13837514
Pregunta 1
Pregunta
Is the chain of infection: Infectious Agent -> Reservoir -> Portal of Entry -> Mode of Transmission -> Portal of Exit -> Host
Respuesta
- True
- False
Pregunta 2
Pregunta
If your pt has CDIFF, what precautions do you use?
Respuesta
-
Contact
-
Airborne
-
Droplet
Pregunta 3
Pregunta
If your pt has Tuberculosis, what precaution do you use?
Respuesta
-
Contact
-
Droplet
-
Airborne
Pregunta 4
Pregunta
Determine the medication compatibility before setting up the IV line and/or piggyback.
Respuesta
- True
- False
Pregunta 5
Pregunta
Should the 2nd IV line or piggyback be hung higher, same height or lower than the primary line?
Respuesta
-
Higher
-
Lower
-
Same height
Pregunta 6
Pregunta
How do you know if an IV line is not functioning well?
Respuesta
-
burning sensation
-
swelling
-
bleeding
-
warm to touch
-
itchy
Pregunta 7
Pregunta
Why would a pt get TPN (Total Parenteral Nutrition)?
Respuesta
-
They're hungry
-
Unable to digest or absorb nutrition
-
Prefer to eat through an IV line instead of through mouth
Pregunta 8
Pregunta
Refeeding syndrome is when the body is not used to the increase or decrease of nutrition and electrolyte imbalances can occur
Respuesta
- True
- False
Pregunta 9
Pregunta
What are the 3 top complications of TPN?
Respuesta
-
Refeeding syndrome
-
Hypo/hyperglcemia
-
Fatty Liver
-
AKI
-
Dependancy
Pregunta 10
Pregunta
A pt may experience pain post-op due to surgical manipulation of tissues, treatments, or positioning on the OR table.
Respuesta
- True
- False
Pregunta 11
Pregunta
Pain is subjective and is what the pt tells you it is
Respuesta
-
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
Pregunta 12
Pregunta
A nurse can sign the consent form for a pt before they go for sx if we've chatted about the procedure.
Respuesta
- True
- False
Pregunta 13
Pregunta
How often should a pt deep breath and cough per hour?
Respuesta
-
Once
-
10 times
-
30 times
Pregunta 14
Pregunta
What will splinting help with?
Respuesta
-
Dehiscence prevention
-
Reduces pulling on incision, reducing pain
-
Make the pt look cool while coughing
Pregunta 15
Pregunta
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.
Respuesta
- True
- False
Pregunta 16
Pregunta
If a pt has PCA hooked up, they are dependant on pushing the button only when they nurse is available
Respuesta
- True
- False
Pregunta 17
Pregunta
Advantages of PCA:
Respuesta
-
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
Pregunta 18
Pregunta
Disadvantages of PCA:
Respuesta
-
Underuse
-
Fear
-
Requires peripheral IV
-
Manages pain inconsistantly
-
Possibility of incorrect pump programming
Pregunta 19
Pregunta
An epidural is a when an anesthetic is inserted through a cathetar to the epidural space
Respuesta
- True
- False
Pregunta 20
Pregunta
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
Respuesta
- True
- False
Pregunta 21
Pregunta
Advantages of epidural
Respuesta
-
Not very invasive
-
Severe pain relief
-
Small amount of medication needed
Pregunta 22
Pregunta
Biggest disadvantage for a pt getting an epidural?
Respuesta
-
A needle poke into the lumbar
-
Migration of cathetar
-
sensory and motor are sometimes affected
Pregunta 23
Pregunta
A spinal advantages are:
Respuesta
-
Autonomic. Motor, and Sensory blocks occur
-
Fast onset
-
A headache is the only side effect. Its not very bad.
Pregunta 24
Pregunta
Motor and Sensory bock come back first, then Pain block and last sympathetic block when a spinal is wearing off
Respuesta
- True
- False
Pregunta 25
Pregunta
What can be done if spinal bandage location is leaking?
Respuesta
-
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.
Pregunta 26
Pregunta
A pt can walk before the anesthetic is worn off
Respuesta
- True
- False
Pregunta 27
Pregunta
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?
Respuesta
-
Recall
-
Distraction
-
Imagery
-
Relaxation exercises
Pregunta 28
Pregunta
A pt complains of pain in a site that is different from where it originates. How does the nurse document this pain?
Respuesta
-
Transient pain
-
Superficial pain
-
Phantom pain
-
Referred pain
Pregunta 29
Pregunta
Which one of the following responses would the nurse expect to assess as a physiological response to moderate pain?
Respuesta
-
Restlessness
-
Decreased heart rate
-
Increased BP
-
Protection of painful area
Pregunta 30
Pregunta
Aspiration is a complication of a pt with an NG tube
Respuesta
- True
- False
Pregunta 31
Pregunta
Aspiration can lead to pneumonia, infection or potential abscess formation
Respuesta
- True
- False
Pregunta 32
Pregunta
A Salem Sump NG tube is:
Respuesta
-
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
Pregunta 33
Pregunta
The suction can be turned back on the NG tube after giving meds in:
Respuesta
-
0 minutes
-
15 minutes
-
30 minutes
-
120 minutes
Pregunta 34
Pregunta
The PH level in the stomach is:
Respuesta
-
1
-
2-3
-
7.45
-
12
Pregunta 35
Pregunta
The NG tube placement can be measured from nose to earlobe to xyphoid
Respuesta
- True
- False
Pregunta 36
Pregunta
Assess the pt with an NG:
Respuesta
-
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
Pregunta 37
Pregunta
Types of ostomies are Colostony, Ileostomy and Urostomy
Respuesta
- True
- False
Pregunta 38
Pregunta
Ostomy Drainage looks like this:
Ascending: liquid or pasty/mushy
Transverse: Semi liquid to pasty
Decending: Semi-formed or formed
Sigmoid: Formed
Respuesta
- True
- False
Pregunta 39
Pregunta
If an ostomy is unheathly it will look like:
Respuesta
-
Pale pink
-
blanching, dark red to purple
-
red
-
brown black
Pregunta 40
Pregunta
Complications of a stoma:
Respuesta
-
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
Pregunta 41
Pregunta
Ileostomy care includes 1.5-2 liters of fluid daily and a low residue diet
Respuesta
- True
- False
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