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INP #1 IV Blood Med Admin Peri-op Pain NG Ostomy TPN Infection Control

Beschreibung

INP #1 IV Blood Med Admin Peri-op Pain NG Ostomy TPN Infection Control
Kim M
Quiz von Kim M, aktualisiert more than 1 year ago
Kim M
Erstellt von Kim M vor mehr als 6 Jahre
32
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Zusammenfassung der Ressource

Frage 1

Frage
Is the chain of infection: Infectious Agent -> Reservoir -> Portal of Entry -> Mode of Transmission -> Portal of Exit -> Host
Antworten
  • True
  • False

Frage 2

Frage
If your pt has CDIFF, what precautions do you use?
Antworten
  • Contact
  • Airborne
  • Droplet

Frage 3

Frage
If your pt has Tuberculosis, what precaution do you use?
Antworten
  • Contact
  • Droplet
  • Airborne

Frage 4

Frage
Determine the medication compatibility before setting up the IV line and/or piggyback.
Antworten
  • True
  • False

Frage 5

Frage
Should the 2nd IV line or piggyback be hung higher, same height or lower than the primary line?
Antworten
  • Higher
  • Lower
  • Same height

Frage 6

Frage
How do you know if an IV line is not functioning well?
Antworten
  • burning sensation
  • swelling
  • bleeding
  • warm to touch
  • itchy

Frage 7

Frage
Why would a pt get TPN (Total Parenteral Nutrition)?
Antworten
  • They're hungry
  • Unable to digest or absorb nutrition
  • Prefer to eat through an IV line instead of through mouth

Frage 8

Frage
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

Frage
What are the 3 top complications of TPN?
Antworten
  • Refeeding syndrome
  • Hypo/hyperglcemia
  • Fatty Liver
  • AKI
  • Dependancy

Frage 10

Frage
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

Frage
Pain is subjective and is what the pt tells you it is
Antworten
  • True
  • False, it's what I say it is
  • Pain is not that big a deal
  • Pain will make someone an addict so don't treat it much

Frage 12

Frage
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

Frage
How often should a pt deep breath and cough per hour?
Antworten
  • Once
  • 10 times
  • 30 times

Frage 14

Frage
What will splinting help with?
Antworten
  • Dehiscence prevention
  • Reduces pulling on incision, reducing pain
  • Make the pt look cool while coughing

Frage 15

Frage
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

Frage
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

Frage
Advantages of PCA:
Antworten
  • Patient Controlled
  • Immediate analgesia
  • Short term
  • Constant and steady pain relief
  • Nurses don't have to be involved
  • RN can set up
  • pt will get addicted to a new pain med

Frage 18

Frage
Disadvantages of PCA:
Antworten
  • Underuse
  • Fear
  • Requires peripheral IV
  • Manages pain inconsistantly
  • Possibility of incorrect pump programming

Frage 19

Frage
An epidural is a when an anesthetic is inserted through a cathetar to the epidural space
Antworten
  • True
  • False

Frage 20

Frage
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

Frage
Advantages of epidural
Antworten
  • Not very invasive
  • Severe pain relief
  • Small amount of medication needed

Frage 22

Frage
Biggest disadvantage for a pt getting an epidural?
Antworten
  • A needle poke into the lumbar
  • Migration of cathetar
  • sensory and motor are sometimes affected

Frage 23

Frage
A spinal advantages are:
Antworten
  • Autonomic. Motor, and Sensory blocks occur
  • Fast onset
  • A headache is the only side effect. Its not very bad.

Frage 24

Frage
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

Frage
What can be done if spinal bandage location is leaking?
Antworten
  • sbar doctor for a blood patch
  • Apply lots of pressure
  • Sit pt in high fowlers
  • Ignore it. It'll fix itself in due time. Not a biggie.

Frage 26

Frage
A pt can walk before the anesthetic is worn off
Antworten
  • True
  • False

Frage 27

Frage
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?
Antworten
  • Recall
  • Distraction
  • Imagery
  • Relaxation exercises

Frage 28

Frage
A pt complains of pain in a site that is different from where it originates. How does the nurse document this pain?
Antworten
  • Transient pain
  • Superficial pain
  • Phantom pain
  • Referred pain

Frage 29

Frage
Which one of the following responses would the nurse expect to assess as a physiological response to moderate pain?
Antworten
  • Restlessness
  • Decreased heart rate
  • Increased BP
  • Protection of painful area

Frage 30

Frage
Aspiration is a complication of a pt with an NG tube
Antworten
  • True
  • False

Frage 31

Frage
Aspiration can lead to pneumonia, infection or potential abscess formation
Antworten
  • True
  • False

Frage 32

Frage
A Salem Sump NG tube is:
Antworten
  • Inserted by an RN
  • Decompresses the GI tract
  • Set to 40-80 mm/hg suction
  • PH can be checked to ensure placement is correct
  • pt able to eat and rink while using NG tube
  • Pills can be crushed and given through NG tube
  • pt should be lying flat
  • HOB at 30 degrees

Frage 33

Frage
The suction can be turned back on the NG tube after giving meds in:
Antworten
  • 0 minutes
  • 15 minutes
  • 30 minutes
  • 120 minutes

Frage 34

Frage
The PH level in the stomach is:
Antworten
  • 1
  • 2-3
  • 7.45
  • 12

Frage 35

Frage
The NG tube placement can be measured from nose to earlobe to xyphoid
Antworten
  • True
  • False

Frage 36

Frage
Assess the pt with an NG:
Antworten
  • Air vent not clamped, connected to suction and never used for irrigation
  • Abdominal distension
  • Condition of lips, throat, mouth
  • Amount and characteristics of drainage
  • Record amounts of drainage only
  • Don't chart anything, it runs on its own just fine
  • Tube secured to bridge of nose and pinned to gown
  • HOB 30 degrees
  • Suction set to doctors orders

Frage 37

Frage
Types of ostomies are Colostony, Ileostomy and Urostomy
Antworten
  • True
  • False

Frage 38

Frage
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

Frage
If an ostomy is unheathly it will look like:
Antworten
  • Pale pink
  • blanching, dark red to purple
  • red
  • brown black

Frage 40

Frage
Complications of a stoma:
Antworten
  • It's ugly
  • Skin Damage
  • Obstruction
  • Not cute
  • Inadequate blood flow
  • Stoma prolapse or protrusion
  • It's loud at inappropriate times
  • Fluid and Electrolyte imbalances

Frage 41

Frage
Ileostomy care includes 1.5-2 liters of fluid daily and a low residue diet
Antworten
  • True
  • False
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