When you call the ambulance because of an emergency, the first medical practitioner sees you as the emergency nurse. They are charged with providing immediate and effective medical care and performing emergency medical procedures to stabilize patients. Are you studying to be a Certified Emergency Nurse? Take up the quiz below and see how ready you are for the CEN Certification exam.
Clearing clots from nose and mouth
Drawing blood for H&H and type and cross-match
Give IV LR
Vocal cord polyps
Voice rest, whispering permitted
Complete voice rest
Swish and gargle with alcohol based astringent
Gargle with aspirin and salt water
Icebag to throat
Have the patient gargle with antiseptic solution
Have pt. swish and swallow a topical anesthetic solution of lidocaine (xylocaine) before eating
Q: quality of pain (stabbing, aching)
R: region and radiation (if so, where)
S: severity on a scale of 0 to 20
Rising jugular venous pressure is evidenced by distended jugular veins while in a non-supine position.
The fall in systolic pressure results when the fluid in the pericardial cavity accumulates to a degree that it impairs ventricular stretch.
The suppressed heart sounds occur due to the muffling effects of the sounds passing through the fluid surrounding the heart.
Pain and tingling in fingers after exposure to cold.
Small or absent T waves
First or second degree AV block
Slight depression of the ST segment
Left ventricular hypertrophy
Chronic lung disease even without pulmonary hypertension
Anterolateral myocardial infarction
Delayed care / can delay up to three hours
Urgent care / can delay up to one hour
Immediate care / life-threatening
Victim is dead / no care required
There is atrial fibrillation.
No P waves are visible.
The rhythm is irregularly irregular (random).
Left axis deviation
Apply a soft collar, obtain an x-ray film of the lateral cervical spine, and establish a large-bore IV line.
Obtain an x-ray film of the lateral cervical spine, insert an indwelling urinary catheter, and prepare to intubate the patient.
Stabilize the neck, establish a large-bore IV line, and perform a rapid secondary survey.
Stabilize the neck, perform a complete secondary survey, and splint possible fractures.
Cool, clammy skin.
Rapid, deep respirations.
Fruity odor on the breath
Superficial second degree.
Deep second degree.
Bradycardia, hypertention, and agitation.
Tachycardia, hypertension, and fever.
Tachypnea, lethargy, and mydriasis.
Hypotension, nausea, and vomiting.
A decreased hematocrit.
Dry mucous membranes.
Large doses of drugs that would overwhelm activated charcoal.
Shortly before presentation with severe illness.
Large doses many hours earlier but are asymptomatic.
Agents not absorbed to activated charcoal.
Cooling and sedation.
Blood pressure and heart rate control.
Fluid boluses and urine alkalization.
Anti-arrhythmic and vasodilator drugs.
Administer NSS at a rate of 200 cc/hr.
Mannitol 1 Gm/kg IV bolus.
Add 50 mEq of sodium bicarbonate to every litre of normal saline solution.
Check arterial blood gases for metabolic alkalosis.
Here's an interesting quiz for you.