SOLUTION SET
RBC - answer-females 4.2-5.4 million
males 4.7-6.1 million
decrease RBC - answer-anemia
WBC - answer-5,000-10,000
elevated WBC - answer-infection
decreased WBC - answer-immunosuppression
Iron - answer-females 60-160 mcg
males 80-180
elevated iron - answer-hemochromatosis, iron excess
liver disorder, magaloblastic anemia
,Airborne precautions protective equip - answer-private room, neg pressure with
6-12 air exchanges/hr mask & respirator N95 for TB
Droplet precautions - answer-spiderman! sepsis, scarlet fever, streptococcal
pharyngitis, parvovirus, pneumonia, pertussis,
influenza,
diptheria,
epiglottitis,
rubella (German measles),
mumps, meningitis, mycoplasma or meningeal pneumonia, adeNovirus
(Private room and mask)
Contact precaution - answer-MRS WHISE
protect visitors & caregivers when 3 ft of the pt.
Multidrug-resistant organisms
RSV, Shigella, Wound infections, Herpes simplex, Impetigo, Scabies, Enteric
diseases caused by micro-organisms (C diff),
Gloves and gowns worn by the caregivers and visitors
Disposal of infectious dressing material into a single, nonporous bag without
touching the outside of the bag
PMGG= Private room/ share same illness, mask, gown and gloves
Skin infection - answer-VCHIPS
,Varicella zoster
Cutaneous diptheria
Herpes simplez
Impetigo
Peduculosis
Scabies
Air or Pulmonary Embolism - answer-S/S chest pain, dyspnea, tachycardia,
pale/cyanotic, sense of impending doom. (turn pt to LEFT side and LOWER the
head of bed.)
Woman in labor (un-reassuring FHR) - answer-(late decels, decreased variability,
fetal bradycardia, etc) Turn pt on Left side, give O2, stop pitocin, Increase IV
fluids!
Tube feeding with decreased LOC - answer-Pt on Right side (promotes emptying
of the stomach) Head of bed elevated (prevent aspiration)
After lumbar puncture and oil based myelogram - answer-pt is flat SUPINE
(prevent headache and leaking of CSF)
Pt with heat stroke - answer-flat with legs elevated
during Continuous Bladder Irrigation (CBI) - answer-catheter is taped to the thigh.
leg must be kept straight.
, After Myringotomy - answer-position on the side of AFFECTED ear, allows
drainage.
After Cateract surgery - answer-pt sleep on UNAFFECTED side with a night shield
for 1-4 weeks
after Thyroidectomy - answer-low or semi-fowler's position, support head, neck
and shoulders.
Infant with Spina Bifida - answer-Prone so that sac does not rupture
Buck's Traction (skin) - answer-elevate foot of bed for counter traction
After total hip replacement - answer-don't sleep on side of surgery, don't flex hip
more than 45-60 degress, don't elevate Head Of Bed more than 45 degrees.
Maintain hip abduction by separating thighs with pillows.
Prolapsed cord - answer-Knee to chest or Trendelenburg
oxygen 8 to 10 L
Cleft Lip - answer-position on back or in infant seat to prevent trauma to the
suture line. while feeding hold in upright position.
To prevent dumping syndrome - answer-(post operative ulcer/stomach surgeries)
eat in reclining position
Lie down after meals for 20-30 min