Kim M
Quiz by , created more than 1 year ago

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

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

Question 1 of 41

1

Is the chain of infection: Infectious Agent -> Reservoir -> Portal of Entry -> Mode of Transmission -> Portal of Exit -> Host

Select one of the following:

  • True
  • False

Explanation

Question 2 of 41

1

If your pt has CDIFF, what precautions do you use?

Select one of the following:

  • Contact

  • Airborne

  • Droplet

Explanation

Question 3 of 41

1

If your pt has Tuberculosis, what precaution do you use?

Select one of the following:

  • Contact

  • Droplet

  • Airborne

Explanation

Question 4 of 41

1

Determine the medication compatibility before setting up the IV line and/or piggyback.

Select one of the following:

  • True
  • False

Explanation

Question 5 of 41

1

Should the 2nd IV line or piggyback be hung higher, same height or lower than the primary line?

Select one of the following:

  • Higher

  • Lower

  • Same height

Explanation

Question 6 of 41

1

How do you know if an IV line is not functioning well?

Select one or more of the following:

  • burning sensation

  • swelling

  • bleeding

  • warm to touch

  • itchy

Explanation

Question 7 of 41

1

Why would a pt get TPN (Total Parenteral Nutrition)?

Select one of the following:

  • They're hungry

  • Unable to digest or absorb nutrition

  • Prefer to eat through an IV line instead of through mouth

Explanation

Question 8 of 41

1

Refeeding syndrome is when the body is not used to the increase or decrease of nutrition and electrolyte imbalances can occur

Select one of the following:

  • True
  • False

Explanation

Question 9 of 41

1

What are the 3 top complications of TPN?

Select one or more of the following:

  • Refeeding syndrome

  • Hypo/hyperglcemia

  • Fatty Liver

  • AKI

  • Dependancy

Explanation

Question 10 of 41

1

A pt may experience pain post-op due to surgical manipulation of tissues, treatments, or positioning on the OR table.

Select one of the following:

  • True
  • False

Explanation

Question 11 of 41

1

Pain is subjective and is what the pt tells you it is

Select one of the following:

  • 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

Explanation

Question 12 of 41

1

A nurse can sign the consent form for a pt before they go for sx if we've chatted about the procedure.

Select one of the following:

  • True
  • False

Explanation

Question 13 of 41

1

How often should a pt deep breath and cough per hour?

Select one of the following:

  • Once

  • 10 times

  • 30 times

Explanation

Question 14 of 41

1

What will splinting help with?

Select one or more of the following:

  • Dehiscence prevention

  • Reduces pulling on incision, reducing pain

  • Make the pt look cool while coughing

Explanation

Question 15 of 41

1

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.

Select one of the following:

  • True
  • False

Explanation

Question 16 of 41

1

If a pt has PCA hooked up, they are dependant on pushing the button only when they nurse is available

Select one of the following:

  • True
  • False

Explanation

Question 17 of 41

1

Advantages of PCA:

Select one or more of the following:

  • 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

Explanation

Question 18 of 41

1

Disadvantages of PCA:

Select one or more of the following:

  • Underuse

  • Fear

  • Requires peripheral IV

  • Manages pain inconsistantly

  • Possibility of incorrect pump programming

Explanation

Question 19 of 41

1

An epidural is a when an anesthetic is inserted through a cathetar to the epidural space

Select one of the following:

  • True
  • False

Explanation

Question 20 of 41

1

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

Select one of the following:

  • True
  • False

Explanation

Question 21 of 41

1

Advantages of epidural

Select one or more of the following:

  • Not very invasive

  • Severe pain relief

  • Small amount of medication needed

Explanation

Question 22 of 41

1

Biggest disadvantage for a pt getting an epidural?

Select one of the following:

  • A needle poke into the lumbar

  • Migration of cathetar

  • sensory and motor are sometimes affected

Explanation

Question 23 of 41

1

A spinal advantages are:

Select one or more of the following:

  • Autonomic. Motor, and Sensory blocks occur

  • Fast onset

  • A headache is the only side effect. Its not very bad.

Explanation

Question 24 of 41

1

Motor and Sensory bock come back first, then Pain block and last sympathetic block when a spinal is wearing off

Select one of the following:

  • True
  • False

Explanation

Question 25 of 41

1

What can be done if spinal bandage location is leaking?

Select one of the following:

  • 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.

Explanation

Question 26 of 41

1

A pt can walk before the anesthetic is worn off

Select one of the following:

  • True
  • False

Explanation

Question 27 of 41

1

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?

Select one of the following:

  • Recall

  • Distraction

  • Imagery

  • Relaxation exercises

Explanation

Question 28 of 41

1

A pt complains of pain in a site that is different from where it originates. How does the nurse document this pain?

Select one of the following:

  • Transient pain

  • Superficial pain

  • Phantom pain

  • Referred pain

Explanation

Question 29 of 41

1

Which one of the following responses would the nurse expect to assess as a physiological response to moderate pain?

Select one of the following:

  • Restlessness

  • Decreased heart rate

  • Increased BP

  • Protection of painful area

Explanation

Question 30 of 41

1

Aspiration is a complication of a pt with an NG tube

Select one of the following:

  • True
  • False

Explanation

Question 31 of 41

1

Aspiration can lead to pneumonia, infection or potential abscess formation

Select one of the following:

  • True
  • False

Explanation

Question 32 of 41

1

A Salem Sump NG tube is:

Select one or more of the following:

  • 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

Explanation

Question 33 of 41

1

The suction can be turned back on the NG tube after giving meds in:

Select one of the following:

  • 0 minutes

  • 15 minutes

  • 30 minutes

  • 120 minutes

Explanation

Question 34 of 41

1

The PH level in the stomach is:

Select one of the following:

  • 1

  • 2-3

  • 7.45

  • 12

Explanation

Question 35 of 41

1

The NG tube placement can be measured from nose to earlobe to xyphoid

Select one of the following:

  • True
  • False

Explanation

Question 36 of 41

1

Assess the pt with an NG:

Select one or more of the following:

  • 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

Explanation

Question 37 of 41

1

Types of ostomies are Colostony, Ileostomy and Urostomy

Select one of the following:

  • True
  • False

Explanation

Question 38 of 41

1

Ostomy Drainage looks like this:
Ascending: liquid or pasty/mushy
Transverse: Semi liquid to pasty
Decending: Semi-formed or formed
Sigmoid: Formed

Select one of the following:

  • True
  • False

Explanation

Question 39 of 41

1

If an ostomy is unheathly it will look like:

Select one or more of the following:

  • Pale pink

  • blanching, dark red to purple

  • red

  • brown black

Explanation

Question 40 of 41

1

Complications of a stoma:

Select one or more of the following:

  • 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

Explanation

Question 41 of 41

1

Ileostomy care includes 1.5-2 liters of fluid daily and a low residue diet

Select one of the following:

  • True
  • False

Explanation

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