Place the client in this position which closes off the trachea and opens the esophagus
What is high Fowler's position with the head tilted forward
100
A visitor knocks over a chest tube container and the nurse should immediately do this
What is place the end of the tube in sterile water below the level of the chest tube
100
The drop factor for IV microtubing
What is 60
100
In caring for a young child with pain, which assessment tool is the most useful
What is the face pain rating scale
(Wong- Bakers etc.)
100
How long does the nurse stay and monitor the client to ensure a transfusion reaction will does not occur
What is the first 15 minutes
200
Always do this before instilling anything in the NGT.
What is check placement
200
A nurse is preparing a client for his chest tube removal. She instructs the client to perform this
What is Valsalva Maneuver
200
Name two isotonic IV fluids
What is 9% Sodium Chloride (normal Saline)
What is Lactated Ringers (LR)
200
Which route for medication is preferred when immediate pain medication and rapid administration is needed
What is IV
200
Which intravenous standard solution is used to follow infusion of blood products
What is 0.9% sodium chloride
(Normal Saline)
300
This is how you measure for an NGT
What is bridge of the nose to earlobe to xiphoid process
300
How often do you check residuals
What is every 4-6 hours, and before administering next feeding and medications
300
Which is the larger IV catheter : 14, 16, 18, 20 guage
What is 14 gauge (the smaller the gauge number the larger the lumen
300
What is the best way to schedule medication for a patient with chronic pain
What is around-the-clock
300
During the administration of a blood transfusion; the patient begins to experience difficulty breathing, severe puritis, and chills. What is the nurses initial action?
What is stop the infusion
400
This is how you check placement after the intital insertion of the tube
What is an abdominal xray
400
During the insertion of an NGT the client starts to cough. The nurse should do this
What is withdraw the tube slightly and stop until the patient is no longer in distress.
400
How to check to make sure an IV catheter is in the vein
What is lower the bag below the IV site and watch to make sure there is a blood return
400
Which assessment would be the highest priority for a nurse to monitor during the administration of morphine
What is the respiratory rate
400
Before a blood transfusion this is done to check for the compatibility of blood
What is crossmatch
500
How to check placement after x-ray confirmation
What is aspirate and check pH (pH of 3.5 or lower indicates that the tube is n the stomach.
500
Purpose of NG tubes
What is gastric decompression
500
Inflammation of the vein
What is phlebitis
500
You enter into a patients room complaining of 10/10 pain. As you enter into her room you notice that she is laughing on the phone, watching television and painting her fingernails. What would be the next nursing action for the nurse to employ
What is give the total dose of pain medication
500
What would the nurse assess before the transfusion and the first 15 minutes after a blood transfusion