Take my breath away
What is tidaling
The most accurate method to confirm NG tube placement
What is an X-ray
What is pink/red (beefy)
A patient receiving IV fluids develops a cool, swollen site and the infusion slows. What is the priority action?
What is stop the IV infusion
During a 12-lead ECG, the nurse places an electrode at the 4th intercostal space to the right of the sternum. This electrode corresponds to which lead, and what is its landmark name?
What is V1 at the right sternal border (aortic)
Continuous bubbling in the water seal chamber indicates this
What is an air leak
Normal gastric pH indicating correct placement
What is less than 5.5
When should an ostomy bag be emptied
What is when it is 1/3 full
A patient with atrial fibrillation suddenly becomes hypotensive and confused. What is the next intervention?
What is synchronized cardioversion
A patient's ECG shows a constant PR interval with intermittent dropped QRS complexes. The patient is currently stable. What rhythm is this, and what is the appropriate intervention?
What is 2nd degree AV block, monitor (no immediate treatment if stable)
The maximum time to suction an airway in seconds
What is 10-15 seconds
What is HOB 30-45 degrees
This indicates a compromised stoma and is an emergency
What is blue or black stoma
A patient receiving tube feedings begins vomiting and has abdominal distention. What is the nurse's first action?
What is stop the feeding
A patient presents with atrial flutter is stable and hemodynamically normal. Which medications may be used to manage this rhythm?
What are amiodarone, sotalol, and or diltiazem
This must always be kept below the chest in a chest tube system
What is teh drainage system
This type of NG tube is used for feeding and medications
What is a small-bore tube
what is low fiber
A patient with a chest tube has continues bubbling in the water seal chamber. What does the nurse do first?
A patients IV site is red, warm, painful, and the vein feels hard. The nurse suspects phlebitis. What is the priority nursing action?
What is stop the infusion and remove/change the IV site?
Immediate action if a chest tube is dislodged from the patient
What is apply an occlusive dressing
This is the FIRST step before giving meds via NG tube
What is verify placement
How often should the pouching system be changed?
What is every 3-7 days
A patient receiving IV fluids becomes dyspneic with crackles and distended neck veins. At the same time, their BP is rising. What is the priority intervention
What is stop the IV infusion and elevate the head of the bed
A patient with a central line suddenly develops shortness of breath, hypotension, and tachycardia after the IV tubing becomes disconnected. At the same time, the cardiac monitor shows ventricular tachycardia. The nurse notes the patient becomes unresponsive and pulseless seconds later. Based on this progression, identify the MOST likely complication AND the immediate sequence of priority interventions.
What is an air embolism leading to cardiac arrest; clamp the line, place the patient in left-side Trendelenburg, initiate CPR, and prepare for defibrillation?