Nursing Quiz: Triage and Medical Conditions
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Questions and Answers

The color ______ in triage indicates injuries that are life-threatening but survivable with minimal intervention.

red

For toddlers above 18 months, the appropriate site for IM administration is the ______ muscle.

ventrogluteal

In the COAL acronym for cane walking, 'C' stands for ______.

cane

In the context of fetal alcohol syndrome, a characteristic feature includes a flat ______ bridge.

<p>nasal</p> Signup and view all the answers

Munchausen Syndrome causes an individual to self-inflict ______ or fabricate symptoms.

<p>injury</p> Signup and view all the answers

Compartment syndrome is considered an ______ situation requiring immediate intervention.

<p>emergency</p> Signup and view all the answers

For ______ fractures, it is important to assess for signs such as paresthesias and increased pain.

<p>musculoskeletal</p> Signup and view all the answers

In a variation of Munchausen Syndrome, called Munchausen by ______, an individual fabricates illness in someone else.

<p>proxy</p> Signup and view all the answers

In the triage process, injuries classified as ______ require medical care but can wait hours without threat to life or limb.

<p>yellow</p> Signup and view all the answers

A definitive diagnosis for an abdominal aortic ______ is made through a CT scan.

<p>aneurysm</p> Signup and view all the answers

Hirschsprung’s results in ribbon-like ______ due to obstruction.

<p>stools</p> Signup and view all the answers

The deltoid and gluteus maximus are appropriate sites for IM administration in ______.

<p>children</p> Signup and view all the answers

For patients with fluid retention, you should think of ______ problems first.

<p>heart</p> Signup and view all the answers

When blood is observed in emesis, particularly coffee-brown, consider a ______ ulcer.

<p>peptic</p> Signup and view all the answers

Pancreatic enzymes should be taken ______ each meal.

<p>with</p> Signup and view all the answers

In patients experiencing anticholinergic effects, they may have ______ retention.

<p>urinary</p> Signup and view all the answers

In MRSA, the recommended precaution is ______.

<p>Contact</p> Signup and view all the answers

For VRSA, both ______ and airborne precautions are necessary.

<p>Contact</p> Signup and view all the answers

In patients taking Lithium, a therapeutic level is considered between ______.

<p>0.5-1.5</p> Signup and view all the answers

The symptoms indicating a toxic level of Lithium (2-3) include N/V and ______.

<p>diarrhea</p> Signup and view all the answers

In thrombocytopenia, it is essential to avoid ______ medications whenever possible.

<p>IM</p> Signup and view all the answers

Patients with iron deficiency anemia should take iron supplements with ______ or on an empty stomach.

<p>Vitamin C</p> Signup and view all the answers

The triad of symptoms for Meniere's Disease includes vertigo, tinnitus, and ______.

<p>N/V</p> Signup and view all the answers

Gastric ulcer pain typically occurs ______ minutes after eating.

<p>30 to 90</p> Signup and view all the answers

Flashcards

Decerebrate posturing

A medical sign where the body is stiff and the arms and legs are extended.

Botox use

Botulin toxin treatment for conditions like strabismus (eye misalignment) and spasmodic dysphonia (vocal cord spasms).

Munchausen Syndrome

A disorder where a person self-inflicts, fakes, or fabricates symptoms to gain medical attention.

Munchausen by proxy (MSBP)

A type of Munchausen Syndrome where a caregiver deliberately harms or makes a child sick.

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Multiple Sclerosis (MS)

Chronic disease that causes CNS damage affecting brain and spinal cord's white matter; symptoms include limb weakness, paralysis, numbness.

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Huntington's Chorea

Genetic disorder causing uncontrollable movements (chorea).

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WBC shift to the left

An increase in immature neutrophils in the body's response to infection.

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Abd. aortic aneurysm (AAA) diagnosis

A CT scan is the definitive diagnostic method for abdominal aortic aneurysms.

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Kayexalate use

Should not be used if patient has hypoactive bowel sounds.

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Uremic fetor

A urine-like odor on a patient's breath.

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Hirschsprung's Disease

A lower intestinal obstruction characterized by ribbon-like stools.

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Pancreatic enzymes

Taken with meals; not before or after.

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Occult blood test

Cantaloupe can cause a false positive in occult blood tests due to high vitamin C content.

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Hypospadias

Urethral opening on the underside of the penis.

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Epispadias

Urethral opening on the top surface of the penis.

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Priapism

Painful erection lasting more than 6 hours.

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Anticholinergic effects

Side effects include dry mouth, urinary retention, constipation, and blurred vision.

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Coffee-brown emesis

Vomiting that appears coffee-brown and associated with peptic ulcers.

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Fluid retention

A condition where excess fluid accumulates in the body that should prompt consideration of heart problems.

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PVD (Peripheral Vascular Disease)

A condition affecting blood vessels in the legs, classified as either arterial or venous, to remember the assessment elevation and dependent positioning.

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Prioritize interventions

When presented with multiple patient issues, focus on the single most critical action to take first. If multiple options are close or similar, it's usually not the right answer.

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Avoid "Why" questions

When questioning a patient, use alternative phrasing to "why". This phrasing can offer a more productive interaction because it doesn't invite speculation.

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Unnecessary release of traction

Never remove traction without a specific written order from a physician to do so.

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Halo safety

When dealing with a halo device, always prioritize safety and have a tool for removing a device nearby.

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Compartment syndrome

A medical emergency characterized by pressure buildup in a confined muscle group, leading to nerve and muscle damage if left untreated.

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Prioritize actual harm

Always address immediate patient problems or damage first. Don't delay treatment for possible future problems.

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Patient-focused answers

Choose answer options that center on the patient's needs and their experience, and address it directly in the response.

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Avoid "reassess in 15 minutes"

This phrase often suggests an incorrect answer, indicating a lack of specific action that would prove more helpful.

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Sullivan's Interpersonal Model

The Interpersonal Model suggests that individuals are motivated to avoid anxiety and meet fundamental needs. It describes developmental stages of communication.

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Fetal alcohol syndrome symptoms

Fetal alcohol syndrome (FAS) is characterized by specific facial features like an upturned nose, a flat nasal bridge, and a thin upper lip. Affected children often have a low birth weight (SGA).

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Vastus lateralis IM injection site

For infants up to 6 months, the vastus lateralis muscle is the recommended site for intramuscular injections.

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Ventrogluteal IM injection site

After 18 months, the ventrogluteal muscle is the preferred site for intramuscular injections.

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Deltoid/Gluteus Maximun site

The deltoid and gluteus maximus are appropriate intramuscular injection sites for older children.

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OU

Both eyes (Oculus uterque).

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OS

Left eye (Oculus sinister).

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OD

Right eye (Oculus dexter).

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COAL (cane walking)

A method of walking with a cane, where the cane is placed on the opposite side of the affected leg.

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Red (injury classification)

Immediate-level injuries are life-threatening but potentially survivable with minimal interventions. Examples include hemothorax, pneumothorax, and some burns.

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Yellow (injury classification)

Delayed-level injuries are significant and need medical care; however, they don't require immediate action.

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Incentive Spirometry Steps

A set of steps to improve lung function, typically after surgery or other respiratory issues. It involves sitting upright, exhaling, inserting a mouthpiece, inhaling for 3 seconds, and holding the breath for 10 seconds.

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Aminoglycoside Adverse Effects

Aminoglycosides (like Mycins, except erythromycin), can be nephrotoxic (kidney damage) and ototoxic (ear damage).

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MRSA Precautions

Methicillin-resistant Staphylococcus aureus (MRSA) requires contact precautions only.

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VRSA Precautions

Vancomycin-resistant Staphylococcus aureus (VRSA) requires both contact and airborne precautions, including a private room, closed door, and negative pressure.

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Lithium Therapeutic Range

The therapeutic range for lithium is 0.5 to 1.5 mEq/L.

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Lithium Toxic Level

Lithium levels above 2-3 mEq/L can cause nausea, vomiting, diarrhea, and tremors.

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Lithium Toxicity Treatment

Give Mannitol or Diamox to treat symptoms of lithium toxicity.

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Blood Transfusion Allergies

Symptoms of blood transfusion allergies include flank pain, frequent swallowing, rashes, fever, and chills, in order of increasing severity.

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Thrombocytopenia Precautions

Bleeding precautions are crucial for thrombocytopenia (low platelets).

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Iron Deficiency Anemia Treatment

Iron deficiency anemia can be treated with oral iron (Fe PO) with vitamin C, or give iron via IM (intramuscular) using the Z-track method.

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Pernicious Anemia Treatment

Pernicious Anemia requires life-long B12 supplementation.

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First Degree Burn

A first-degree burn appears red and painful.

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Second Degree Burn

A second-degree burn develops blisters.

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Third Degree Burn

A third-degree burn causes pain because nerve cell function has been compromised.

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Meniere's Disease Treatment

Meniere's disease is treated with diuretics (to reduce fluid in the inner ear), sodium restriction, and lying down on the affected ear side when sleeping.

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Gastric Ulcer Pain

Gastric ulcer pain typically occurs 30-90 minutes after eating and does not reduce with food.

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