PBDS Cards QUESTIONS WITH COMPLETE SOLUTIONS

3 types of airway devices Correct Answer: OPA, NPA, ET Tube What to do with an Infiltrated IV Correct Answer: D/C IV, warm compresses, notify MD and restart IV. *Acute abdomen* NURSING ASSESSMENT Correct Answer: Should take a *history* - Type of pain, nature and onset, location, quality. Last bowel movement/Change in bowel habits Ask about history of trauma, gynecological history, anorexia, malaise. Assess for tachycardia, hypertension, fever, nausea/vomiting. *Inspect* Look - Assess for brusing around the umbilicus(pancreatitis/ectopic), Flank (hemorrhage) Listen Feel *Acute abdomen* PRIORITY INTERVENTIONS Correct Answer: Administer pain medications Keep the patient calm and not under stress Assess for trauma - Treat the trauma if this is indicated Obtain IV access *Acute abdomen* DATA TO REPORT Correct Answer: Describe the pain - level x/10, location, quality, duration, onset Change in bowel habits, temperature should be conveyed Respiratory status, pulse, and blood pressure can indicate active bleeding and/or shock Trauma findings, if any Last menstrual period if woman *Acute abdomen* ANTICIPATED ORDERS Correct Answer: Pain medications (primary concern) NPO - do not introduce any new food or stimulus into the altered abdomen Nasogastric suction Meds: antiemetics, narcotics, analgesics, IV fluids Labs - CBC, urinalysis, pyuria *Acute abdomen* MISCELLANEOUS INFORMATION Correct Answer: Check CBC for H/H Urinalysis (UTI - pyelonephritis/-osis) Check for pyuria (pus), hematuria, glucosuria, ketones *Serum HCG (pregnancy)* Electrolytes and glucose >40 years