Quiz me Nurse

  The Numerical Pain Scale is a useful tool when assessing pain. It is based on a scale of 0-10. A ladder starts from the ground and escalates to| the highest point, so does pain start from 0-10. It is important to do a pain assessment after pain medication has been given. See image for more information. Scenario : In the above image, a patient was brought into the   Emergency room with complaints of  chest pain  and a drop in   blood pressure. The doctor ordered Morphine for the pain and    Dopamine for the  hypotension.  Both medications were given      as ordered. The nurse in the green top (left) gave the Morphine and started the Dopamine infusion. Next  : What  went wrong ? The nurse forgot to put a label on the  IV bag and did not document what time both medications were   given. It is very  important  for the nurse to pay  close attention  to the time that medicatio...

  Scenario : In the image above, Ann is an opera singer. While on stage, she suddenly starts having trouble getting her words out. Her right arm also feels weak. These symptoms are classic of someone experiencing a stroke. Signs and stroke  symptom s: - sudden ,  severe headache - slurred speech, mental confusion -  nausea  and vomiting -  visual disturbances ,  hearing loss - facial weakness -  weakness  in arm or leg on one side A CAT scan or  MRI  or both may be done to  confirm  diagnosis. Scenario : In the image a waitress is busy at work.  She suddenly develops stroke symptoms.  What is a stroke ? A  stroke  is also known as a brain attack. It may be hemorrhagic ( caused by bleeding) or ischemic ( embolic), caused by a clot  or plaque. Can a stroke be prevented? It is suggested that a stroke can be prevented. People who smoke frequently, eat a diet rich in cholesterol foods and do not exerci...

The Electrical Conduction System of the heart The SA   (sinoatrial) node is the pacemaker of the  heart and is part of the electrical conduction system. It is located in the upper part of the right atrium. When the SA node fires, the right and left atria contract simultaneously and  blood is forced into the right and left ventricles. The electrical stimulus then travels to the AV ( atrio- ventricular) node which is located in the lower part  of the right atrium. The AV node fires, causing the  right and left ventricles to contract simultaneously.   Scenario : Jim was admitted to the medical floor, with complaints of  abdominal pain.  The nurse arrives at his bedside and finds him unresponsive. She presses the code button, to alert the code team. She then begins CPR. What does CPR mean?  CPR  means Cardiopulmonary resuscitation. When the heart stops beating and there is no circulation of blood throughout the body, CPR is initiated. ...

  The consequences of poor circulation Poor circulation   may occur for a number of reasons. Any obstruction to the flow of blood may lead to conditions such as stroke,  heart failure , and or  renal failure  .The  diabetetic  patient is also at risk. What is a stroke? A stroke is also known as a brain attack. Identifying strokes and treatment A stroke may be hemorrhagic (caused by bleeding) or ischemic ( embolic ) caused by a clot or plaque in a blood vessel.  Bleeding  ( hemorrhagic) into the brain may be caused by  trauma  or rupture of a blood vessel due to high blood pressure. ICP monitorin g may be necessary for  the patient with a hemorrhagic stroke. In the case of an embolic stroke, a blood clot may obstruct the flow of blood in the brain. This will also affect oxygen to the brain. Embolic strokes are usually treated with drugs such as TPA ( Tissue Plasminogenic Activator). Antihypertensive drugs and anti-  seizure...