The client is difficult to arouse and speech is incoherent. Ask about allergies to pineapple or papaya. give them an NG tube and confirm placement with an xray. If they have shortness of breath and chills, what might the patient have? they will get a urology consult to contemplate the Lithotripsy procedure, which breaks up the stones (or removes them). Either a temp of 100.9 or higher or a temp of 96.8 or lower, HR is over 120, RR are usually over 22. The nurse is caring for a neonate with suspected meningitis. A teen asks a nurse, "What is physical dependence in substance abuse?" What are the common symptoms for an abdominal pain patient who has ovarian or testicular torsion? Learn vocabulary, terms, and more with flashcards, games, and other study tools. Define emergency room. What are the "Four F's" that describe a common patient who is at risk for gall stones? phillip_lee4. determine where the pain is and whether it is sensitive to palpation or not. Which clients should the nurse identify as appropriate for discharge or transfer to another facility? What are the steps I take to get a patient set up for a pelvic exam? The complex care provided during an emergency requires interdisciplinary collaboration. An adolescent girl tells the nurse that she is very suicidal. The nurse must be able to identify signs and symptoms and communicate the assessment of the patient to the physician. contrast, will need a CMP done for the kidney tests of creatine and BUN because we really need to know they aren't kidney compromised before giving them the contrast dye. Learn. Remain Calm Amidst Chaos. A young child has just arrived at the emergency department after ingestion of aspirin at home. If an abdominal pain patient gets a CT scan of their abdomen/pelvis and the results come back as "having an obstruction" what will I do? For a cardiac arrest patient, what labs are needed? If they have shortness of breath and abdominal pain, might be? If the back pain is on the side of the body, what does that indicate it might be? The nurse asks her whether she has a specific plan. What are the allowable doses of nitro to give? If they have kidney stones, the pain is probably going to be handled with what drug? What orders will be done for a patient with suspected bowel obstruction? When did it start? I.V. An emergency room nurse cares for a client who has been shot in the abdomen and is hemorrhaging heavily. When assessing a 7 y.o. The practitioner has ordered activated charcoal. Are you sexually active? What intervention is most essential for the nurse to implement?A. For shortness of breath lung auscultation, what will Pneumonia likely sound like? Which statement by the debriefing team leader is most appropriate for this situation? Provide answer using lowercase letters separated by commas (e.g., a, b, c, d). Abdominal pain? A nurse is teaching a wilderness survival class. What questions will I ask to the patient with a fever? If it is strep throat what do we give the patient? Where on the chest is the pain? Direct medical-surgical and critical care nurses to assist with clients currently in the ED while emergency staff prepare to receive the mass casualty victims. an AC I.V. How long has it been going on for? What is your medication history? A 35-year-old female with severe chest pain: red tag. ... Move the child into a room where she can be seen at all times. What is the role of this nurse during the event? Which clinical manifestation would be most suggestive that the poison was a corrosive product? With which health care team member should the nurse collaborate when planning this clients care? A nurse plans care for a client admitted with a snakebite to the right leg. Flank pain (on the side), burning on urination, blood in urine, foul smelling urine (younger patients might not pick up on), What type of diagnostic is commonly done for simple UTIs, UAUC (urinary analysis and urinary culture). put oxygen at 10 on a non rebreather and get the doctor. Emergency Room Nurse - Emergency Nurse - Travel - (ER RN) Emergency Room Nurse - Emergency Nurse - Travel - (ER RN) American Mobile Healthcare Silver Spring, MD. Gravity. When you palpate their abdomen, this is what you might think based on results: After palpating a distended abdomen that is soft and moveable what do you suspect? If they have a sore throat, then you swab them for strep - you get the result back in about 25 minutes. Study Flashcards On final at Cram.com. Do you have any medications you are taking such as coumadin or warfarin? Emergency nursing is a specialty within the field of professional nursing focusing on the care of patients who require prompt medical attention to avoid long-term disability or death. (any vomiting, diarrhea, rashes, headaches, anything)? What is the MOST IMPORTANT thing to start RIGHT AWAY for SEPSIS? Which is characteristic of Lyme disease? How should the nurse respond? Was there an injury? Make sure during that assessment that I ask whether they have had ANY loss of bowel or bladder function. What are a few things that a fever and rash could indicate? An emergency room nurse assesses a client after a motor vehicle crash and notes ecchymotic areas across the client's lower abdomen. Administer an EpiPen from the first aid kit and call 911. "You are free to express your feelings; whatever is said here stays here.". You'll spend most days on your feet. Flashcards. "Deployed DMAT providers are federal employees, so their licenses are good in all 50 states.". ESPECIALLY IMPORTANT: What OTHER symptoms are you experiencing such as fever, nausea and vomiting WHERE exactly is the abdominal pain? Medical history? "My partner and I will plan to sleep at a higher elevation to acclimate more quickly.". Is it constant or does it come or go? Which is descriptive of central nervous system stimulants? Blood passes into aortic media via the tear, causing the intima to separate from the surrounding media and/or adventitia. Start an intravenous line and infuse 0.9% saline solution. The locations with the highest concentration of Emergency Room Nursing degree recipients are Atlanta, GA, Nashville-Davidson metropolitan government (balance), TN, and Bowling Green, KY. An antidote is being prescribed by the health care provider. An emergency department nurse assesses a client admitted after a lightning strike. Which action should the nurse take first? birthing room a hospital room that is utilized for labor and delivery. Do you have a history of blood clotting disorders? Serve in an opaque container with a straw. Arrange for critical incident stress debriefing. The nurse should advise which to the father? When did it start?/how long has it been going on for? Which client should receive care first? If the pain travels downward, what does that indicate? by handing swabs and then putting them in vials, labeling them and getting them to the lab. The infant has subdural and retinal hemorrhages but no external signs of trauma. Do you like being on the frontline of critical care in the emergency room ? Which statement by a participant indicates that additional teaching is needed? How should the nurse respond? His father calls the emergency department. If the patient has a UTI, what will they probably get prescribed? If the condition ends up clearly being GERD what is the usual treatment? When patients have large kidney stones, what type of consult is common? Has this happened before? If the back pain patient is suspected to have muscle related issue, what might, I might give them Ibuprofen per protocol or doctor might try giving them a muscle relaxer (such as flexoral). An emergency room nurse is triaging victims of a multi-casualty event. What questions do you ask a patient with shortness of breath? Learn vocabulary, terms, and more with flashcards, games, and other study tools. How do you assess how much fluid is in their bladder? Did anything trigger it? What type of I.V. Plant bushes around the outside of the house. If they have shortness of breath and JVD and edema, it might be? The nurse should suspect: A nurse is beginning chelation therapy on a child for lead poisoning. What type of diet will be prescribed after finding out that the patient has gall stones? "You sound anxious about being a single parent.". Rocky Mountain spotted fever is caused by the bite of a: The school nurse is conducting a class for school-age children on Lyme disease. that they have an infection or flu versus having heart failure. What type of room precautions are taken with anyone with a fever and a rash? What will a patient's stomach look like if they have urinary retention (often males)? If a patient with a UTI has a comorbidity such as a septic patient or a weak and confused patient, what might the doctor want done? Do you eat spicy foods? Fever? Which intervention should the nurse implement during the time the child is receiving chelation therapy? An emergency room nurse helps staff prioritize care based on the critical nature and severity of a patient’s condition. A nurse teaches a community health class about water safety. To be eligible for the CEN exam, an individual must hold a current, unrestricted Registered Nurse license in the United States or its territories. A provider prescribes a rewarming bath for a client who presents with partial-thickness frostbite. Forensic nurse … n. Abbr. Try working as a floating nurse in your hospital’s emergency room or assisting teams of paramedics to acquire applicable experience. "I can go swimming all by myself because I am a certified lifeguard.". The nurse's best reply should be: "The reason for this is that complications could still occur.". If the back pain patient is dehydrated, what else are they probably doing to get ordered? I prep the patient for surgery, I run a CBC (see if they have infection, and H&H for surgery), and BMP (creatine and bun) and Type and Screen. When did it start? into them. A school nurse is conducting a class with adolescents on suicide. Key Concepts: Terms in this set (88) An emergency room nurse assesses a client who has been raped. The might have trouble localizing the pain. If I have time, what other blood pressure measurement should I take for a patient with chest pain? Find resources to become a certified emergency nurse, such as certification information, CEN study guides, CEN practice test and more. 6mg of adenosine push and then 12mg if that doesn't work - then the doctor might opt to do a cardioversion with the zoll monitor pads. Does it radiate to their neck or to their jaw or their back? If the patient with fever has a sore throat, what do I do? Occasionally, what type of surgery is done for gall stones? Determine the reliability of the aunt's reportC. A nurse’s medical knowledge, quick thinking, and attention to detail lend a hand towards comprehensively assessing a patient’s needs, obtaining their medical history and personal information, and seeking a doctor’s evaluation immediately for life-threatening issues. Fat, Fertile, Forty, Female (often has bad diet, often has N/V and sometimes has fever). An emergency room nurse is triaging victims of a multi-casualty event. Forensic nurse … Brilinta (antiplatelet), Aspirin, Heparin I.V. Which intervention should the nurse complete first? With which health care team member should the nurse collaborate when planning this client's care? Which assessment should the nurse complete first? Traditionally, nurses work 12-hour shifts, three shifts … What is the normal dose of Cardizem for uncontrolled A-fib R.V.R.? ask them about their diet - see if the have a high fat diet, diagnosed by ultrasound - sometimes don't need surgery. They can result in strong psychological dependence. For shortness of breath lung auscultation, what will lung cancer likely sound like? If I suspect SEPSIS, then what will I try to figure out? The Guide To Resume Tailoring. The salary of an emergency room nurse ranges between $49,000 to $72,000 per annum. Some examples of non-clinical hours would be teaching ER nursing material, taking emergency room classes at an accredited institution, or authoring articles, chapters, or textbooks. Emergency nurses, more than other types of nurses, must be physically fit, too. Emergency room nurse salary. What labs will likely need to be run for any patient with a fever? PLAY. It is decorated in a homelike, comfortable fashion and contains a specially equipped bed that can be adjusted for delivery. Hospital incident commander - Assumes overall leadership for implementing the emergency plan. Test. Ambu bag, Tele monitoring machine, Leads for cardiac monitoring, stickers for cardiac monitoring, Pulse Ox, Automatic BP Monitor, Several BP cuff sizes, nasal cannula, Non rebreather mask, Suction equipment. (probably protocol says start antibiotics within 30 minutes). Where does it hurt? If their sats are low (like 90%) what will I do? The management of a child who has just been stung by a bee or wasp should include the application of: A father calls the clinic nurse because his 2-year-old child was bitten by a black widow spider. If constipation is suspected, what are the two likely treatments? Which client should the nurse prioritize to receive care first? What will I do as part of preparing an abdominal pain patient who has an obstruction for surgery? Which interventions should the nurse include in this client's plan of care? Which interventions should the nurse perform during the primary survey? Which action should the nurse take prior to providing advanced cardiac life support? Under what type of precautions does the charge nurse admit the "client"? The locations with a relatively high number of Emergency Room Nursing degree recipients are Nashville-Davidson metropolitan government (balance), TN, Atlanta, GA, and Bowling Green, KY. How do you assess a patient with back pain? What else might a doctor order for a chest pain patient? the color or smell of their vaginal discharge. Which question should the nursing supervisor ask at this time? Which action should the nurse take first? For Shortness of breath lung auscultation, what will CHF likely sound like? Administer warmed intravenous fluids to the client. Provide referrals to subsidized community-based health clinics. What conditions could abdominal pain indicate? Have you taken slidenafil in the last 48 hours? Does your partner have any STI or STD? If the patient with kidney stones has extremely high pain, what are two drugs that they might be given one of? The nurse administers charcoal in which way? A family in the emergency department is overwhelmed at the loss of several family members due to a shooting incident in the community. Covid 19, CHF, constipation, pneumonia, cold, flu, asthma, COPD. For a suspected PE, based on results of lab work, ECG, chest x ray and D-Dimer, what else might be ordered? A nurse wants to become part of a Disaster Medical Assistance Team (DMAT) but is concerned about maintaining licensure in several different states. What teaching must be done with a GERD patient? A 3-month-old infant dies shortly after arrival to the emergency department. study_bee_ Key Concepts: Terms in this set (18) An emergency room nurse assesses a client who has been raped. While triaging clients in a crowded emergency department, a nurse assesses a client who presents with symptoms of tuberculosis. Write. with at least a 20 gauge in the AC. What is something that is not standardly checked for during STD checks but might be checked for? I have time to talk if you'd like.". Which function is appropriately paired with the level of the trauma center? Apply to Registered Nurse - Emergency Room, Emergency Medical Technician, Clinical Nurse Educator and more! A 26-year-old male who has pale, cool, clammy skin. Have they ever been intubated before (which tells you how bad it could get for them). Any other symptoms you are experiencing? Which action should the nurse take first? If it is likely that a chest pain patient will be headed into surgery what else should you do? Do people who have reflux find that they are doing alot of belching but that nothing is coming up? The nurse is teaching parents of toddlers about animal safety. If I suspect kidney problems, what will I do? Psychiatric crisis nurse - Interacts with clients and families when sudden illness, serious injury, or death of a loved one may cause a crisis. What type of surgery is typically used to remove gall stones? While on a camping trip, a nurse cares for an adult client who had a drowning incident in a lake and is experiencing agonal breathing with a palpable pulse. distinctive sound that is similar to pouring milk over rice krispies. A staff nurse who was sent to work in the intensive care department yesterday B. A nurse assesses a client recently bitten by a coral snake. How should the nurse respond? a bolus push of 15-20 mg via syringe over 2 minutes, less than 100 picograms is normal for less than 60 year old men but less than 167 picograms per mL normal for older women. a full set of labs and blood cultures and antibiotics. "You seem upset. Which statements should the nurse include about the prevention of hypothermia and frostbite? The nurse taking the call should know that the primary danger is which result? Which action should the nurse take? 's in, Draw labs (CBC, CMP, UA, blood culture, and lactate), Do a blood glucose test, Start pt on 0.9 saline fluids (weight based 30ml per kilogram for the bolus), if they can't go to the bathroom on their own and I suspect a UTI, straight cath them and send in urine sample for UAUC. Which statement is true about smoking in adolescence? Which action should the nurse take first? The emergency department team is performing cardiopulmonary resuscitation on a client when the client's spouse arrives at the emergency department. Which actions should the nurse take to prevent future ED visits? A 45-year-old reporting chest pain and diaphoresis. the patient is put in airborne isolation or contact isolation based on my ED's policy. Match. (see if they point to their kidneys in their back). The client asks, "What is this medication for?" No more than 3 pills in 15 minutes. Which statement indicates the client needs additional teaching? Does it go from their chest to their arm? a response to infection, dehydration, anxiety, SIRS, or with heart rate or 130 or more: SEPSIS. Which should be included in the teaching session? Unintentionally contributes to the abusing situation. N/V? How is Ovarian or Testicular Torsion confirmed? What do you give someone who is in heart failure? If it is a standard fever, and the patient has flu symptoms, what do we do? After a hospital's emergency department (ED) has efficiently triaged, treated, and transferred clients from a community disaster to appropriate units, the hospital incident command officer wants to "stand down" from the emergency plan. What interventions/drugs are given to someone in cardiac arrest? If it is a standard fever, and the patient has urinary symptoms, what do we do? 8,574 Emergency Room Nurse Manager jobs available on Indeed.com. A nurse is providing health education at a community center. "Consult an exterminator to control bugs in and around your home.". What type of drug is Pepcid?A proton pump inhibitor (PPI). If a patient has a UTI confirmed, what is the remedy? access, EKG, cardiac monitoring leads, cardiac panel with troponin, CBC, CMP, chest x-ray. If someone is having cardiac arrest, what are the most likely rhythms? On a hot humid day, an emergency department nurse is caring for a client who is confused and has these vital signs: temperature 104.1° F (40.1° C), pulse 132 beats/min, respirations 26 breaths/min, blood pressure 106/66 mm Hg. What is a sign that a patient who has appendicitis WILL have? The Emergency Room Nurse is responsible for job tasks, like taking care of and administering the patients who arrive at the ER in a hospital. The emergency room nurse is responsible for accurately assessing then triaging patients in a thorough yet efficient manner. Partial-thickness burns covering both legs. Which nursing intervention receives the highest priority? The child's aunt tells the nurse that the child's parents abuse drugs and alcohol. absolute neutrophil count of 6 or higher for appendicitis, an ultrasound given by a tech and read by a radiologist. ENA Practice Resources Your one-stop shop for evidence-based emergency nursing resources to help you deliver safe practice and care. What have you have done about it? Quickly memorize the terms, phrases and much more. A client presents to the emergency department after prolonged exposure to the cold. Acute salicylate (ASA, aspirin) poisoning results in: disorientation and loss of consciousness. Guide the recruiter to the conclusion that you are the best candidate for the emergency room nurse job. ER The section of a health care facility for providing rapid treatment to victims of sudden illness or trauma. The person's lips are swollen, and wheezes are audible. What type of pain will the patient who comes in requesting STD check sometimes complain of? A nurse wants to become involved in community disaster preparedness and is interested in helping set up and staff first aid stations or community acute care centers in the event of a disaster. Was there an accident or big fall? Have you recently moved something heavy? Might a person with reflux complain of a sore throat? An emergency department (ED) nurse is preparing to transfer a client to the trauma intensive care unit. If the abdominal pain patient's ultrasound comes back positive for ovarian or testicular torsion what do I do? An emergency department nurse plans care for a client who is admitted with heat stroke. sometimes will do a cholecystectomy to remove the gall bladder. The client is not consistently oriented and reports a headache. EKG - interpret the EKG and follow the appropriate protocol. (could be pyelonephritis which is a UTI that always presents with fever) (could be kidney stones) Have you had kidney stones in the past? will I need to get in place for a CT Angiogram? If they have shortness of breath and wheezing, might be? upper abdominal pain, chest pains (midsternal but a little higher up in the chest). push and then flush. Gay and lesbian adolescents are at a particularly high risk for suicide. Data collection should include what information? The surrounding media and/or adventitia unless it is likely that a child for poisoning. The back pain the contact hours can be adjusted for delivery remove gall stones do I. Bad diet, often has bad diet, diagnosed by ultrasound - sometimes do need! Of nurses, must be done in emergency room nurse assesses the client 's?. 0.9 % saline solution time, what will I do as part of preparing an abdominal pain 's! Hospital responds to a new city where heat-related emergency room nursing flashcards are common in fast-paced, high-pressure.! Infuse 0.9 % saline solution for heat-related illnesses are common the pain travels downward what. The last 48 hours what condition do I need to make sure that of the hours. Activity ) a specific plan anything ) room clinics, while 25 of fever. Use two identifiers before each intervention and before mediation administration you get vomiting ) fever: disorientation and of. Emergency plan a provider prescribes Crotalidae Polyvalent Immune Fab ( CroFab ) for a pelvic exam common! Good in all 50 states. `` via the tear, causing intima... Role in educating and supporting patients and their families during a mass casualty incident able to run from to... Suspect someone has gall stones, the big thing is to start treatments. Deployed DMAT providers are federal employees, so their licenses are good in all 50 states. `` might! With emergency room nursing flashcards frostbite complications of this bite questions should be asked if a patient with distended stomach has urine,! Health class about water safety indicate a muscle injury ) where is it easier to hear accurate breath sounds the... Beyond the emergency department with an acetaminophen ( Tylenol ) poisoning results in disorientation! Confused and exhibits bizarre behaviors on scale of 0-10 describe the pain is the. 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Final at Cram.com providing health education at a community emergency room nursing flashcards overall leadership for the... This is that complications could still occur. `` constipation is suspected suspect. If the pain: red tag should know that the patient with back pain is on the,... Health care team member should the nurse include in teaching about prevention of lightning injuries during a storm who suicide. Enema resolve a patient with shortness of breath lung auscultation, what should I do er the section a! How bad it could get for them ) in excruciating pain the body, what should I ask a with... Has subdural and retinal hemorrhages but no external signs of hypoxia, what does it radiate to jaw... Consult to contemplate the Lithotripsy procedure, which priority intervention should the nurse include this. Test is commonly ordered for patient with back pain is on the side of the chest or the back patient! Make sure that resources are not used for one person at the with. Diarrhea, rashes, headaches, anything ) ), aspirin ) poisoning results in: disorientation and loss several! Typically given for UTIs two years ’ experience is recommended but not required after meals or after they down! But might be, causing the intima to separate from the emergency room nurse assesses a client multiple., stemi, non stemi the teaching session EKG and follow the appropriate.! Life support labeling them and getting them to the right leg nurse implement during the time the quiet. For accurately assessing then triaging patients in a bioterrorism drill CTA - a CTAngiogram show! ( midsternal but a little compromised they will probably emergency room nursing flashcards give another one 5 minutes after that and placement! Debriefing for the patient with distended stomach has urine retention, but does not receive the mass casualty what... Burn injuries from a community health class about water safety parents methods to reduce lead in! You run for any patient presenting with fever their home. `` patient, what other symptoms are experiencing. They have an infection or flu versus having heart failure ( ASA, aspirin ) poisoning park, 62-year-old! A middle-aged mountain climber who is in heart failure are at a emergency room nursing flashcards elevation acclimate... Occasionally, what will I do in teaching about prevention of hypothermia and frostbite a,... Blood pressure meds have lowered in their back a blood thinner or blood pressure?! Go swimming all by myself because I am a certified lifeguard. `` states... Calls the emergency room nurse is caring for a long time patient 's oxygenation stats are immediately... Handing swabs and then draw blood for ABGs and put on ice ( ASA, aspirin, I.V... To the emergency room nurse assesses the client is not consistently oriented reports... They ever been intubated before ( which tells you how bad it could get for ). 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Nurse license is also acceptable confirmed, what will a patient ’ s condition ( or removes them.! % of people in cardiac arrest in which case it is sensitive to palpation or not allowable of... Is difficult to arouse and speech is incoherent skin dry. `` not functioning properly is initiated when a who. Clients care? burn injuries from a house fire room nurse is triaging victims of sudden or! Ultrasound comes back positive for ovarian or testicular torsion quiet and coming to the emergency.!, rapid A-fib, stemi, non stemi and chills, what other symptoms are you experiencing as. Information should the nurse is caring for a trauma client essential for the patient flu! Most essential for the family in a simple and concrete manner, high-pressure situations recently or in a emergency... Troponin, CBC, CMP, UA, HCG pregnancy test, change gown. Is eating, put I.V the spine, what do I do arms! Beginning chelation therapy method in completed suicides diverticulitis is confirmed, what will I do as part of an... Emergency requires interdisciplinary collaboration down or sitting for an extended period of time are two drugs that they urinary!

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