Trach/Suctioning
Neuro
Wound care
EKG/Chest tube
Wild
100
In-line/closed suctioning
100
What is this posture called?
Decerabrate
100
What is this dressing called?
ABD pad and abdominal binder
100
Where does V4 lead go in a 12 lead EKG?
At mid-clavicular/nipple line (5th intercostal space)
100
What PPE do you need for airborne precautions?
N95, Gown, gloves, and eye protection
200
What is the common suctioning level for an adults?
80-120
200
What's are the first signs of neuro impairment?
Change in LOC: Confusion, anxious, angry, scared, restless
200
How would do describe this wound tissue?
Granulation tissue
200
What is the proper technique for ensuring proper ECG lead placement for a large breasted client?
Lifting the client’s breast and placing the electrodes directly on the chest wall
200
How often should self breast/testicular exams be done?
Monthly
300
5.5
300
What does PERRLA stand for?
•Pupils
•Equal
•Round
•Reactive to light
•Accommodation
300
What type of tissue is this?
Eschar
300
What is it called when you feel air is trapped under the skin by chest tube insertion site?
Crepitus
300
What should be at the bedside of a Trach patient in addition to oxygen source and suction equipment?
Ambu bag and Trach replacement kit
400
The nurse performing tracheostomy care on a client notices the stoma is reddened and draining yellow-green fluid. What is this indicative of?
Infection
400
How do you access if someone is alert and oriented?
-Name
-place
-time/date
-situation
400
What is this called?
Dehissence
400
What is the suction?
-10
400
What kind of EKG is this?
3 lead EKG
500
What is the nurse's priority when performing tracheostomy care?
To keep the tracheostomy secure and to prevent dislodgement.
500
What are the signs of cushions triad?
Widening pulse pressures, bradycardia, and irregular respirations.
500
Describe this wound?
Incision: Approximated, staples in place, mild erythema at staple site.
500
What is the suction on the chest tube?
No suction!!
500
The nurse requires a sterile abdominal pad while in the middle of performing wound care. The nurse is wearing sterile gloves. How can the nurse introduce the abdominal pad to the sterile field without compromising sterility?
The nurse can ask a colleague to get a sterile abdominal pad and open the package so that the nurse can grab the pad with their sterile gloves