Tetanus vaccination and antivenom administration should be given as medically indicated. Cleaning the puncture wounds should be done gently. Because the burns are on his hands, the patient may be admitted as an observation patient since there is a functional risk to his hands. The American Burn Association's guidelines are as follows: First Degree partial thickness - superficial, red, sometimes painful Second Degree partial thickness - red, blistered, swollen, very painful Third Degree full thickness - whitish, charred or translucent, no pin prick sensation.
West Nile virus is caused by the bite of a mosquito. First discovered in the US in , it is believed that the virus is actually carried by infected birds.
The mosquito bites the bird and then bites a person. Mosquitoes carry the highest amount of virus in the early fall; typically, rates of the reported disease increases in late August and early September. As mosquitoes die off in the cold weather, the incidence of disease decreases. Originally, a health researcher who spent hours observing aggressive, violent behavior in the ED developed this framework.
STAMP is a screening tool that triage nurses can use to identify potentially violent individuals in emergency rooms. Recommending that the family know where the patient is at all times may be counterproductive since this action can cause the patient to feel untrusted, trapped, and spied on. The other options should all be considered by the nurse.
Naloxone Narcan is the medication that is indicated for the treatment of an opioid overdose. If the patient's condition is due to opioids, the nurse should be prepared for rapid reversal of the narcotic effects of the drug.
The first action is to move the patient to a quiet room where the activity in the Emergency Department will not escalate the patient's abusive behavior. Locking the room is a form of restraint so rounds should be made every 15 minutes or more frequently as defined by hospital policy. Lorazepam is an appropriate medication to calm the patient and help prevent seizures. A magnesium level is appropriate since the risk of seizures increases if the magnesium level is low.
Regardless of the patient's age or gender, the Emergency Department nurse is required to report any suspected abuse or injury that might have resulted from abuse or neglect. The reporter is protected by statute from retaliatory actions as a result of their report to protective services or local law enforcement.
Although verbal and telephone orders are not ideal, the practice of emergency nursing often requires taking verbal orders. In those cases, the nurse must employ the practice of reading back the order to ensure that it was received and recorded accurately. However, in this scenario, the patient is stable, the fetus does not seem to be in distress, and the woman is not in active labor.
The husband should transport the patient to the nearest hospital with a labor and delivery unit for further monitoring. An integral part of being an effective ED nurse is knowing what tasks can or should be delegated to other roles.
The ED nurse should not expect to perform all tasks for every patient but should know what tasks can be delegated. The only task that the nurse should delegate to the unlicensed technician is the provision of oral care. To reduce gender bias, nurses of both sexes need to ask all patients gender-neutral questions, not just those of the opposite sex. Ways to minimize gender bias overall include asking open-ended questions, imagining asking the same question to a patient of the opposite sex, and having a training coach work with staff to assist in identifying situations of gender bias.
Prev Next Finish. Quality starts with who wrote the material. Our practice exam writer s. She has mentored many new nurses and is the trauma liaison in the emergency room. She has worked in the emergency department in four hospitals.
Bookmark Page. Cardiovascular Emergencies. You are assessing him for possible administration of fibrinolytics. An absolute contraindication for this treatment is:. The patient's pain is not relieved by medications. Symptoms began 36 hours before arrival. The patient has received aspirin in the last 2 hours.
The patient had a previous MI 6 years ago. Preload refers to:. The volume of blood entering the left side of the heart.
The volume of blood entering the right side of the heart. The pressure in the venous system that the heart must overcome to pump the blood. The pressure in the arterial system that the heart must overcome to pump the blood.
The team is performing CPR on a patient. The rhythm that will respond to an electrical shock is:. Ventricular fibrillation. When suctioning during a cardiac arrest, suctioning should be limited to which of the following? Less than 5 seconds. Less than 10 seconds. Less than 20 seconds. Less than 30 seconds. Tension Pneumothorax. Respiratory Emergencies. You are providing ventilations using a Bag-mask device.
Suddenly, you do not see the patient's chest rise with the ventilation. You reposition the patient to ensure an open airway. When you attempt to ventilate, you do not see his chest rise. The most likely cause of this is:. The bag-mask device is faulty. Airway obstruction. The patient has suffered an MI. Cardiac tamponade. Should be done in all cases. Is no longer recommended. Should only be done on children.
None of the above. You are providing positive pressure ventilation through an ET tube to a patient in respiratory distress. Increasing waveform capnography readings. Stomach insufflation. Tension pneumothorax. According to American Heart Association ACLS guidelines, when available, the best way to confirm and maintain tracheal tube position is by:. Clinical examination only. Quantitative waveform capnography. Clinical examination and Pulse oximetry. Clinical examination and quantitative waveform capnography.
Diminished air movement. Decreased level of consciousness. Nasal flaring and retractions. Shock Emergencies. Emergency Medical Service has brought a year-old man to the ED with gunshot wounds to his abdomen and left groin area.
His skin is diaphoretic, cool, and pale. The treatment the nurse should prepare for is:. Chest compressions. Endotracheal intubation. Administration of verapamil. Rapid administration of a crystalloid solution. You are on the ED team caring for a year-old child with a normal systolic blood pressure, increased heart rate, slightly delayed capillary refill and cool, pale skin. What severity of shock is the child likely in? Decompensated shock. Hypotensive shock.
Compensated shock. You are caring for a patient in cardiogenic shock. You know that a probable cause of this condition is:. Spinal cord injury. Congestive heart failure. You are caring for a year-old child with normal blood pressure, increased heart rate, and cool pale skin. The child is reported to have had vomitting and diarrhea the past two days.
As you perform your primary assessment, you note that respirations are clear and not labored. What is the probable first intervention for this child? Start an Epinephrine infusion at 0.
The Value of Certification. Certified Emergency Nurse. Certified Flight Registered Nurse. Certified Pediatric Emergency Nurse. Certified Transport Registered Nurse. So far I am very impressed and so are others I work with. I bought this book after many good reviews from coworkers and a few have purchased after looking this book over. It is right to the point and easily understood.
I am rating the book a 5 out of 5! It's been a great study book and I am learning so much from it. It gives me information that I need and quick definitions of terms. It's a great refresher book as well. I am new to ER nursing and this book has been very helpful! The book has medical conditions, symptoms and expected treatments. I will definitely recommend this book to all my coworkers! Thank you! I have heard excellent things about the book.
So far I agree! It is an excellent review and easy to understand and follow. I will continue using this book to prepare for my CEN. I am a clinical nurse educator and will encourage my fellow nurses to purchase this book. I rate this resource a 5 out of 5 since 1. It can cause anxiety for anybody who is preparing to take an exam, this guide is well worded, not overwhelming which helps alleviate some of that anxiety.
Great product. Concise and to the point review. I like that there is a practice test in the back and feel prepared to take my exam in a couple months. Great practice exam in the back and highlights great topics. This is the main study tool I used for my exam.
Almost everything that is on the exam is covered in this book, however not everything in this book will be on the exam! The book breaks down everything so that it's simple and easy to understand.
It WILL help! And the practice questions in the back are formatted very similar to the actual exam. Can you make the content relatable enough without a Qbank to remember it out of context for questions on the real exam?
How much time can you invest in preparing, and how much time will you invest? How much money can you invest in this tool? Are you using this Qbank as your only exam preparation tool? Are you using it to supplement a live course, self-study, or another Qbank?
As a side benefit, you get to focus on studying with little distraction. Free Open Access to Medical Education, which offers quality content at no cost. As a side benefit, you can learn from your home, favorite coffee shop, or the beach on your time. Check out Life in the Fast Lane. Every CEN Qbank you consider should provide content around these building blocks: Authored and peer-reviewed by EM practitioners, faculty, and program directors. Created to align with the BCEN format.
Addresses the right content and is well structured. These two basic criteria are imperative for a test question to be high quality. Explains why an answer is correct or incorrect. Understanding why an answer choice is incorrect is just as important as knowing why it is correct.
Basic or Comprehensive Content Fortunately, most CEN Qbanks create practice questions around these building blocks, but that may not help you to make your selection.
You need to dig deeper to determine which type of content works best for you by asking the following questions: How strong are the distractors in the answers? The difficulty of a question is defined by the choice of distractors.
Good distractors determine the difficulty level of a question. How detailed are the explanations? Is there additional content to enhance your learning such as images, tables, video clips, teaching aids, or condensed bullet points? Are they memorable enough to stick with you on exam day?
Do they offer multiple paths to understand and solidify your knowledge of the topic with additional questions on the topic? Do they offer multiple references and hyperlinks to those references if you want to dive deeper into the subject?
Software Design and Technology Do you like the way you experience the content? Customer Support You need to evaluate customer support in the same way you evaluate the content.
Qbanks offer a wide spectrum of support options: Basic : account administration and technical support Medium : content correction and updates Enhanced : NPs available to clarify questions, discuss conflicting evidence, and suggest strategies to understand the topic Test them out by sending a support ticket. Learning Technologies Learning technologies continue to emerge, advance, and disappear. Here are the classic learning techniques : Retrieval practice : recalling facts, concepts, or events from memory Spaced repetition : studying information more than once but leaving considerable time between practice sessions Interleaving : studying two or more topics at a time Elaboration : finding additional layers of meaning in new material Generation : attempting to answer a question or solve a problem before being shown the answer Test theories : Classical Test Theory CTT : Your goal with exams and question banks is to get the most correct answers.
Scores are evaluated independently. Exam providers view responses simultaneously, looking at thousands of test takers and thousands of questions. Predictive Analytics, Peer Comparison, Performance Analysis Qbanks can offer lots of data to help you identify your unknown unknowns , self-remediate, and predict your score.
0コメント