What are the traditional 'Six Rights' of medication administration that nurses must verify before administering any drug?

1. Right Patient (verifying at least two unique patient identifiers); 2. Right Medication / Drug (checking the medication label against the MAR three times); 3. Right Dose (verifying calculation, weight-based dosing, and clinical appropriateness); 4. Right Route (confirming oral, IV, IM, subcutaneous, enteral, etc.); 5. Right Time (typically within 30–60 minutes before or after the scheduled time per facility policy); 6. Right Documentation (charting immediately after administration, never beforehand).

What are the two mandatory patient identifiers required by The Joint Commission prior to medication administration, blood transfusion, or invasive procedures?

At least two facility-approved, patient-specific identifiers—most commonly the patient's Full Legal Name, Date of Birth, or assigned Medical Record Number (MRN)—verified on the patient's identification wristband against the medical order/MAR and confirmed verbally with the patient when able. The patient's room number or physical bed location must NEVER be used as an identifier.

What are normal physiological reference values for Central Venous Pressure (CVP), Pulmonary Artery Wedge Pressure (PAWP), Cardiac Output (CO), and Systemic Vascular Resistance (SVR)?

Central Venous Pressure (CVP): 2 to 8 mmHg (reflects right ventricular preload / volume status). Pulmonary Artery Wedge Pressure (PAWP / PCWP): 6 to 12 mmHg (reflects left ventricular end-diastolic pressure). Cardiac Output (CO): 4.0 to 8.0 L/min (Cardiac Index: 2.5 to 4.0 L/min/m2). Systemic Vascular Resistance (SVR): 800 to 1200 dynes-sec/cm5 (reflects left ventricular afterload).

What are the essential nursing maintenance standards for an indwelling radial arterial line, including the Allen test and phlebostatic axis?

1. Modified Allen Test: performed PRIOR to radial artery cannulation to verify adequate collateral ulnar circulation (normal return of hand color within 5-7 seconds); 2. Pressure monitoring kit: maintain flush bag pressurized to 300 mmHg with continuous flush rate of 3 mL/hr; 3. Phlebostatic Axis: zero and level the transducer at the 4th intercostal space, mid-axillary line (anatomical level of right atrium) with every position change; 4. Perform square wave dynamic response test every shift to rule out over/underdamping; 5. Assess neurovascular status (cap refill, pulse, warmth) of the cannulated hand every 1-2 hours.

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Stufe	Vorderseite (Frage / Begriff)	Rückseite (Antwort / Erklärung)
`basic`	What are the traditional 'Six Rights' of medication administration that nurses must verify before administering any drug?	1. Right Patient (verifying at least two unique patient identifiers); 2. Right Medication / Drug (checking the medication label against the MAR three times); 3. Right Dose (verifying calculation, weight-based dosing, and clinical appropriateness); 4. Right Route (confirming oral, IV, IM, subcutaneous, enteral, etc.); 5. Right Time (typically within 30–60 minutes before or after the scheduled time per facility policy); 6. Right Documentation (charting immediately after administration, never beforehand).
`basic`	What are the two mandatory patient identifiers required by The Joint Commission prior to medication administration, blood transfusion, or invasive procedures?	At least two facility-approved, patient-specific identifiers—most commonly the patient's Full Legal Name, Date of Birth, or assigned Medical Record Number (MRN)—verified on the patient's identification wristband against the medical order/MAR and confirmed verbally with the patient when able. The patient's room number or physical bed location must NEVER be used as an identifier.
`intermediate`	What systematic four-step method and ROME mnemonic are used to analyze Arterial Blood Gases (ABGs)?	1. Check pH: < 7.35 = Acidosis; > 7.45 = Alkalosis (7.40 is absolute neutral midpoint); 2. Check PaCO2: 35-45 mmHg (respiratory component); 3. Check HCO3-: 22-26 mEq/L (metabolic / renal component); 4. Apply ROME rule: Respiratory Opposite (pH and PaCO2 move in opposite directions in primary respiratory disorders); Metabolic Equal (pH and HCO3- move in the same direction in primary metabolic disorders).
`intermediate`	What are the ABG findings, common clinical etiologies, and nursing priorities in acute Respiratory Acidosis?	ABG: pH < 7.35, PaCO2 > 45 mmHg, HCO3- normal (if uncompensated) or elevated (if chronic/renal compensation). Etiologies: Hypoventilation from central nervous system depression (opioid/sedative overdose), COPD exacerbation, acute asthma, neuromuscular weakness (Guillain-Barré, myasthenia), chest wall trauma (flail chest), or atelectasis. Priorities: Airway clearance, suctioning, bronchodilators, semi-Fowler's position, oxygenation/ventilation support, and naloxone if opioid-induced.
`advanced`	What are normal physiological reference values for Central Venous Pressure (CVP), Pulmonary Artery Wedge Pressure (PAWP), Cardiac Output (CO), and Systemic Vascular Resistance (SVR)?	Central Venous Pressure (CVP): 2 to 8 mmHg (reflects right ventricular preload / volume status). Pulmonary Artery Wedge Pressure (PAWP / PCWP): 6 to 12 mmHg (reflects left ventricular end-diastolic pressure). Cardiac Output (CO): 4.0 to 8.0 L/min (Cardiac Index: 2.5 to 4.0 L/min/m2). Systemic Vascular Resistance (SVR): 800 to 1200 dynes-sec/cm5 (reflects left ventricular afterload).
`advanced`	What are the essential nursing maintenance standards for an indwelling radial arterial line, including the Allen test and phlebostatic axis?	1. Modified Allen Test: performed PRIOR to radial artery cannulation to verify adequate collateral ulnar circulation (normal return of hand color within 5-7 seconds); 2. Pressure monitoring kit: maintain flush bag pressurized to 300 mmHg with continuous flush rate of 3 mL/hr; 3. Phlebostatic Axis: zero and level the transducer at the 4th intercostal space, mid-axillary line (anatomical level of right atrium) with every position change; 4. Perform square wave dynamic response test every shift to rule out over/underdamping; 5. Assess neurovascular status (cap refill, pulse, warmth) of the cannulated hand every 1-2 hours.

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Wie viele Krankenpflege-Karten sollte ich täglich lernen?

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Mit welcher Stufe sollte ich auf flashcards.world beginnen?

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