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Jeopardy game
Concept jeopard game
| Question | Answer |
|---|---|
| The nurse is caring for a patient who is immobilized. The nurse has the patient sit and dangle on the side of bed for 5 minutes. Which effect of immobility is the nurse preventing? | Orthostatic hypotension (Cardiovascular) |
| Analysis and considerations of options. What are the objective and subjective data findings? What do you think the problem is? | Assessment (SBAR) |
| A caring process in Swanson’s theory of caring; understanding an event as it has meaning in the life of the other | Knowing |
| The nurse is caring for a patient who is experiencing urgency, frequency, nocturia, difficulty holding urine, leaks on the way to bathroom. What type of urinary incontinence is the nurse observing? | Urge Urinary Incontinence or urgency |
| Decreased cardiac output, change of mental status, decreased blood flow, Cool, clammy skin, Diaphoresis, Decreased Urinary Output, Shortness of breath, Chest Pain | Symptoms of decreased perfusion |
| Provides weight bearing on both legs. Each leg is moved alternatively with each opposing crutch so that three points of support are on the floor at all times | Four-point crutch gait |
| Calf or groin tenderness/pain, sudden onset of unilateral swelling in legs, localized edema, a feeling of warmth on the affected leg, change in skin color on the leg | Deep Vein Thrombosis (DVT) |
| The nurse is caring for a patient who has not had a bowel movement in 3 days. The nurse calls the HCP and recommends ____________. | Stool softener and fiber supplements (colace, miralax, metamucil) |
| Creative partnership typically between novice nurse and an expert nurse, that has been recognized as beneficial to the development of professional nurses | Mentoring |
| A particular type of health difference that is closely linked with social, economic, and/or environmental disadvantage | Health disparity |
| This is a contracture deformity that occurs when the foot is permanently fixed in plantar flexion due to the lengthening of the anterior foot while the Achilles tendon shortens | Foot drop |
| The nurse is communicating with the HCP using SBAR. The nurse states “PT breathing has deteriorated in the last 30 minutes. Respiratory rate 30, oxygen saturation 88% on room air, labored breathing, & wheezing in lungs.” This is the ______ part of SBAR. | Assessment |
| This team respond to emergencies, follow ups on patients discharged from ICU, proactively evaluates high-risk patients, and educates and acts as liaison to unit staff | Rapid Response Team or Medical Response Team |
| This class of medications used to lower high cholesterol and reduce the risk of heart attack and stroke | HMG-CoA reductase inhibitors (statins) Atorvastatin (lipitor) Lovastatin (mevacor) Simvastatin (zocor) |
| Diet, obesity, serum lipids, diabetes mellitus, alcohol use, smoking, physical exercise | Modifiable Risk Factors |
| Low-density lipoprotein, is a type of cholesterol in your blood that’s often called “bad” cholesterol. With arteriosclerosis/atherosclerosis, the nurse would expect to notice this lab value to be elevated (greater than 130 mg/dL for healthy adult) | LDL (Bad Cholesterol) |
| The nurse is performing an assessment for a patient who has a colostomy. The nurse understands that the stoma appearance should be: | Moist, shiny, pink/red and beefy |
| What do you suggest needs to be done? What are you requesting? This is the ______ part of SBAR. | Recommendation (SBAR) |
| This type of touch involves the nurse bracing the patient to avoid a fall. | Protective touch |
| A process in Swanson’s theory of caring that involves facilitating the other’s passage through life transitions (e.g. birth, death) and unfamiliar events | Enabling |
| The nurse is caring for a patient who is at risk for developing pressure ulcers. Which position should the nurse place the patient? | Mid-Fowlers at no higher than 30 degrees |
| This type of assistive device provides less support than a walker and less stable. The nurse should instruct the patient to keep this assistive device on the stronger side of the body. | Cane |
| This type of diagnostic test detects hidden blood in stool. | Fecal Occult Blood Test |
| Encourages health care professionals to directly engage in face-to-face cultural interactions and other types of encounters with patients from culturally diverse backgrounds. | Cultural Encounters |
| An awareness of one’s inner self and a sense of connection to a higher being, nature or some purpose greater than oneself | Spirituality |
| Caused by delirium, urinary tract infection, medications, hyperglycemia, CHF, mobility impairment, reversible. Happens suddenly, unusual for patient | Transient Urinary Incontinence |
| This type of touch involves the nurse holding the patient’s hand who recently received a new cancer diagnosis. | Caring Touch |
| This type of urinary incontinence is diminished or absent awareness of the bladder filling, leakage of urine without awareness. | Reflex Urinary Incontinence |
| This medication is used to prevent cardiovascular events such as TIA and MI | Aspirin 81mg |
| A type of cholesterol that’s often called the “good” cholesterol because it helps remove other types of cholesterol from the blood and lowers the risk of heart disease and stroke. | HDL (Good Cholesterol) |
| The nurse is caring for a patient who is immobile and requires assistance with transferring from the bed to the stretcher. The nurse and lift team uses | Draw sheet or transfer board |
| This assistive device is lightweight, movable and stands about waist high and consists of a metal frame with handgrips, four widely placed sturdy legs, and one open side. Used for a patient who has lower extremity weakness or balance problems. | Walker |
| Acute Illness: Unexpected illness often create spiritual distress. Chronic Illness: Threatens a person’s causing fear, anxiety & spiritual distress & creates a sense of powerlessness. Terminal Illness: Creates an uncertainty about what death means. | Factors influencing spirituality |
| The nurse is caring for a patient and recognizes a spiritual need. The nurse immediately makes a referral to which interprofessional? | Someone from the spiritual care team (hospital chaplain and/or a representative from the patient’s faith tradition) |
| Conducting a self-examination of one’s own biases towards other cultures. Examine any unconscious bias | Cultural awareness |
| The conditions in which people are born, grow, live, work, and age | Social determinants of health |
| The nurse is caring for a patient who has an order for an enema. This type of enema lubricates the feces in the rectum and colon. | Oil-retention enema |
| The nurse has an order to collect a 24-hour urine. When initiating the 24-hour urine collection, the nurse should: | Start the 24-hour urine after first voiding |
| A caring process in Swanson's theory of caring; sustaining faith in the other’s capacity to get through an event or transition and face a future with meaning. | Maintaining Belief |
| This oral medication can be used to treat/manage DVT | Warfarin (Coumadin) |
| Pain, reduced joint movement, reduced sensation or loss of sensation, falls, fatigue | Symptoms associated of altered mobility |
| A concise statement of the problem. This is the ______ part of SBAR. | Situation (SBAR) |
| This type of touch involves the nurse offering comfort by explaining the procedure for inserting an indwelling urinary catheter and what the patient will feel. The nurse inserts the indwelling catheter carefully and gently. | Task-oriented touch |
| The process by which people acquire and recall information about others based on race, sex, religion, etc | Stereotyping |
| The nurse is monitoring the patient’s intake and output. The nurse understands that the normal urine output is ____________. | 30 ml/hr |
| This test can help diagnose or rule out heart failure | BNP (B-type natriuretic peptide) |
| Adequate arterial blood flow to the extremities of the body | Peripheral Perfusion |
| The nurse is caring for a patient who is having difficulty breathing. Which position should the nurse place the patient? | High Fowler’s |
| BUN, blood creatinine, 24-hour creatinine clearance are examples of: | Renal Function Tests |
| This theory of caring states expressions, processes, and pattern of caring are different for each patient; importance of understanding cultural caring behaviors. | Leininger’s Transcultural Caring |
| We are aware of the bias that is present. We are responsible and must recognize and acknowledge our actions as they impact our behavior, decisions, and patient-centered care provided. | Implicit bias |
| Refers to a bias we are unaware of & that happens outside our control, which is influenced by our personal background, cultural environment, and personal experiences; typically directs one to make quick judgments and assessments of people and situations. | Unconscious bias |
| Pertinent and brief information related to situation. Diagnosis and co-morbidities. Relevant background clinical information and history (i.e. medications, specialists, procedures). | Background (SBAR) |
| When is discharge planning started? | On admission we create discharge plan. |
| What enema is NOT for pregnant women? | Soap suds |
| What does vagal stimulation cause? | Heart rate drops. |
| What should you do if HR drops during a digital enema? | Stop the procedure |
| What protects skin in incontinence? | Apply moisture barrier. |
| What action prevents UTI after sex? | Void after intercourse. |
| What clothing helps prevent UTIs? | Loose fitting clothing; avoid tight/nylon underwear. |
| How soon must patients void after catheter removal? | Within 4 hours. |
| What should be checked for no urine output? | Kinks and occlusions. |
| What is the 24-hour urine rule? | void first in the morning then Collect 24 hours; start over if any missed. |
| What is the first thing to do for no urine output? | Bladder scanner. |
| What is osteomyelitis? | Infection in the bone — very hard to treat. |
| What is the go-to antibiotic for bone infection? | Vancomycin |
| What supplements are needed for osteoporosis? | Calcium and vitamin D. |
| What makes a safe home environment? | Safe hazard-free home environment (remove scatter rugs). |
| tool to use to transfer | Use draw sheet, slide board, or mechanical lift as needed. |
| What should you do before transfers? | Get someone to help, call for help. |
| What should be held when using a walker Upper or lower hand grips? | Upper hand grips |
| What is a walker used for? | Lower extremity weakness |
| What prevents foot drop? | • Foot drop/plantar flexion :Use footboard or pillow at feet → keeps neutral position |
| What is the 2-point gait? | Partial weight on each leg. |
| What is the 3-point gait? | All weight on one leg. |
| What is the 4-point gait? | Weight bearing on both legs. |
| If something is wrong in perfusion what do you want to do first? | reassess |
| What is the reversal med for heparin? | Protamine Sulfate. |
| What preventions are these Adequate hydration, Heparin 5000, early ambulation, SCDs. | DVT |
| venous duplex ultrasound (preferred) test for what | DVT |
| These are signs of what? A feeling of warmth on affected leg • Calf or groin tenderness/pain • Sudden onset unilateral swelling • Localized edema • Change in skin color (red or purple) | DVT |
| Hip replacement, orthopedic, total knee replacement risk factors that leads to what? | DVT |
| Diet for HTN? | Dash AHA diet |
| 81 aspirin is for hypertension to prevent? | clots and MI. |
| What food should be avoided with statins? | Grapefruit juice |
| What are complications of HTN? | • Myocardial Infarction (MI) • Stroke / TIA • Peripheral Vascular Disease (PVD) • Kidney failure |
| What BP is considered bad anything over what? | 120/80 is bad. |
| When is BP called the “silent killer”? | 140/90 after 3 times of checking. |
| What is the desired triglyceride level? | Triglycerides want lower than 160. |
| What is the desired total cholesterol level? | Total cholesterol needs to be lower than 200. |
| Why is it called silent killer. | b/c no s/s |
| What is the desired HDL level? | HDL want it over 45. |
| What is the desired LDL level? | LDL want lower than 130. |
| what solution is contraindicated for patient who are dehydrated and young infants | Hypertonic solution |
| What enema causes water toxicity or circulatory overload if observed in large amount | Tapwater |
Created by:
fsanoe