Urinary Catheterization
If urine is not seen after insertion in a female patient, the nurse should do this.
What is leave the catheter in place and insert a new sterile catheter above it?
Before changing trach ties, the nurse must do this first.
What is secure the new ties before removing old ones?
List two potential complications if an NG tube is not managed properly.
What are aspiration pneumonia and tube obstruction?
Difference between symptoms with infiltration and extravasation?
What is infiltration is non-vesicant, extravasation is vesicant?
This is where blood not started within 30 minutes must be returned to.
What is the Blood Bank?
Name two sterile principles most often broken during insertion.
What are touching the sterile tip and crossing over the sterile field?
The patient develops bradycardia during suctioning
What is vagal nerve stimulation?
This is the gold standard for verifying NG placement.
What is X-ray confirmation?
Formula for calculating drip rate manually.
What is (volume × drop factor) ÷ time in minutes?
List two signs of transfusion-associated circulatory overload (TACO).
What are dyspnea, crackles, JVD, &/or hypertension?
This prevents accidental trauma after inserting a catheter
What is secure the catheter to the patient’s thigh?
Priority action for a patient with a tracheostomy who suddenly has no airflow.
What is remove the inner cannula to assess for obstruction?
A clogged NG tube can often be cleared with this.
What is the procedure for flushing with warm water or Coca-Cola, or per facility policy?
This is the difference between infiltration and extravasation.
What is infiltration is non-vesicant, extravasation is vesicant?
Fever and chills during PRBC infusion is what reaction?
What is febrile non-hemolytic transfusion reaction?
Cloudy urine with foul odor after insertion indicates what?
What is a urinary tract infection (UTI)?
Name two methods to humidify air for tracheostomy patients.
What are heated humidifiers and HME?
Crushed meds given incorrectly through the NG tube can cause this.
What is tube obstruction?
This is the formula for calculating drip rate.
What is (volume × drop factor) ÷ time in minutes?
Name two labs ordered after a suspected hemolytic reaction.
What are bilirubin, plasma hemoglobin, and DAT?
A daily review of this is required to determine continued need.
What is the catheter necessity/justification?
This is the maximum suction pressure for adults.
For continuous feeding, the residual must be checked at these intervals.
What is every 4-6 hours or per facility policy?
IVPB meds must be infused within this timeframe after reconstitution.
What is per provider order?
The max time blood can remain out of controlled storage.
What is 4 hours?