Sterile Fields & urinary cath
This is the first step in creating a sterile field
What is clean the surface of the table/place you'll open your drape or kit?
When an intravenous catheter migrates outside of the vein and fluid is delivered into tissue.
What is infiltration?
This is the color of a well-healed stoma.
What is red (well perfused mucosa)?
This is the exudate that drains from an infected wound.
What is purulent drainage?
This type of oxygen delivery device provides the greatest percentage of O2 at the highest rate of administration.
What is a non-rebreather mask?
This happens when the nurse turns their back on the sterile field
What is the field is considered contaminated?
Prior to giving a med IV bolus (push), the nurse researches the med, determines rate of infusion, and this relationship to the maintenance fluid.
What is compatibility?
This is a complication if the stoma ring/appliance bag on a GI ostomy doesn't fit well.
What is maceration of peri-stomal skin, leading to tissue breakdown?
This happens to intact skin when it is not kept dry.
What is maceration?
Helping a patient rinse their mouth after an inhaled corticosteroid inhaler may prevent what type of infection?
What is yeast (thrush)?
This is the size of the margin of a sterile drape.
What is 1 inch?
This technique is used to clear IV tubing before and after medication administration.
What is flushing (with normal saline)?
Upright positioning during enteral feeding or med admin helps to prevent this complication.
What is aspiration?
This is the first part of a wound to be cleaned or disinfected?
What is the center/inside or most clean part of the wound?
This oxygen device is typically used for low-flow oxygen delivery at 1–6 L/min.
What is a nasal cannula?
This prevents movement and tugging of urinary catheter, thereby minimizing irritation of the urethra.
What is stat-lock or securement device?
What is 200 mL per hour
Prior to administering an enteral feeding, the nurse rules out nausea or diarrhea and makes this assessment.
What is residual contents in stomach?
This is erosion of the edges of a wound, resulting in a pocket beneath the skin along the perimeter of the wound.
What is undermining?
This complex represents ventricular depolarization.
What is QRS complex?
When inserting an indwelling catheter, the nurse advances the catheter this far after urine is first seen in tubing prior to inflating the balloon.
What is 1-2 inches?
This unit, found on IV tubing packaging), is required for calculating manual IV drip rates.
What is drop factor, or gtt per mL
This type of ostomy output is watery and contains digestive enzymes that can irritate the skin.
What is ileostomy output?
This is wound tissue that is not viable, usually yellow, and sticky or stringy in consistency.
What is slough?
This rhythm is irregularly irregular and has no distinct P waves.
What is atrial fibrillation?