what is the ideal type of gauge used for blood administration.
18-20gauge
name all abdomen sounds
absent
hypoactive
active
hyperactive
what color are each gauge
18-green
20-pink
22-blue
24-yellow
donning and doffing isolation precautions
donning: gown, mask, goggles, gloves
doffing: gloves, gown, goggles, mask
how does one assess for neuro status
name, date, time, situation.
CN checks
what are the various names for the trachs, which one is replaceable which one is reusable?
shiley (disposable) and portex (reusable)
sequence to assessing abdomen
assess, auscultate, palpate, percuss
walk me through glucose testing
gather supplies (glucometer, cotton, lancets and alcohol pad)
wipe alcohol pad to thumb, lancet the side of finger, wipe first drop with cotton ball and gather specemin
what are the difference in administering oral, buccal and sublingual medications
Oral: by mouth either liquid or tablet form have patient swallow
buccal: administration through cheek, typically patch till disolved
sublingual: underneath the tongue
what are we assessing in the GU system
urine output (occurrence, amount, smell) peri area for cuts, lesions.
chest tube is used for which types of patients (diagnosis)
respiratory issues- pnuemothorax, pleural effusion, hemothorax
palpating the kidneys is called what
costovertebral angle
name the various types of pressure ulcers and differentiaton
stg I- unbleachable redness skin
stg II- first layer of skin off- open
stg III- fat and muscle
stg IV-bone
unstagable- eschar, necrotic tissue
name all the various types of restraints and what type of tie would make it secured and where on the bed?
quick release knott on the bed frame
posey, soft restraints, hard restraints, mittens, bed cage, chemical restraints
what does PERRLA stand for, how does one test for it?
pupils equal round reactive to light accommodation
pen light-following finger
you are obtaining an order from a physician for pain medication who is complaining of severe pain, patient has a peg tube with severe dysphagia noted.
"norco q4hr prn pain"
is this order correct?
no, did not give dosage amount and route.
what are the heart sounds? (APE to Man)
Aortic, Pulmonic, Erb's point, Tricuspid, and Mitral
explain urine collection from foley
gather supplies, clamp foley for 10-15 minutes, clean port with alcohol wipes, insert syringe and draw up 10-30cc of urine. put in sample cup with patient name, date time, initial, and what sample it is
your doctor ordered Lanoxin (digoxin) 0.375mg PO, what you have available is 250mcg of scored tablets. how many tablets are you administering to your patient?
1.5 tabs
Name all the pulses
carotid, temporal, brachial, radial, apical, femoral, popliteal, poster tibialis, dorsalis pedis
explain wound care. clean or sterile technique
irrigate wound, measurements of length, width, depth, any tunneling. utilizing doctors order apply dressing.
label with name, date, time and initials
what are abnormal lung sounds
rhonchi, crackles, coarse, diminished, cheyne strokes, wheezing
explain colostomy and how to change. sterile or clean technique
assess stoma, it excretes stool. measure stoma, obtain colostomy pouch cut to measurement and apply with adhesive device. must assess skin prior to application.
explain trach care
gather supplies, hyper oxygenate patient, and set up field. sterile precaution and field. take out inner cannula, clean cannula if reusable, or throw away if not. insert back cannula. change dressing below the trach as well as trach ties
where would a chair be placed for patient who has weakness
chair would be placed on their stronger side