are sensible losses in fluid volume assessment?
What are sensible losses in fluid volume assessment?
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What is a critical symptom of hyponatremia?
What is a critical symptom of hyponatremia?
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What is one of the primary complications of Systemic Lupus Erythematosus (SLE)?
What is one of the primary complications of Systemic Lupus Erythematosus (SLE)?
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Which of the following interventions is a priority for treating hypokalemia?
Which of the following interventions is a priority for treating hypokalemia?
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What electrolyte imbalance is indicated by muscle weakness and cardiac dysrhythmias?
What electrolyte imbalance is indicated by muscle weakness and cardiac dysrhythmias?
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What is a characteristic skin manifestation of Systemic Lupus Erythematosus?
What is a characteristic skin manifestation of Systemic Lupus Erythematosus?
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Which of the following treatments should be tapered gradually to prevent an adrenal crisis?
Which of the following treatments should be tapered gradually to prevent an adrenal crisis?
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Which of the following is a possible cause of hyperkalemia?
Which of the following is a possible cause of hyperkalemia?
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What is one of the risks associated with the use of steroids in treating SLE?
What is one of the risks associated with the use of steroids in treating SLE?
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Which treatment should be avoided in the case of critical hyponatremia?
Which treatment should be avoided in the case of critical hyponatremia?
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What is a common symptom associated with hyperkalemia?
What is a common symptom associated with hyperkalemia?
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What is a primary symptom during Stage I of Lyme disease?
What is a primary symptom during Stage I of Lyme disease?
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What is the normal range for sodium levels in the body?
What is the normal range for sodium levels in the body?
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What is a common side effect that requires monitoring while taking hydroxychloroquine?
What is a common side effect that requires monitoring while taking hydroxychloroquine?
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Which of the following might indicate a kidney-related issue causing hypokalemia?
Which of the following might indicate a kidney-related issue causing hypokalemia?
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What onset time frame is typical for Type III hypersensitivity reactions?
What onset time frame is typical for Type III hypersensitivity reactions?
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What is a typical symptom of Type IV hypersensitivity reactions?
What is a typical symptom of Type IV hypersensitivity reactions?
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Flashcards
Role of the RN in QI
Role of the RN in QI
Registered Nurses identify improvements and implement actions in quality improvement processes.
Clinical judgment
Clinical judgment
The ability of a nurse to make informed decisions based on patient data and assessment.
5 Rights of Delegation
5 Rights of Delegation
Guidelines ensuring safe delegation: right task, circumstance, person, direction, and supervision.
Failure to rescue
Failure to rescue
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Triage Level 1
Triage Level 1
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Hemoconcentration
Hemoconcentration
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Isotonic Solution
Isotonic Solution
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Hypotonic Solution
Hypotonic Solution
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Hypertonic Solution
Hypertonic Solution
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Fluid Balance in Children
Fluid Balance in Children
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Signs of Dehydration
Signs of Dehydration
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Rehydration Strategies
Rehydration Strategies
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Elderly Fluid Balance Risk
Elderly Fluid Balance Risk
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Hypocalcemia
Hypocalcemia
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Chvostek’s sign
Chvostek’s sign
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RAAS system
RAAS system
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Hypomagnesemia
Hypomagnesemia
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Tetany
Tetany
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Triad of death
Triad of death
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Electrolytes
Electrolytes
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Homeostasis
Homeostasis
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Diffusion
Diffusion
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Osmosis
Osmosis
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Fluid Volume Overload (FVO)
Fluid Volume Overload (FVO)
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Fluid Volume Deficit (FVD)
Fluid Volume Deficit (FVD)
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Diuresis
Diuresis
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Type III Hypersensitivity
Type III Hypersensitivity
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Systemic Lupus Erythematosus (SLE)
Systemic Lupus Erythematosus (SLE)
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Lupus Nephritis
Lupus Nephritis
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Steroid Use in SLE
Steroid Use in SLE
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Type IV Hypersensitivity
Type IV Hypersensitivity
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Contact Dermatitis
Contact Dermatitis
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Lyme Disease
Lyme Disease
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Stages of Lyme Disease
Stages of Lyme Disease
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Hyponatremia
Hyponatremia
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Symptoms of Hyponatremia
Symptoms of Hyponatremia
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Causes of Hyponatremia
Causes of Hyponatremia
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Treatment for Hyponatremia
Treatment for Hyponatremia
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Symptoms of Hypokalemia
Symptoms of Hypokalemia
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Causes of Hypokalemia
Causes of Hypokalemia
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Critical Symptoms of Hypokalemia
Critical Symptoms of Hypokalemia
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Study Notes
Preparatory Module
- Role of the RN in Quality Improvement (QI): Focuses on improving systems, clinical judgment, critical thinking, prioritizing cues, and reporting.
- Clinical reasoning and systems thinking are crucial in QI.
- Rapid Response Team (RRT) vs. Code Team: RRT used for sudden changes in patient condition, Code Team used for cardiopulmonary arrest.
- Safe delegation involves specific guidelines; assessment/evaluation and education cannot be delegated. Tasks that can be delegated should follow the 5 rights of delegation.
- Scope of practice and policies should be followed.
- Failure to recognize changes in patient condition and failure to respond appropriately are critical concerns.
ED Nursing
- Vulnerable populations and social determinants of health are key considerations.
- Prioritizing care involves a primary survey (ABCDE). Assessing for bleeding, airway, breathing, circulation, disability (GCS), and exposing/protecting the patient are critical first steps.
- Triage categorizes patients needing immediate care, 5-minute wait, hours for a full evaluation, hours of minimal care, or days for no immediate care.
Fluid, Electrolytes, and Homeostasis
- Fluids are water with dissolved substances (glucose, proteins, ions, and cells).
- Electrolytes are mineral salts that dissolve in water and separate into ions (charged particles).
- Homeostasis is maintained through several processes: diffusion (high to low), osmosis (low to high), filtration (high to low), and active transport (low to high).
- Fluid distribution occurs between different spaces in the body (kidneys, vascular, interstitial).
Fluid Volume Assessment
- Fluid volume assessment (FVO) includes intake and output measurement, physical examination, lab work, and daily weights.
- Sensible losses (measurable losses) include urine, diarrhea, and emesis.
- Insensible losses include respiratory and skin losses.
- Weight gain, hypertension, tachycardia, tachypnea, bounding pulse, crackles, dyspnea, and orthopnea are signs to note.
- Pitting edema, jugular vein distention, and periorbital edema reflect fluid overload.
Fluid Volume Deficits (FVD)
- Fluid volume deficit (FVD) symptoms include weight loss, hypotension, tachycardia, poor/tenting turgor, and dry mucus membranes.
- Oliguria (decreased urine output) also signifies FVD.
- Treatment involves oral solutions (water and salts), or intravenous (IV) solutions, to replenish fluids.
- Ensure the output doesn't exceed intake.
Electrolyte Imbalances
- Common electrolyte imbalances (sodium and potassium) are defined, along with their symptoms and causes.
- Treatment and nursing strategies for each electrolyte imbalance are described.
Acid-Base Balance
- Normal blood gas parameters are defined (pH, CO2, HCO3-).
- Respiratory and metabolic acidosis and alkalosis are categorized, along with possible causes and conditions.
Immune System
- Components of the immune system are named (tonsils, adenoids, thymus, lymph nodes, spleen, bone marrow, Peyer's patches, and specific cells).
- Immune system functions to protect the body.
Hypersensitivity Reactions
- Different types of hypersensitivity reactions are described along with their causes, symptoms, and treatments.
- Epinephrine use in anaphylaxis and acute allergic reactions is outlined.
Other Topics
- Additional topics covered include specific conditions (e.g., SLE, contact dermatitis, Lyme disease).
- Information on preventative measures for these conditions, treatment, and nursing interventions is provided.
- HIV transmission, stages, and management are discussed.
- Different types of hematological conditions and their specific considerations are covered (e.g., anemia, blood transfusions).
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Description
This quiz covers the essential roles of registered nurses in quality improvement and emergency department (ED) nursing. It highlights critical concepts like clinical reasoning, the Rapid Response Team distinguishes from the Code Team, and safe delegation within nursing practice. Additionally, it addresses the importance of assessing vulnerable populations and social determinants of health.