Infusion Calculation:
Drip Happens
Drip Happens
Calculate the Infusion Rate (mL/hour)
Volume to be infused: 1,000 mL
Duration: 4 hours
What is 250 mL/hr?
With proper maintenance, how many days is a peripheral venous catheter typically good for?
What is 3-4 days?
With proper maintenance, how long is a central venous catheter typically good for?
What is up to 7 days?
Your patient is ordered a urine culture and has an indwelling catheter. Where should the urine be withdrawn to provide an appropriate sample?
What is the tubing close to the patient (NOT the bag)?
What is the anatomical landmark for auscultating the tricuspid valve?
What is the 4th Intercostal Space, Left of the Sternal Border.
Calculate the Infusion Rate (mL/hour)
Volume to be infused: 1,000 mL
Duration: 12 hours
ROUND TO THE NEAREST WHOLE NUMBER
What is 83 mL/hr?
Name the Complication:
The IV catheters has accidently migrated out of the vein and into the surrounding tissue.
What is infiltration?
What major complication are patients with a central venous catheter at risk for?
What is a Central Line Associated Blood Stream Infection (CLABSI)?
When is the best time to collect a sputum specimen?
What is in the morning before the patient has had anything to eat or drink?
What is the predominant sound elicited when percussing the abdomen?
What is tympany?
Calculate the Infusion Rate (mL/hour)
Volume to be infused: 750 mL
Duration: 5 hours
What is 150 mL/hr?
Name the Complication:
Inflammation of the vein
What is phlebitis?
Which type of catheter is appropriate for long term use (6 months or sometimes longer)?
What is a tunneled dialysis catheter?
You are the nurse obtaining a specimen from a patient. When should you label the specimen?
(Include two considerations).
What is...
1. After the specimen is collected
2. In the presence of the patient
This test is used to assess a patient's balance. If positive, it may indicate a neurological disorder such as posterior column disease, vestibular dysfunction, or cerebellar disorders.
What is the Romberg Test?
Calculate the Drip Rate (gtt/min)
Total Volume: 1,000 mL
Time: 6 hours
Drop Factor: 10 gtt/mL
ROUND TO THE NEAREST WHOLE NUMBER
What is 28 gtt/min?
Name the Complication:
The leaking of vesicant medications and solutions into the surrounding tissue causing damage.
What is extravasation?
Accurately identify 3 routes of access for a central venous catheter.
What is the...
1. Internal Jugular (IJ) Vein
2. Subclavian Vein
3. Femoral Vein
Name two contraindications to performing a nasopharyngeal swab on a patient being ruled out for COVID 19.
What is...
1. Nasal surgery
2. Facial trauma or injury to the nares
3. Potential skull fracture
4. Epistaxis
While assessing fremitus on your patient's posterior chest wall, you notice that the vibrations feel significantly less pronounced on the patient's right side. What could this be indicative of?
What is a pneumothorax?
Calculate the Drip Rate (gtt/min)
Total Volume: 1,500 mL
Time: 9 hours
Drop Factor: 10 gtt/mL
ROUND TO THE NEAREST WHOLE NUMBER
What is 28 gtt/min?
Identify 3 interventions a nurse can implement to reduce the risk of infection in a peripheral IV.
What is...
1. Replace IV tubing whenever the cannula is changed
2 Avoid disconnecting tubing and lines unless necessary.
3. Change and date tubing regularly - frequency will be determined by facility procedures.
4. Use aseptic technique with appropriate cleansing solution during catheter insertion, when changing the site dressing, each time ports are accessed, and each time tubing is changed or disconnected/reconnected.
5. Change IV site according to facility policy.
Identify the name of the vein in which a peripherally inserted central catheter (PICC) is most commonly inserted.
What is the basilic vein?
Identify two types of medications patients undergoing a FOBT (or guaiac test) should avoid prior to obtaining a stool sample.
What are...
1. Aspirin
2. Anticoagulants
3.NSAIDs
While auscultating your patient's carotid artery, you hear a bruit.
1. What could this be indicative of?
2. What is the patient at risk for?
What is...
1. Plague or significant narrowing of the carotid artery
2. Stroke