CTEN Skills
When should you return to check the IV after initially starting it?
30 minutes! At least hourly after
What S/S would you expect of a patient with heat stroke?
> 103 F, hot/dry skin, fast/strong pulse, confusion, losing consciousness
What are examples of different dimensions of health?
Physical, intellectual, environmental, spiritual, sociocultural, emotional, patient/family values
How many steps are there of evidence based practice?
7
What does the abbreviation "LR" stand for?
Lactated Ringers
How high above the insertion site should the tourniquet be placed for an IV?
3-4 inches above an insertion site
Should hypothermia or hyperthermia be quickly changed with management?
Hyperthermia should be quickly cooled down - quickly heating hypothermia can lead to K+ shifts and cardiac arrhythmias
What is an example of primary prevention in the scope of health promotion?
Getting a vaccine, public education, safety precautions (wearing a helmet)
What is the definition of "nursing scholarship?"
Rigorous and systematic development of knowledge that advances the science, practice, and education of nursing
What is the drop factor for a micro-drip chamber?
60 gtt/mL
What spots should NOT be used to place an IV?
Legs, veins distal to previous insertion, spots w/ edema/infection/clot/skin breakdown, arm on the same side as removed lymph nodes (breast cancer)
Why does the body develop a fever with an infection?
2. Byproduct of pathogen (pyrogen) increases body temperature
What is the nursing definition of health?
Active process of moving towards the patient's maximum potential
What is the difference between internal and external evidence?
External: rigorous research process to generate data that can be transferred to different settings
Internal: practice-generated data specifically related to the unit of practice
What is the equation to find the drops/min or gtt/min?
(# of mL prescribed x drop factor) / # of minutes
What kind of complication at the IV site is present if there is swelling, leakage, coolness, pallor, pain/discomfort?
Infiltration
What is the most common cause of UTIs in patients?
Because of fecal content coming into contact with the urethra (E. Coli most common)
What is the difference between disease and illness?
Disease: pathologic changes within the body
Illness: the person's response to those changes
What is "healthcare's quadruple aim?"
1. Improving population health outcomes
2. Reducing the cost of care
3. Enhancing patient experience (quality and safety)
4. Improving clinician satisfaction and well-being
There is 1/4 strength Isocal running @ 60 mL per hour, the total volume is 250 mL. How many mL of Isocal and water will be used?
62.5 mL Isocal, 187.5 mL water
What should be used to cleanse the injection site before insertion?
>5% chlorhexidine in alcohol solution
What lab values indicate inflammation in the body? (4)
Lactate, C-Reactive Protein, Erythrocyte Sedimentation Rate, Procalcitonin (optional)
What is the definition of "health literacy?"
Ability of patients to obtain, process, and understand the basic information needed to make appropriate decisions about their health
What are examples of barriers to evidence-based practice?
Lack of EBP knowledge/skills, cultures rooted in tradition, large amounts of information in professional journals, lack of time and resources to search for evidence, negative attitudes/misperceptions about research
Calculate the drip rate for the following order: 180 mL of D5 from 1200-1800 for a micro-drip tubing (60mL/gtt)
30 gtt/min --> (180 mL x 60 mL/gtt) / 360 minutes