NURS 480 Final Exam – Accurate Solutions For
Every Question
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Terms in this set (144)
-staff has significant concern about patient's condition
-altered mental status
-HR >140/<40
-RR >22/<8
-sys BP >180/<90
patient triggers for RRT -SPO2 <90 despite supplemental O2
-urine output <50 mL/4h
-chest pain unrelieved by nitroglycerin
-threatened loss of airway
-seizure
-uncontrolled pain
-rapidly assess critically ill patient
-stabilizes the patient using an RRT protocol or
provider-directed medical care
-rapidly collects patient data (vital signs, radiography,
lab data)
-facilitates consultation with health care specialties to
key functions of RRT
redirect plan of care
-provides education and support to nursing staff
initiating RRT call
-assists with triage decisions to the appropriate care
area
-assists with transfer to a higher level of care if needed
, -hospitals must provide screening examinations for
every person who comes to the ED and requests care
-hospital must provide stabilizing treatment or
transfer/physician must document that medical risks
outweigh benefits of transfer
-receiving medical facility agrees to accept transfer and
provide treatment
legal implications r/t -transfer is conducted by qualified personnel
interfaculty transfer special cases:
-risks of remaining at initial facility outweigh risks of
transfer
-family requests transfer
-physician is not present but qualified medical
personnel OKs transfer
-transfer occurs w/ appropriate equipment and
specialized personnel
-arrest recognized
-call for help
sequence of events in CPR
-begin one/two rescuer CPR w/ defib
-arrest team arrives/ACLS begins
, circulation
-determine unresponsiveness and absence of
breathing/pulse
-place backboard under patient's chest
-start compressions within 10 seconds of finding no
breath or pulse
-push hard and fast while:
+compressing chest 100-120 bpm
+compressing chest 2-2.8 inches
+allowing full chest recoil
+minimizing interruptions to compressions to <10 sec
+rotating staff doing compressions q2min
-palpate pulses (carotid/femoral) to determine
effectiveness
effective CPR airway
-open patient's airway using head tilt-chin lift maneuver
( jaw thrust for spinal injury)
-place oropharyngeal airway if possible
-provide suction as necessary
breathing
-ventilate effectively using barrier mask
+maintain seal around patient's mouth and nose
+observe for chest rise/fall
-avoid excessive ventilations
+2 ventilations for 30 compressions
+one ventilation q6sec for advanced airway
-use end tidal CO2 and pulse ox to determine efficacy
defibrillation
-defib ASAP when shockable rhythm detected
, code team leader
-makes diagnosis
-directs treatment
primary nurse
-provide info to code leader
-contacts attending physician
-assigns roles to staff before the code team arrives,
assuring organized response
recorder
-records resuscitation efforts and documents personnel
involved
-official time keeper for code
charge nurse
-coordinates personnel performing CPR
-coordinates the care of other patients assigned to staff
responding to arrest
secondary nurse
roles of code blue team -coordinates use of emergency cart
-prepares medications
-assembles/passes equipment
-defibrillates
medication nurse
-administers medication
-manages IV therapy and drips
nursing supervisor
-controls crowd
-arranges transfer of patient post arrest
anesthesiologist/nurse anesthetist
-intubates patient
-manages airway/oxygen
respiratory therapist
-assist with manual ventilation
-draws arterial blood for ABG
-assists with intubation
-sets up mechanical ventilator
mandates that hospitals must provide health screening
exams for anyone who requests care in the emergency
department, and if that person requires care, legally the
EMTALA healthcare providers at that hospital must provide care
to at least stabilize the patient or, if the benefits of
transfer outweigh the risks, transfer the patient to
another medical facility
Every Question
Save
Terms in this set (144)
-staff has significant concern about patient's condition
-altered mental status
-HR >140/<40
-RR >22/<8
-sys BP >180/<90
patient triggers for RRT -SPO2 <90 despite supplemental O2
-urine output <50 mL/4h
-chest pain unrelieved by nitroglycerin
-threatened loss of airway
-seizure
-uncontrolled pain
-rapidly assess critically ill patient
-stabilizes the patient using an RRT protocol or
provider-directed medical care
-rapidly collects patient data (vital signs, radiography,
lab data)
-facilitates consultation with health care specialties to
key functions of RRT
redirect plan of care
-provides education and support to nursing staff
initiating RRT call
-assists with triage decisions to the appropriate care
area
-assists with transfer to a higher level of care if needed
, -hospitals must provide screening examinations for
every person who comes to the ED and requests care
-hospital must provide stabilizing treatment or
transfer/physician must document that medical risks
outweigh benefits of transfer
-receiving medical facility agrees to accept transfer and
provide treatment
legal implications r/t -transfer is conducted by qualified personnel
interfaculty transfer special cases:
-risks of remaining at initial facility outweigh risks of
transfer
-family requests transfer
-physician is not present but qualified medical
personnel OKs transfer
-transfer occurs w/ appropriate equipment and
specialized personnel
-arrest recognized
-call for help
sequence of events in CPR
-begin one/two rescuer CPR w/ defib
-arrest team arrives/ACLS begins
, circulation
-determine unresponsiveness and absence of
breathing/pulse
-place backboard under patient's chest
-start compressions within 10 seconds of finding no
breath or pulse
-push hard and fast while:
+compressing chest 100-120 bpm
+compressing chest 2-2.8 inches
+allowing full chest recoil
+minimizing interruptions to compressions to <10 sec
+rotating staff doing compressions q2min
-palpate pulses (carotid/femoral) to determine
effectiveness
effective CPR airway
-open patient's airway using head tilt-chin lift maneuver
( jaw thrust for spinal injury)
-place oropharyngeal airway if possible
-provide suction as necessary
breathing
-ventilate effectively using barrier mask
+maintain seal around patient's mouth and nose
+observe for chest rise/fall
-avoid excessive ventilations
+2 ventilations for 30 compressions
+one ventilation q6sec for advanced airway
-use end tidal CO2 and pulse ox to determine efficacy
defibrillation
-defib ASAP when shockable rhythm detected
, code team leader
-makes diagnosis
-directs treatment
primary nurse
-provide info to code leader
-contacts attending physician
-assigns roles to staff before the code team arrives,
assuring organized response
recorder
-records resuscitation efforts and documents personnel
involved
-official time keeper for code
charge nurse
-coordinates personnel performing CPR
-coordinates the care of other patients assigned to staff
responding to arrest
secondary nurse
roles of code blue team -coordinates use of emergency cart
-prepares medications
-assembles/passes equipment
-defibrillates
medication nurse
-administers medication
-manages IV therapy and drips
nursing supervisor
-controls crowd
-arranges transfer of patient post arrest
anesthesiologist/nurse anesthetist
-intubates patient
-manages airway/oxygen
respiratory therapist
-assist with manual ventilation
-draws arterial blood for ABG
-assists with intubation
-sets up mechanical ventilator
mandates that hospitals must provide health screening
exams for anyone who requests care in the emergency
department, and if that person requires care, legally the
EMTALA healthcare providers at that hospital must provide care
to at least stabilize the patient or, if the benefits of
transfer outweigh the risks, transfer the patient to
another medical facility
