341 Lab
Provides intravenous access for long term antibiotics, parenteral nutrition, chemotherapy, blood products, and blood sampling.
What is a central venous catheter?
A sudden drop in blood pressure that occurs upon standing from a sitting or supine position.
What is orthostatic hypotension?
The correct sequence/order for a gastrointestinal (GI) exam.
What is inspection, auscultation, percussion and palpation?
This test measures the concentration of dissolved particles in urine compared to the density of distilled water. It indicates the kidney's ability to concentrate urine and helps assess hydration status.
What is urine specific gravity?
(Normally, urine specific gravity ranges from 1.005 to 1.030)
What is the maximum amount of medication that can be administered via the deltoid muscle in an adult?
A. 0.5 mL
B. 1 mL
C. 2 mL
D. 3 mL
What is C- 2mL?
Proper sequence for donning and doffing PPE.
What is gown, mask, goggles, gloves?
What is gloves, goggles, gown, mask?
A heart rate that exceeds 100 bpm in an adult.
What is tachycardia?
Correct position for administering an enema.
What is position the patient on their left side, with the knees drawn to the abdomen?
A nurse is preparing to obtain a 24-hour urine collection from a client. Which of the following actions should the nurse plan to take?
A. Refrigerate the urine during the collection period
B. Discard the client's last void at the end of the collection period
C. Keep the urine at room temperature
D. Discard the client's first void
What is A: refrigerate the urine during the collection period?
A nurse is preparing to administer metoprolol to a patient with chronic stable angina. What is the priority assessment before administration of this medication?
A. Temperature
B. EKG
C. Urinalysis
D. Heart rate
What is D- heart rate?
The fifth Korotoff sound.
What is silence?
(or diastolic pressure)
Location of the PMI (point of maximum impulse).
What is (left) 5th intercostal space, mid-clavicular?
A surgical procedure where a portion of the small intestine is brought through an opening in the abdominal wall (the stoma) to create a new exit for waste.
What is ileostomy?
A technique used to help expose the urethral meatus during catheter insertion.
What is ask the patient to bear down as if to void?
Needle gauge and length for IM injection.
What is 22-25 gauge and 5/8" to 1.5 inches?
The pressure setting for tracheal suctioning.
What is 80-120 mm/Hg?
The difference between systolic and diastolic blood pressure readings.
What is pulse pressure?
A patient is 8 hours post-op from colostomy placement. Which finding requires immediate nursing action?
A. The stoma is swollen and large
B. The stoma is pale pink
C. The stoma is not draining any stool
D. The patient states the site is tender.
What is B- the stoma is pale pink?
What is oliguria?
The patient calls the nurse to the room to report pain at the site of an IV. The nurse notes warmth, redness, and purulent drainage. Which action does the nurse take first?
A. Contact the provider
B. Apply a warm compress
C. Obtain a full set of vital signs
D. Draw blood cultures and a complete blood cell count
What C- obtain a full set of vital signs?
Name 3 sites for administering an IM injection and the anatomical landmarks used to locate them.
What is the deltoid, vastus lateralis, and ventrogluteal?
This value represents the percentage of red blood cells that are carrying oxygen.
What is Sp02 (saturation of peripheral oxygen)?
Sudden absence of bowel sounds accompanied by abdominal pain, bloating, or vomiting.
What is obstruction (or perforation)?
This a serious medical condition that occurs when a urinary tract infection (UTI) spreads to the bloodstream, leading to a systemic infection. This condition can cause a systemic inflammatory response, and if left untreated, it can lead to organ failure or even be life-threatening.
What is urosepsis?
The primary cause of urosepsis is an untreated or severe UTI, which may involve the kidneys, bladder, or other parts of the urinary system. Bacteria from the infection can enter the bloodstream, causing a generalized infection that spreads throughout the body.
The patient with congestive heart failure in the cardiac intensive care unit (CICU) is ordered to receive IV furosemide once per day. The lab just called and reported the patient’s serum potassium is 2.9 mEq/L. The next dose of furosemide is due now. Which is the appropriate nursing action?
A. Administer the medication as ordered
B. Administer the medication and provide salt substitute
C. Hold the furosemide dose and contact the provider
D. Assess and document hydration status prior to administering furosemide
What is C- hold the furosemide and contact the provider?
Loop diuretics, like furosemide, cause three main toxicities: diuresis-related fluid and electrolyte abnormalities, ototoxicity, and hypersensitivity reactions. A potassium of 2.9 mmol/L is low- once levels dip below 2.5 mmol/L, lethal cardiac arrhythmias and severe muscle weakness may occur. The furosemide should be held until the electrolytes can be normalized.