give the uap the appropriate PPE
uap transmission based
precautions - which action?
the nurse uses alcohol based hand cleanser when entering and
charge nurse observes other leaving the room
nurse - SCI +ve c diff - immediate
intervention?
ICP 40 mm Hg - late sign? non-reactive dilated pupils, widened pulse pressure, bradycardia
reassure the client the vent will do the breathing WRONG
high pressure alarm on vent - bite block WRONG
client struggling to sit up - o2 sat
86% - do next?
cough and deep breathe
increased ICP following head
injury - contraindicated?
irritability
school age w closed head injury -
early indicator of increased ICP?
SBAR TBI - include? hx of the injury
chest tube clamped to radiology
monitoring chest tube - one day
post op lobectomy - need
intervention?
Use a sterile syringe with a small guage needle; aspirate urine
technique for C&S ? from catheter port.
t4 SCI - neurogenic shock? HR was 67 now 50, B/P was 145/78 now 105/58
look up and down w/o moving head WRONG
third cranial nerve? pupil stuff
pre-oxygenation
A nurse is suctioning the
endotracheal tube of a client who
is on a ventilator. The client's
heart rate increases from 86/min
to 110/min and becomes
irregular. The nurse should know
that the client requires which of
=the following interventions?
drink more fluids
t2 assisted living - cath foul &
cloudy
uap transmission based
precautions - which action?
the nurse uses alcohol based hand cleanser when entering and
charge nurse observes other leaving the room
nurse - SCI +ve c diff - immediate
intervention?
ICP 40 mm Hg - late sign? non-reactive dilated pupils, widened pulse pressure, bradycardia
reassure the client the vent will do the breathing WRONG
high pressure alarm on vent - bite block WRONG
client struggling to sit up - o2 sat
86% - do next?
cough and deep breathe
increased ICP following head
injury - contraindicated?
irritability
school age w closed head injury -
early indicator of increased ICP?
SBAR TBI - include? hx of the injury
chest tube clamped to radiology
monitoring chest tube - one day
post op lobectomy - need
intervention?
Use a sterile syringe with a small guage needle; aspirate urine
technique for C&S ? from catheter port.
t4 SCI - neurogenic shock? HR was 67 now 50, B/P was 145/78 now 105/58
look up and down w/o moving head WRONG
third cranial nerve? pupil stuff
pre-oxygenation
A nurse is suctioning the
endotracheal tube of a client who
is on a ventilator. The client's
heart rate increases from 86/min
to 110/min and becomes
irregular. The nurse should know
that the client requires which of
=the following interventions?
drink more fluids
t2 assisted living - cath foul &
cloudy
