Questão 1
Questão
Is the chain of infection: Infectious Agent -> Reservoir -> Portal of Entry -> Mode of Transmission -> Portal of Exit -> Host
Questão 2
Questão
If your pt has CDIFF, what precautions do you use?
Questão 3
Questão
If your pt has Tuberculosis, what precaution do you use?
Questão 4
Questão
Determine the medication compatibility before setting up the IV line and/or piggyback.
Questão 5
Questão
Should the 2nd IV line or piggyback be hung higher, same height or lower than the primary line?
Questão 6
Questão
How do you know if an IV line is not functioning well?
Responda
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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
Questão 7
Questão
Why would a pt get TPN (Total Parenteral Nutrition)?
Questão 8
Questão
Refeeding syndrome is when the body is not used to the increase or decrease of nutrition and electrolyte imbalances can occur
Questão 9
Questão
What are the 3 top complications of TPN?
Responda
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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
Questão 10
Questão
A pt may experience pain post-op due to surgical manipulation of tissues, treatments, or positioning on the OR table.
Questão 11
Questão
Pain is subjective and is what the pt tells you it is
Responda
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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
Questão 12
Questão
A nurse can sign the consent form for a pt before they go for sx if we've chatted about the procedure.
Questão 13
Questão
How often should a pt deep breath and cough per hour?
Questão 14
Questão
What will splinting help with?
Questão 15
Questão
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.
Questão 16
Questão
If a pt has PCA hooked up, they are dependant on pushing the button only when they nurse is available
Questão 17
Questão
Advantages of PCA:
Responda
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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
Questão 18
Questão
Disadvantages of PCA:
Questão 19
Questão
An epidural is a when an anesthetic is inserted through a cathetar to the epidural space
Questão 20
Questão
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
Questão 21
Questão
Advantages of epidural
Questão 22
Questão
Biggest disadvantage for a pt getting an epidural?
Questão 23
Questão
A spinal advantages are:
Questão 24
Questão
Motor and Sensory bock come back first, then Pain block and last sympathetic block when a spinal is wearing off
Questão 25
Questão
What can be done if spinal bandage location is leaking?
Questão 26
Questão
A pt can walk before the anesthetic is worn off
Questão 27
Questão
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?
Responda
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Recall
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Distraction
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Imagery
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Relaxation exercises
Questão 28
Questão
A pt complains of pain in a site that is different from where it originates. How does the nurse document this pain?
Responda
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Transient pain
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Superficial pain
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Phantom pain
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Referred pain
Questão 29
Questão
Which one of the following responses would the nurse expect to assess as a physiological response to moderate pain?
Questão 30
Questão
Aspiration is a complication of a pt with an NG tube
Questão 31
Questão
Aspiration can lead to pneumonia, infection or potential abscess formation
Questão 32
Questão
A Salem Sump NG tube is:
Responda
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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
Questão 33
Questão
The suction can be turned back on the NG tube after giving meds in:
Responda
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0 minutes
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15 minutes
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30 minutes
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120 minutes
Questão 34
Questão
The PH level in the stomach is:
Questão 35
Questão
The NG tube placement can be measured from nose to earlobe to xyphoid
Questão 36
Questão
Assess the pt with an NG:
Responda
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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
Questão 37
Questão
Types of ostomies are Colostony, Ileostomy and Urostomy
Questão 38
Questão
Ostomy Drainage looks like this:
Ascending: liquid or pasty/mushy
Transverse: Semi liquid to pasty
Decending: Semi-formed or formed
Sigmoid: Formed
Questão 39
Questão
If an ostomy is unheathly it will look like:
Questão 40
Questão
Complications of a stoma:
Responda
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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
Questão 41
Questão
Ileostomy care includes 1.5-2 liters of fluid daily and a low residue diet