HIV/AIDS
The end stage of HIV infection, this is defined as the presence of a defining condition such as Kaposi's sarcoma and/or a CD4 count of less than 200 cells/mm3.
What is AIDS
Often inserted quickly in emergent situations, this type of central line is for short-term use and has a higher risk of infection.
What is a non-tunneled or simple CVC?
This type of burn causes redness, pain, and may have blistering, but heals without scarring.
What is Superficial Partial Thickness?
This is the most commonly used location for an arterial line.
What is the radial artery?
This task can NOT be delegated to the LPN.
Administer PO doxycycline
Administer bolus tube feeding
Administer packed red blood cells (PRBC)
What is administer PRBC?
What is Stage 2?
Inserted through a large vein in the arm by a trained nurse or physician, this type of central catheter is ideal for patients who need access lasting a few weeks.
What is a Peripherally Inserted Central Catheter (PICC)?
This technique allows for quick calculation of Total Body Surface Area of burns by dividing the body into set multiples.
What is the Rule of Nines?
When a patient is on high doses of this type of medication, non-invasive blood pressure monitoring will not be as accurate and an arterial line is indicated.
What are vasopressors?
This patient below is best assigned to an LPN.
A. A 30-year-old male patient with active GI bleeding that requires multiple blood transfusions.
B. A 29-year-old male patient who is post-op day 6 from a colostomy placement and is on a clear liquid diet.
C. A 55-year-old male patient who reports chest pain and has ST-segment elevation on his EKG.
Who is patient B?
This type of healthcare provider precautions were created in 1985 after the HIV epidemic to prevent transmission of bloodborne pathogens.
What are Universal Precautions?
This CVC insertion location is commonly used for insertion of a hemodynamic monitoring device, often in cardiac surgery.
What is Internal Jugular?
When a client presents to the emergency room with burns to face or soot in their nose or mouth, they are at increased risk for this type of injury.
What is Inhalation?
This point at the 4th intercostal space and halfway between the anterior and posterior of the chest falls about at the armpit and is the reference point for leveling hemodynamic monitoring transducers.
What is the Phlebostatic Axis?
This patient can safely be assigned to the LPN.
A. A 68 year-old male patient who is expected to be discharged home with IV antibiotic therapy.
B. A 25 year-old female patient newly admitted with diabetic ketoacidosis.
C. A 75 year-old male patient with dementia who has an ileostomy and scheduled tube feedings.
Who is patient C?
The primary goal of this type of therapy is to reduce replication of the HIV virus to levels that are undetectable in the blood.
What is Antiretroviral Therapy (ART)?
This type of nutrition requires the use of a Central Venous Catheter (CVC) device.
What is Total Parenteral Nutrition (TPN)?
This surgical procedure splits the muscle fascia to relieve compartment syndrome.
What is a Fasciotomy?
This point in the arterial line waveform symbolizes the closure of the aortic valve, marking the end of systole and the beginning of diastole.
What is the dicrotic notch?
This task cannot be delegated to the LPN.
A. Collecting a urine sample from an indwelling Foley catheter
B. Developing a plan of care for a patient who is admitted with Guillain-Barré Syndrome
C. Auscultating lung and bowel sounds
D. Providing wound care to a stage 3 pressure injury
What is task B?
This type of medication is a preventative medication that reduces the risk of contracting HIV for clients in a high-risk situation.
This type of CVC has a lower risk of infection, can be used for years, and is commonly used for patients receiving chemotherapy.
What is an implanted CVC? (or port-a-cath)
After calculating fluid resuscitation for a client with burns, initially, half of the total fluid requirement will be given over this many hours.
What is 8 hours?
Often caused by low bag pressure or a clot in tubing, this waveform will underestimate systolic pressure.
What is overdamped?
When care assignments are being made for patients with alterations related to gastrointestinal (GI) cancer, this patient would be the most appropriate to assign to an LPN.
A. A patient with severe anemia secondary to GI bleeding
B. A patient who needs enemas and antibiotics to control GI bacteria
C. A patient who needs preoperative teaching for bowel resection surgery
D. A patient who needs central line insertion for chemotherapy
Who is patient B?