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Blood transfusions, IV/IV meds
NG tubes/Chest tubes
EKG/Anatomy of Heart
Physical assessment
Central venous access devices (CVAD)
100
Disinfectant skin prep used for IV insertions.
What is chlohexidine gluconate or povidone-iodine?
100
Measureing tip of nose to ear, ear to xiphoid process, marking tubing.
What is how to measure length of NG tube placement?
100
The 4 valves of the heart.
What is tricuspid, pulmonic, mitral, & aortic valves?
100
Wash hands, identify patient, listen to patient, provide privacy and warm environment, start at point of complaint (if any), work head to toe, compare side to side, let patient know of findings, use time to teach, leaving any sensitive or painful areas for last
What is some steps to performing a head to toe assessment?
100
Check every 1-2 hours.
What is how often to check on a patient with a central venous access device (CVAD)?
200
Bevel up 10-30 degree angle.
What is angle to insert the vascular device?
200
Patient placed in semi-Fowlers position.
What is how to place patient for NG insertion or removal of NG?
200
Name 2 causes of heart failure (there are more).
What is coronary artery disease (most common), valvular disease, myocaridial infarction, toxins?
200
Right upper quadrant, left upper quadrant, right lower quadrant, left lower quadrant, midline. Double jeopardy question: {right hypochrondriac, epigastric, left hypochrondiraic, right lumbar, umbilical, left lumbar}
What is four quadrant method of assessing the abdomen? (midline is added in as a subcategory) Double jeopardy answer: {What is Nine regions of the abdomen?}
200
Patient turns head to side, masks worn, barriers used.
What is sterile technique?
300
Remain with patient first 15 minutes, & at initiation check at 5 minutes, 15 minutes after initiating, and every 30 minutes until 1 hour after completed (or per facility policy).
What is monitoring patient getting a blood transfusion.
300
Patient bends his/her head toward chest.
What is position of patient head once NG hits the nasopharynx?
300
Regular, rate 60-90, PR (0.12 - 0.20 sec), QRS (0.06 - 0.010 sec), P waves upright and uniform.
What is normal sinus rhythm?
300
Palpate for tenderness, masses, crepitus (subcutaneous emphysema), note excursion, assess for tactile fremitus.
What is parts of the chest assessment/palpation?
300
Disinfect catheter hub, unclamp, attach 10 ml syringe, withdraw 4-5 mls, reclamp, discard, disinfect, unclamp, attach vacutainer, etc.
What is obtaining blood from CVAD?
400
Hung higher on IV pole than the other IV fluid bag?
What is the level to hang an IV piggyback medication?
400
Checking the insertion site, tubing, water seal chamber.
What is checking for chest tube air leaks?
400
Rate varies depending on underlying rhythm, irregular, PR varies otherwise (0.12 -0.20 sec), QRS (0.06 - 0.10 sec), P waves present but may have different shape.
What is premature atrial contractions (PAC)?
400
No thrills, lifts or heaves. Dullness noted at third, fourth, and fifth ICS to left of MCL. Negative carotid bruits in an adult.
What is some normal physical findings for a cardiac assessment?
400
Two reasons for CVAD placement. (there are more)
What is long term intravenous therapy, need for frequent access, CVP monitoring, administration of TPN, self- administration of IV therapies, sclerosed peripheral veins, limited peripheral venous access, irritating IV solutions (chemo)?
500
Chills, backache, headache, nausea, vomiting, tachycardia, tachypnea, respiratory distress, skin rash, itching, hypotension
What is adverse reaction to blood products?
500
Call a code because you observe tracheal deviation, a paradoxical pulse, jugular vein distention (JVD), decreased cardiac output.
What is a mediastinal shift?
500
Appearance of rhythm strip could be described as "saw toothed" or "picket fence" and is often put on a blood thinner such as Coumadin.
What is atrial fibrillation?
500
Asymmetrical or impaired movement: nerve damage such Bell's palsy or a stroke.
What is cranial nerve 7 (CNVII) abnormal findings?
500
4 Life threatening conditions that may occur from a CVAD.
What is a pneumothorax, hemothorax, air embolus, and hydrothorax?