Mark Klimek (Yellow Book 2) QUESTIONS WITH COMPLETE SOLUTIONS

four rules of prioritization correct answer: 1. acute beats chronic 2. fresh postop (<12hrs) beats medical or other surgical 3. unstable beats stable 4. the more vital the organ, the higher the priority (only use as a tiebreaker) Brain, Lung, Heart, Liver, Kidney, Pancrease things that make a pt stable correct answer: -Use of the word STABLE -A CHRONIC illness -Post-op MORE than 12 hours old -Local or regional anesthesia -Unchanged assessment -Lab abnormalities of an A or B -ready for/to be discharge, or admitted longer than 24 hrs ago. -experiencing EXPECTED s/sx of the disease they're diagnosed things that make a pt unstable correct answer: -Use of the word UNSTABLE -ACUTE illness -Post-op LESS than 12 hours old -General anesthesia (for the 1st 12 hours) -A changed or changing assessment -Use of the phrase "newly or just admitted" or "newly diagnosed" -Lab values of a C or D -UNEXPECTED s/sx things that are unstable regardless of whether theyre expected or not correct answer: 1. hemorrhaging 2. fever >105 3. hypoglycemia 4. pulselessness or breathlessness order of organ vitality correct answer: 1. brain 2. lungs 3. heart 4. liver 5. kidneys 6. pancreas things that result in a black tag in an unwitnessed accident correct answer: pulselessness, breathlessness, fixed & dilated pupils do not delegate the following to a LPN correct answer: -starting IVs (can maintain & document) -hanging or mixing IV meds -IV push meds -blood administration or central line care -planning care (RN makes plan, LPN can implement) -planning or performing teaching (can reinforce) -care for unstable pts -do the 1st of anything