13837514
Frage 1
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Is the chain of infection: Infectious Agent -> Reservoir -> Portal of Entry -> Mode of Transmission -> Portal of Exit -> Host
Antworten
- True
- False
Frage 2
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If your pt has CDIFF, what precautions do you use?
Antworten
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Contact
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Airborne
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Droplet
Frage 3
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If your pt has Tuberculosis, what precaution do you use?
Antworten
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Contact
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Droplet
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Airborne
Frage 4
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Determine the medication compatibility before setting up the IV line and/or piggyback.
Antworten
- True
- False
Frage 5
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Should the 2nd IV line or piggyback be hung higher, same height or lower than the primary line?
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Higher
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Lower
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Same height
Frage 6
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How do you know if an IV line is not functioning well?
Antworten
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burning sensation
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swelling
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bleeding
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warm to touch
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itchy
Frage 7
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Why would a pt get TPN (Total Parenteral Nutrition)?
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They're hungry
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Unable to digest or absorb nutrition
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Prefer to eat through an IV line instead of through mouth
Frage 8
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Refeeding syndrome is when the body is not used to the increase or decrease of nutrition and electrolyte imbalances can occur
Antworten
- True
- False
Frage 9
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What are the 3 top complications of TPN?
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Refeeding syndrome
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Hypo/hyperglcemia
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Fatty Liver
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AKI
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Dependancy
Frage 10
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A pt may experience pain post-op due to surgical manipulation of tissues, treatments, or positioning on the OR table.
Antworten
- True
- False
Frage 11
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Pain is subjective and is what the pt tells you it is
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True
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False, it's what I say it is
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Pain is not that big a deal
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Pain will make someone an addict so don't treat it much
Frage 12
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A nurse can sign the consent form for a pt before they go for sx if we've chatted about the procedure.
Antworten
- True
- False
Frage 13
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How often should a pt deep breath and cough per hour?
Antworten
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Once
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10 times
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30 times
Frage 14
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What will splinting help with?
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Dehiscence prevention
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Reduces pulling on incision, reducing pain
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Make the pt look cool while coughing
Frage 15
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PCA gives the pt control on managing their pain post-op. They can push the button as many times of they want but only receive a safe amount prescribed by the physician based on lockout time, basal rate and dose.
Antworten
- True
- False
Frage 16
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If a pt has PCA hooked up, they are dependant on pushing the button only when they nurse is available
Antworten
- True
- False
Frage 17
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Advantages of PCA:
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Patient Controlled
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Immediate analgesia
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Short term
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Constant and steady pain relief
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Nurses don't have to be involved
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RN can set up
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pt will get addicted to a new pain med
Frage 18
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Disadvantages of PCA:
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Underuse
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Fear
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Requires peripheral IV
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Manages pain inconsistantly
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Possibility of incorrect pump programming
Frage 19
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An epidural is a when an anesthetic is inserted through a cathetar to the epidural space
Antworten
- True
- False
Frage 20
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In an epidural, local anesthetic diffuses into the spinal canal and temporarily stops the spinal nerves from working so that sensation and movement in the area supplied by the nerves does not occur
Antworten
- True
- False
Frage 21
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Advantages of epidural
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Not very invasive
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Severe pain relief
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Small amount of medication needed
Frage 22
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Biggest disadvantage for a pt getting an epidural?
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A needle poke into the lumbar
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Migration of cathetar
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sensory and motor are sometimes affected
Frage 23
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A spinal advantages are:
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Autonomic. Motor, and Sensory blocks occur
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Fast onset
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A headache is the only side effect. Its not very bad.
Frage 24
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Motor and Sensory bock come back first, then Pain block and last sympathetic block when a spinal is wearing off
Antworten
- True
- False
Frage 25
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What can be done if spinal bandage location is leaking?
Antworten
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sbar doctor for a blood patch
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Apply lots of pressure
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Sit pt in high fowlers
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Ignore it. It'll fix itself in due time. Not a biggie.
Frage 26
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A pt can walk before the anesthetic is worn off
Antworten
- True
- False
Frage 27
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A strategy used to help relieve a pt pain during a dressing change is to encourage her to concentrate on a fav vacation spot. What is this non-pharmalogical pain intervention known as?
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Recall
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Distraction
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Imagery
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Relaxation exercises
Frage 28
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A pt complains of pain in a site that is different from where it originates. How does the nurse document this pain?
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Transient pain
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Superficial pain
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Phantom pain
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Referred pain
Frage 29
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Which one of the following responses would the nurse expect to assess as a physiological response to moderate pain?
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Restlessness
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Decreased heart rate
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Increased BP
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Protection of painful area
Frage 30
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Aspiration is a complication of a pt with an NG tube
Antworten
- True
- False
Frage 31
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Aspiration can lead to pneumonia, infection or potential abscess formation
Antworten
- True
- False
Frage 32
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A Salem Sump NG tube is:
Antworten
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Inserted by an RN
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Decompresses the GI tract
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Set to 40-80 mm/hg suction
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PH can be checked to ensure placement is correct
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pt able to eat and rink while using NG tube
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Pills can be crushed and given through NG tube
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pt should be lying flat
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HOB at 30 degrees
Frage 33
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The suction can be turned back on the NG tube after giving meds in:
Antworten
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0 minutes
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15 minutes
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30 minutes
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120 minutes
Frage 34
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The PH level in the stomach is:
Antworten
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1
-
2-3
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7.45
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12
Frage 35
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The NG tube placement can be measured from nose to earlobe to xyphoid
Antworten
- True
- False
Frage 36
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Assess the pt with an NG:
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Air vent not clamped, connected to suction and never used for irrigation
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Abdominal distension
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Condition of lips, throat, mouth
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Amount and characteristics of drainage
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Record amounts of drainage only
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Don't chart anything, it runs on its own just fine
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Tube secured to bridge of nose and pinned to gown
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HOB 30 degrees
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Suction set to doctors orders
Frage 37
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Types of ostomies are Colostony, Ileostomy and Urostomy
Antworten
- True
- False
Frage 38
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Ostomy Drainage looks like this:
Ascending: liquid or pasty/mushy
Transverse: Semi liquid to pasty
Decending: Semi-formed or formed
Sigmoid: Formed
Antworten
- True
- False
Frage 39
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If an ostomy is unheathly it will look like:
Antworten
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Pale pink
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blanching, dark red to purple
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red
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brown black
Frage 40
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Complications of a stoma:
Antworten
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It's ugly
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Skin Damage
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Obstruction
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Not cute
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Inadequate blood flow
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Stoma prolapse or protrusion
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It's loud at inappropriate times
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Fluid and Electrolyte imbalances
Frage 41
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Ileostomy care includes 1.5-2 liters of fluid daily and a low residue diet
Antworten
- True
- False
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