Tubes, tubes, tubes
Central Lines
EKG
IV & Push Meds
Complications
100

This reason for chest tube placement is also referred to as a collapsed lung.

What is a pneumothorax?

100

The initial PICC dressing should be changed at this interval, if is not soiled early.

What is 7 days?

100

The first action the RN performs when he/she sees asystole on the telemetry monitor. 

What is check the patient (for breathing, pulse, responsiveness, lead placement)?

100

An 18 or 20 gauge IV is ideal for giving a patient this treatment for anemia.

What is a blood transfusion?

100

An IV site that is cool, pale, painful and swollen would be signs of this complication.

What is infiltrated (or infiltration)?

200

NG tube gastric contents below pH of 5 suggest the tube is located in this organ.

What is the stomach?

200

This sterile supply is replaced during a dressing change with the printed (blue) side facing away from the skin and edges touching each other under the exposed catheter. 

What is a biopatch?

200

This medication is often ordered and given to a patient with bradycardia who is dizzy and feeling extremely weak.

What is Atropine?

200

A 24 gauge IV would be appropriate for this patient population.

What is infant (or young child)? Or an elderly patient with small veins.

200

A side effect of pushing IV furosemide (Lasix) too quickly. 

What is ototoxicity?

300
Normally seen during inspiration and expiration in the water seal chamber, this fluctuation indicates chest tube patency.

What is tidaling?

300

This size syringe (in mLs) is what the RN would use to properly flush a central line.

What is 10mLs (or greater)?

300

This part of the ECG changes when is patient is suspected to have a myocardial infarction.

What is ST elevation or depression?

300

When starting an IV, the RN sees this in the backflash chamber indicating the IV catheter is located in the patient's vein. 

What is blood?

300

A blood transfusion reaction with signs of fever, hypotension, tachycardia but no pain.

What is a febrile reaction?

400

These two methods are safe practices to confirm NG tube placement.

What is chest x-ray and pH measurement of gastric contents.

400

True or False: To access a patient's port that is embedded under the skin, only clean (non-sterile) gloves are required.

What is False.

400

This EKG dysrhythmia is known for a heart rate greater than 100 and has extremely wide QRS complexes.

What is Ventricular Tachycardia (V-Tach)?

400

An adult patient with history of a left mastectomy with lymph node removal will have the IV placed on this arm.

What is right?

400

Potential complications with this type of line (or access) include dysrhymias, occlusion and severe infection.  

What is a central line?

500

With a Salem sump NG tube (requiring suction) this level of continuous suction will likely be ordered.

What is low?

500

The tip of the central line catheter should be located at the junction of the superior vena cava and this chamber of the heart. 

What is right atrium?

500

A sinus rhythm with an early, wide QRS complex 

What is Premature Ventricular Contraction (PVC)?

500

The rate at which the flush should be pushed after administering an IVP medication.

What is the same push rate as the medication?

500

The RN will cover the insertion site with a sterile dressing and tape down 3 sides when this complication occurs?

What is accidental chest tube removal?
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