NUTRITION & URINARY
IV/BLOOD
OPERATIVE
RESPIRATORY
WOUND
100
This type of diagnostic test is used to confirm placement of a NG tube.
What is an x-ray?
100
Maintain or restore fluid volume, route for medication administration, to provide nutritional support (TPN and lipids)
What are purposes of an IV?
100
The nurse ensures the client has been NPO, has no jewelry or dentures in place, has voided, identified any allergies, baseline VS and blood work are identified
What is preparing a client for surgery?
100
To maintain patent airway, bypass obstructed airway, facilitate removal of secretions, long term ventilation/prevent aspiration, decrease work of breathing
What are indications for a tracheostomy?
100
sensory perception, moisture, activity, mobility, nutrition, friction and shear
What is the braden scale?
200
This is an important safety principle when caring for a client with a continuous enteral feed.
What is maintain HOB 30-45 degrees?
200
Fever, thirst, dry, flushed skin, dry, sticky mucous membranes, postural hypotension, edema, decreased urine output, convulsions
What are signs and symptoms of hypernatremia?
200
Diagnosis, cure or repair, palliation, prevention, exploration, cosmetic improvement
What are purposes of surgery?
200
Oxygen saturation, note ACCO of secretions, ties are secure
What are assessments for a patient with a tracheostomy?
200
This is always maintained when packing a wound.
What is sterility?
300
It is important to assess the dressing and patency of this tube, while ensuring this tube is not clamped or kinked
What is a nephrostomy tube?
300
Administer & monitor IV solutions with KCL, KCL oral supplements with water and increasing K intake in diet
What are interventions for hypokalemia?
300
INR, PT, PTT
What are blood work to consider prior to a client having surgery?
300
Call for assistance, maintain patent airway, replace old trach with new, observe VS and respiratory distress
What are nursing interventions for an accidental extubation?
300
Apply moist dressing, if standing lay client down, keep site covered and clean, inform surgeon, prepare client for surgery
What is wound dehiscence?
400
These are the following interventions that can be utilized for a client who is unable to void 6-8 hours after catheter removal
What is encourage use of bathroom, promote normal positioning, ensure adequate fluid intake, use a bladder scan?
400
Prior to administering blood, 2 nurses check patient identifiers and ensure consent is signed for blood transfusion.
What are safety principles?
400
Post-operative monitoring, post-operative treatments, activity resumption, pain relief measures, post-operative exercises
What is information provided to a client undergoing a surgery?
400
Respiratory status, dressing, comfort/pain, collection chamber, air leak
What are assessments associated with a chest tube?
400
This device is indicated for clients with chronic, acute, traumatic, subacute and dehisced wounds, partial thickness burns, ulcers and highly exudating wounds
What is VAC therapy?
500
Gastric contents are aspirated to determine client's tolerance to enteral feeds.
What is residual check?
500
STOP the blood transfusion if in progress, IV saline TKVO through a new IV tubing, check VS, recheck name and that client's information matches the unit, notify client's physician
What are interventions to an allergic reaction?
500
Besides VS, this is valuable information provided by the PACU nurse to the unit nurse
What is total intake and output?
500
Client unable to cough &/or clear secretions, amount and consistency of secretions, secretions are audible, O2 saturation, S & S of hypoxia, client's request
What are indications for suctioning a client?
500
This blood work is anticipated to be prescribed by a physician when a client's JP is emptied for 200ml of sanguineous fluid 2 hours after surgery.
What is CBC?
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