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

Descrição

INP #1 IV Blood Med Admin Peri-op Pain NG Ostomy TPN Infection Control
Kim M
Quiz por Kim M, atualizado more than 1 year ago
Kim M
Criado por Kim M aproximadamente 6 anos atrás
26
0

Resumo de Recurso

Questão 1

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

Questão 2

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

Questão 3

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

Questão 4

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

Questão 5

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

Questão 6

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

Questão 7

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

Questão 8

Questão
Refeeding syndrome is when the body is not used to the increase or decrease of nutrition and electrolyte imbalances can occur
Responda
  • True
  • False

Questão 9

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

Questão 10

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

Questão 11

Questão
Pain is subjective and is what the pt tells you it is
Responda
  • 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

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.
Responda
  • True
  • False

Questão 13

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

Questão 14

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

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.
Responda
  • True
  • False

Questão 16

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

Questão 17

Questão
Advantages of PCA:
Responda
  • 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

Questão 18

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

Questão 19

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

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
Responda
  • True
  • False

Questão 21

Questão
Advantages of epidural
Responda
  • Not very invasive
  • Severe pain relief
  • Small amount of medication needed

Questão 22

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

Questão 23

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

Questão 24

Questão
Motor and Sensory bock come back first, then Pain block and last sympathetic block when a spinal is wearing off
Responda
  • True
  • False

Questão 25

Questão
What can be done if spinal bandage location is leaking?
Responda
  • 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.

Questão 26

Questão
A pt can walk before the anesthetic is worn off
Responda
  • True
  • False

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
  • Recall
  • Distraction
  • Imagery
  • 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
  • Transient pain
  • Superficial pain
  • Phantom pain
  • Referred pain

Questão 29

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

Questão 30

Questão
Aspiration is a complication of a pt with an NG tube
Responda
  • True
  • False

Questão 31

Questão
Aspiration can lead to pneumonia, infection or potential abscess formation
Responda
  • True
  • False

Questão 32

Questão
A Salem Sump NG tube is:
Responda
  • 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

Questão 33

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

Questão 34

Questão
The PH level in the stomach is:
Responda
  • 1
  • 2-3
  • 7.45
  • 12

Questão 35

Questão
The NG tube placement can be measured from nose to earlobe to xyphoid
Responda
  • True
  • False

Questão 36

Questão
Assess the pt with an NG:
Responda
  • 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

Questão 37

Questão
Types of ostomies are Colostony, Ileostomy and Urostomy
Responda
  • True
  • False

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
Responda
  • True
  • False

Questão 39

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

Questão 40

Questão
Complications of a stoma:
Responda
  • 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

Questão 41

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

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