Medications
A terminally ill patient rates pain 9/10, after checking vitals the respirations are 6. What should the nurse administer?
Pain Meds/opioids
What should you do if a TPN tube becomes clogged?
Flush with warm water using a back-and-forth motion
What is the order for an abdominal assessment?
Inspection, auscultation, percussion and palpation
What does good differentiation mean?
Cells look like parent cell
A pt with a Foley catheter is at an increased risk for?
a CAUTI
What does finasteride do? Any special considerations?
It decreases the size of the prostate and women of childbearing age should wear gloves.
For an NG tube how many ML would you flush with before and after each medication?
15 mL
The chronic inflammatory bowel disease that specifically affects the digestive tract?
Crohn’s disease
What is the worst lung cancer diagnoses and why?
Small cell carcinoma and rapid metastasis.
How often should you do oral care for a patient with an NG tube?
Every 2-4 hours
Education for a neutropenic patient Filgrastim?
They may experience bone pain
Considerations for an abdominal assessment?
Good lighting, pt relaxed and supine, empty bladder, and use warm hands
Patient suffering from ulcerative colitis may need dietary modifications that often being avoiding foods high in what during flareups?
Fiber and/or lactose
Signs of left sided colon cancer?
Stool changes (ribbon or pencil shaped) and bright red blood in stool
How would you verify NG tube placement?
X-ray, measurement of tube length and measurement of tube marking, measurement of aspirate pH, and monitoring of carbon dioxide
A pt on Pantoprazole develops a rash, what should the nurse do?
Discontinue immediately and notify HCP
How should you clean a catheter?
Mild soap and water from meatus outward
What is Barrett’s esophagus and what is it caused by?
Damage to the lining of the esophagus that causes changes becoming more like the lining of the intestines. GERD
What causes tumor lysis?
High does chemo and tumor byproduct travels into the bloodstream
How far should you insert a Foley catheter?
Until urine return then advance another 2-3 inches
What are the side effects of dexamethasone?
HTN, Decrease wound healing, ecchymosis, petechia, peptic ulceration, thromboembolism, muscle wasting
If you’re a flushing a solution through an NG tube and you meet resistance what would you do?
Inject 20 to 30 mL of free air through the NG tube into the stomach in an attempt to reposition the tube enable flushing.
What is the key difference between ulcerative colitis and Crohn’s disease?
Crohn’s can include any part of the digestive tract. Ulcerative colitis is limited to the colon.
Staging of Non-Hodgkins lymphoma
Stage 1: 1 side and above diaphragm
Stage 2: Both sides above diaphragm
Stage 3: Below diaphragm
Stage 4: Organ involvement
No urine flow is obtained, and you note that the catheter is in the vaginal orifice, what do you do next?
Leave the catheter in place as a marker. Place new catheter directly above the misplaced catheter. Then remove the catheter in the vaginal orifice.