Lab Values & Medication Calculations
IV Administration & CVCs
Pre & Post Op Care
Advanced Nursing Skills
Blood Administration & Code Blue
100

What is the primary lab value used to indicate renal insufficiency?

creatinine 

100

How long can primary IV tubing be hung for?

 96 hours

According to AHS policy

100

What are the 3 common types of surgery?

Elective

Urgent

Emergent

100

What do you do if TPN must be discontinued abruptly?

Infuse D5W - D10W to prevent hypoglycemia

100

What blood type is the universal receiver? 

AB+

200

What lab value is used to adjust a heparin infusion?

PTT

200

Give 2 examples of Isotonic Solutions

1. Normal Saline

2. Lactated Ringers

3. Dextrose 5% in Water

200

What are 3 common post op complications?

1. Hemmorrhage

2. Hypotension

3. Infection

4. DVT

5. Atelectasis

6. Pneumonia

200

What 4 components are included in TPN formulations?

Amino acids

Carbohydrates

Lipids

Trace elements

200

Name 3 nursing considerations before administering blood. 

1. type and screen is completed 

2. blood work is completed 

3. consent is signed

4. minimum 20g IV is placed and patent

300

It is 0800 and your patient's CBG is 8.1. Why type(s) of insulin and how many units will you administer? 

Sliding scale: 

 

CBG                Regular Insulin

<4                          0 units

4.1-6                      4 units

6.1-8                      6 units

8.1-12                    8 units

12.1-14                  10 units

14.1-16                  12 units

16.1-18                   14 units

>18                        Call physician

Insulin NPH 14 units in am and 16 units at hs

300

Name all types of Central Venous Catheters.

1. peripherally inserted central catheter (PICC)

2. tunneled - long term

3. implanted (port-a-cath) - long term

4. percutaneous - short term 

300

What are 3 important things to document when describing a wound? 

1. Color

2. Temperature

3. Wound bed

4. Edges

5. Peri Wound

6. Drainage

300

What is an important consideration/intervention prior to, during, and following tracheostomy suctioning?

Hyperoxygenation of the patient before & after suctioning. Monitoring SpO2 throughout whole procedure (before, during and after).

300

Name 5 priorities in order when you find a client pulseless. 

1. call for help

2. What is the Goal of Care?

3. start compressions

4. place the backboard

5. assist with airway as needed and bag the patient with 100%/Max O2

400

What is the formula for gtt/min? 

ml x gtt/ml

________

minutes

400
A CVC was inserted at the bedside. What are the procedures you will ensure are completed?

1. ensure the CVC is secured (sutured if applicable)

2. ensure post-insertion x-ray was completed to confirm placement

3. initial dressing placed 

400

Name one factor you must assess on an incision before removing staples? 

Must be well approximated.
400

What are the 3 indications for chest tube placement?

Pneumothorax, pleural effusion, hemothorax

400
What is the goal rate of compressions per minute?

100-120/min

5 cycles of 30

500

What is the maximum total dose of PCA hydromorphone that the patient can receive in 4 hours?

Hydromorphone 2 mg/hour continuous infusion

Hydromorphone 1 mg bolus, lockout time 15 minutes.

A: 24 mg/4 hr 

 2mg/hr continuous x 4 = 8mg/4 hr

4mg/hr bolus x 4 = 16 mg/4 hr

8 mg + 16 mg = 24 mg/ 4 hours

500

Name 4 potential complications during CVC insertion.  

(bleeding is assumed)

1. dysrhythmias

2. arterial puncture

3. pneumothorax

4. air embolism

500

What are the clinical outcomes related to wound irrigation? 

1. loosen, soften, and remove devitalized tissue

2. Separate eschar from granulating/fibrotic tissue

500

What do you do in an emergency situation for 

a. chest tube displacement

b. tracheostomy displacement

a. cover with an occlusive dressing (hemothorax or pleural effusion) or a dressing taped on 3 sides (pneumothorax) 

b. bag ventilation, prepare for intubation or tracheotomy

500

Name 5 signs of a blood transfusion reaction. 

1. Chills

2. fever

3. headache

4. flushing

5. tachycardia

6. anxiety

7. hives

8. severe SOB

9. bronchospasm

10. flank pain

11. Hypotension

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