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

1

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

1

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

1

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

1

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

1

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

1

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

1

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

1

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

1

What are the 3 top complications of TPN?

1

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

1

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

1

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

1

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

1

What will splinting help with?

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.

1

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

1

Advantages of PCA:

1

Disadvantages of PCA:

1

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

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

1

Advantages of epidural

1

Biggest disadvantage for a pt getting an epidural?

1

A spinal advantages are:

1

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

1

What can be done if spinal bandage location is leaking?

1

A pt can walk before the anesthetic is worn off

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?

1

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

1

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

1

Aspiration is a complication of a pt with an NG tube

1

Aspiration can lead to pneumonia, infection or potential abscess formation

1

A Salem Sump NG tube is:

1

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

1

The PH level in the stomach is:

1

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

1

Assess the pt with an NG:

1

Types of ostomies are Colostony, Ileostomy and Urostomy

1

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

1

If an ostomy is unheathly it will look like:

1

Complications of a stoma: