Well, That’s Gonna Leave a Mark
True or False: When a NA II performs
a sterile dressing change all items
that come into contact with a wound
should be sterile.
True
What type of item makes direct
contact with the wound when
applying coverage over the wound?
Dressing
What drug classification
does heparin belong to?
Anti-coagulant
What complication are we
careful to avoid when removing
an IV from an elderly patient due
to decrased skin elatisity?
Skin tear
What is the difference
between macrodrip and
microdrip tubing IV sets?
Macrodrip is for adults and has larger
drops
Microdrip is for pediatrics and has
smaller drops
What should the NA II do if he/she
goes to change a dressing on
someone who cries when the wound
is touched, but previously tolerated
the dressing change well?
Stop the dressing change
Notify the RN
When cleaning a round or circular
wound what direction is the wound
cleansed?
From clean to dirty
Inner to outer
Why is it important to know if
someone is on anticoagulants
when you anticipate taking out
their IV?
The patient is at risk of
bleeding more easily after
the IV is removed
How high should the IV
solution hang above the
level of the heart if not
placed on an IV pump?
30 to 36 inches above the
level of the heart
Should the roller clamp be
open or closed when filling
the IV drip chamber with
solution?
Roller clamp closed when
squeezing and filling drip
chamber
Is wound irrigation within the NA
II scope of practice?
Yes, NA II can irrigate wounds
What type of environment do
wounds heal best?
Moist environments
What type of complication
can the IV device or a
medication cause?
Phlebitis
When assisting an RN with a sterile
dressing change on a central line, what
additional PPE item should everyone in
the room wear that is typically not
needed for other sterile dressing
changes?
Surgical mask
Does the NA II connect IV tubing set to the
patient‘s IV?
The NA II does not connect
any IV tubing to the
patient‘s IV site
What is the medical
termonology for new tissue
growth?
Tissue granulation
If an infection is present in a coccyx
pressure wound, what type of
dressing should not be used on the
wound?
Hydrocolloid dressing
What is the number of
gtts (drops) / min
(minute) called?
Flow Rate
Before resp or cardiac arrest
what are 3 symptoms a patient
might have if experiencing an air
embolism?
SOB
Cyanosis
Decreased blood pressure
When removing a wound dressing is
the tape loosened toward or away from
the direction of the wound?
Loosen tape toward the wound
Any break in the skin increases risk
for what?
Infection
What 2 life threatening
things can fluid overload
cause?
Cardiac arrest
Respiratory arrest
What are two
indications/symptoms of
systemic infection?
Fever
chills