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

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INP #1 IV Blood Med Admin Peri-op Pain NG Ostomy TPN Infection Control
Kim M
Quiz by Kim M, updated more than 1 year ago
Kim M
Created by Kim M over 6 years ago
32
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0

Resource summary

Question 1

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

Question 2

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

Question 3

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

Question 4

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

Question 5

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

Question 6

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

Question 7

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

Question 8

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

Question 9

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

Question 10

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

Question 11

Question
Pain is subjective and is what the pt tells you it is
Answer
  • 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

Question 12

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

Question 13

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

Question 14

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

Question 15

Question
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.
Answer
  • True
  • False

Question 16

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

Question 17

Question
Advantages of PCA:
Answer
  • 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

Question 18

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

Question 19

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

Question 20

Question
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
Answer
  • True
  • False

Question 21

Question
Advantages of epidural
Answer
  • Not very invasive
  • Severe pain relief
  • Small amount of medication needed

Question 22

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

Question 23

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

Question 24

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

Question 25

Question
What can be done if spinal bandage location is leaking?
Answer
  • 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.

Question 26

Question
A pt can walk before the anesthetic is worn off
Answer
  • True
  • False

Question 27

Question
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?
Answer
  • Recall
  • Distraction
  • Imagery
  • Relaxation exercises

Question 28

Question
A pt complains of pain in a site that is different from where it originates. How does the nurse document this pain?
Answer
  • Transient pain
  • Superficial pain
  • Phantom pain
  • Referred pain

Question 29

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

Question 30

Question
Aspiration is a complication of a pt with an NG tube
Answer
  • True
  • False

Question 31

Question
Aspiration can lead to pneumonia, infection or potential abscess formation
Answer
  • True
  • False

Question 32

Question
A Salem Sump NG tube is:
Answer
  • 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

Question 33

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

Question 34

Question
The PH level in the stomach is:
Answer
  • 1
  • 2-3
  • 7.45
  • 12

Question 35

Question
The NG tube placement can be measured from nose to earlobe to xyphoid
Answer
  • True
  • False

Question 36

Question
Assess the pt with an NG:
Answer
  • 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

Question 37

Question
Types of ostomies are Colostony, Ileostomy and Urostomy
Answer
  • True
  • False

Question 38

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

Question 39

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

Question 40

Question
Complications of a stoma:
Answer
  • 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

Question 41

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