What classification would a wound be with a dark purple area with intact skin that feels boggy upon palpation?
Deep tissue injury
How often do you perform oral care on an unconscious patient?
Every 2 hours
How many liters per minute can you give through a nasal cannula?
1-6 lpm
How do you obtain a urine culture out of a foley bag?
nCleanse the port for 30 seconds.
A tech reports a patient’s weight is up 10 pounds since yesterday, what is your first action?
Verify how the weight was taken
What is an intervention that would prevent tissue damage caused by extrinsic factors?
Proper bed mobility, preventing friction
Turning patients regularly
How can we prevent infections during bed baths?
Use a new wash basin
Use new wash clothes
Work clean to dirty
nName 2 signs and symptoms of acute respiratory distress?
1.Use of accessory muscles
2.Nasal Flaring
3.Rapid, shallow respirations
How do we collect a clean catch urine specimen?
Have patient cleanse self
Catch mid stream.
How do we tell if an NG tube is in place?
pH paper, then verified with a X-ray
How do we prevent pressure ulcers by intrinsic factors?
Hydration
Nutrition
How do you perform peri care on a female patient?
Front to back
Use different parts of wash cloth
Name two signs and symptoms of chronic hypoxia?
Clubbing
Barrel Chest
Normal respiratory rate
How many ml/hr of urine at minimum should a patient have as an output?
30 ml/hr
What would indicate a patient’s nutritional status is below the EAR (estimated average requirements)
Severe electrolyte imbalance
What is it called when a wound heals from the inside out?
Secondary Intention
Your patient is able to ambulate, what type of bath could you give?
Shower
What type of O2 delivery device do we use to deliver an exact amount of FiO2?
Venturi mask
How do you remove a foley catheter?
Detach bag
Empty bag
Deflate balloon
Perform peri care after removal
document
Why do we place a NG tube with intubated patients?
Deflates stomach
A patient calls the nurse in the room, due to feeling a pop in their incision. Upon assessment, the nurse discovers the small bowel sticking out of the incision. What type of complication is this?
Evisceration
How does collagenase work?
This eats away necrotic tissue through chemical debridement.
How do we transport a patient with O2?
Make sure tank is full
No kinks
Tank is secured
Make sure O2 tubing is connected and on
A pt reports leakage of urine when coughing. What type of incontinence is this?
Stress incontinence
Give 2 examples of what type of food would be the next step after a patient is tolerating clear liquids after surgery?
Full-liquids
Yogurt
Sherbet
Milk