IVP/PB
This term refers to the leakage of IV fluids into surrounding tissue.
Infiltration
List the components of RICE.
Rest, ice, compression, elevation.
This term refers to an infection specifically originating from an access device like a PICC.
CLABSI
Active listening, verbal redirection,
environmental control, and non-threatening body language are all examples of this.
De-escalation techniques
Should a chest tube system be kept above or below chest-level?
below
This blood product is used for coagulation disorders, contains clotting factors, and must be ABO compatible.
Fresh frozen plasma (FFP)
Pain, paresthesia, paralysis, pallor, and pulselessness are signs of this condition.
Compartment syndrome
True or false: a midline is a central line.
False
True or false: use of restraints requires a provider order.
True
(Note: an RN may apply restraints without an order under emergent circumstances to ensure safety of patient/others, but the provider needs to write the order as soon as possible and perform an in-person evaluation)
True or false: when suctioning a patient with a trach, you should perform all three passes in under a minute to minimize the amount of time the patient is without oxygen.
False - hyperoxygenate the patient for at least 30 seconds after each suction pass
True or false: it is ALWAYS best practice to remove the peripheral IV as soon as any complications are noted, including in extravasation.
False - in extravasation: should attempt to aspirate remaining medication, administer antidote if appropriate
When educating a patient on how to use crutches, where should the patient's weight rest?
At the hands, not on the underarm supports
These are two ways to confirm placement of a PICC line before using it for the first time.
CXR, evaluation of waveform changes on EKG tracing
This is a written list of warning signs,
coping strategies and resources to use
during a suicidal crisis to prevent suicide attempts - typically created through collaboration between patient + healthcare team
Safety plan
Fill in the blank: claustrophobia, gastric distension, dry mucous membranes, and ______ are all potential complications that may arise with BiPAP use.
Skin irritation/breakdown
These are three important things to assess in a patient receiving medication through a PCA pump.
Pain, sedation, respiratory status
List at least two items to educate patient on following hip arthroplasty.
Examples: avoid sudden movements or twisting, use a raised toilet seat, do not bend the hip more than 90 degrees, avoid crossing legs or feet, pillow between legs when laying
This type of central line is mainly used to provide short-term critical access with patients who are unstable
Non-tunneled central venous catheters (CVCs)
Describe the suicide risk curve.
See picture in slide show.
Trigger event, rising risk reflected by warning signs, highest point - suicidal behavior. After crisis, see feelings of relief/regret/ambivalence, willingness to engage in mental health care
This is a type of lung infection that may develop in a patient receiving mechanical ventilation.
Name three potential signs of a blood transfusion reaction.
Fever, chills and rigors, itching, hives, hypothermia (if large amount infused without warming), respiratory distress, hypo- / hypertension, loss of consciousness, flank/back pain, urine changes (dark, oliguria, anuria)
Describe the actions the nurse should take if the patient reports tingling, numbness, and pain distal to a recently-applied figure-8 bandage.
Remove the bandage, wait several minutes, and reapply the bandage with less tension. Continue to monitor the neurovascular status of the extremity. Symptoms should subside fairly quickly. If symptoms persist, notify the health care team.
This is an example of an indication for placement/use of a central line.
administration of IV antibiotics for an extended period (>1 week), infusion of parenteral nutrition, chemotherapy and other targeted therapy drugs, continuous pain management infusions, vesicants, hyperosmolar solutions, blood components, other specific medications (e.g., vasopressors, anticoagulants), long-term rehydration
List at least three things that should be assessed or offered while a patient is in restraints.
Circulation/sensation, skin integrity, range-of-motion, mental status/orientation, emotional state, behavior indicating need for continued restraints. Offer food, fluids, toileting, appropriate PRN medications.
This term refers to the steady rising and falling of water in the water seal chamber of a chest tube as the patient breathes
Tidaling