Oxygen
Medications
Therapeutic Communincation
Cardiac Monitor
Random
IV's and Phelbotomy
Perioperative
100
What mask is the highest flow besides a non-rebreather (NRB)?
Oxymask
100
How often can you give Ketorolac?
Every 6 hours (Q6) or PRN
100
What are the goals of therapeutic communication?
Building trust, fostering a trusting relationship; Achieving better health outcomes and satisfaction
100
What P waves would you see for Atrial Flutter?
Sawtooth
100
What is the purpose for Therapeutic Communication?
Overcoming emotional or psychological distress
100
Do not start an IV on this site
Lymphedema
100
What does PCA stand for?
Patient controlled analgesic
200
What is the highest liter flow you can run on a nasal cannula?
6 Liters
200
What class of medications would you give in a PCA?
Opioids
200
What are the 3 phases of the Nurse-Client relationship?
Orientation Phase, Working Phase, Termination Phase
200
What are the hallmark signs for Atrial Fibrillation?
Irregular and No P waves
200
What is the Artial heart rate for Atrial Flutter?
250-400
200
How many bottles do you need for 1 set (2 bottles) of blood cultures?
2 sets (4 bottles)
200
For preoperative nursing, what are the 3 phases that are covered
Preoperative, Intraoperative, Postoperative
300
Which mask delivers a precise % of oxygen?
Venturi mask
300
Name 3 NSAID's
Ketorolac (Toradol), Ibuprofen, Celebrex (Celecoxib)
300
What are examples of nontherapeutic communication? Name at least 5.
Reassuring, giving approval, rejecting, approving/disapproving, agreeing/disagreeing, advising, probing, challenging/arguing
300
What rhythm is this?
Normal Sinus Rhythm (NSR)
300
What rhythm is this?
Atrial Flutter
300
If the patient is on a PCA machine, what would you monitor?
O2 saturations
300
What medications would be held prior to surgery? How long before?
NSAIDs, herbs/supplements- 2 weeks priors; Anticoagulants- 5 days prior
400
What mask do you put on a person with labored breathing?
Non-rebreather
400
What is the max dose for Tylenol in 24 hours?
4,000 or 3,500
**Some medications are combined with Tylenol
400
What are the characterisics for the working phase?
Supports the development of healthy problem-solving, Encourages patient to prepare for the future, Countertransference
400
What is the purpose of a 12-lead ECG?
It views the heart's electrical activity from different angles; Diagnostic tests (can diagnose an MI)
400
T or F: Atrial Flutter is treated the same as Atrial Fibrillation?
True
400
What color tube would you use for blood count? and for a patient at risk for bleeding?
Purple top for blood count; blue top for patients at risk for bleeding
400
What is the reason for post-op HTN?
Bladder retention, Hypoxia, pain
500
What do you use if your patient is not breathing?
Ambubag
500
What reverses morhine?
Naloxone (Narcan)
500
What are examples of therapeutic communication? Name at least 5.
Broad opening statements, Offering general leads, Exploring, Focusing, Silence, Accepting, Giving recognition, Offering self, Empathy, Reflection, Paraphrasing, Provide information, Clarification, Validation
500
What rhythm?
Arterial Fibrillation (A-Fib)
500
What are the characteristics of the Termination Phase?
Avoids returning to the patient’s initial problems, Encourages independence, Promotes positive family interactions, Help the patient acknowledge their emotions regarding feelings of sadness and anger regarding separation.
500
How would you give fluids in preop?
IV freeflow
500
How would you witness a phone consent?
With another nurse (two RN verifications). Make sure to verify the information, write the name of the person giving the consent, relationship, and phone number
600
What are the indications for room air?
O2 saturations maintain >92% when ambulating and resting
600
What are non-pharmacological pain treatments?
Ice, heat, deep breathing, guided imagery
600
What is the Characteristics of the Orientation Phase? Name at least 4
Actively listens, Establishes boundaries of the relationship, Clarifies expectations, Identifies countertransference issues, Uses empathy, Establishes rapport, Sets up a contract with the patient
600
What would you measure on the rhythm strip each shift?
PR, QRS, QT
600
Who does not get NSAIDs?
Patients with Chronic Kidney Disease (CKD) and GI (think may bleed)
600
What IV fluids do anesthesiologists like?
LR, electrolytes including K+, Both isotonics
600
List safety mechanisms for PCA?
Time outs- lock outs, set dose, only patient can press the buttons
700
What is a COPD persons drive to breathe?
Low O2
700
What reverse Midazolam?
Flumazenil
700
Non-Therapeutic: What are some phrases to avoid?
“You should……”; “You‘ll have to…..”; “You can’t …”; “if it were me, I’d…?"; “Why don’t you…?"; “I think you ……”; “It’s the policy on this unit?"; “Don’t worry?"; “Everyone does that…”; “Why..?”; “Just a second..”; “I know…”
700
What are the cardiac monitor placements for a 5-lead?
White over right, Snow over grass; smoke over fire. The V lead (brown) is placed at the 4th intercostal space of the right border
700
Where is Tylenol processed/eliminated?
The liver
700
What are the IV catheter gauges?
22, 20, 18
(think blue-22, pink-20, green-18)
700
When should a surgery person's teaching begin?
Pre-op
800
Name the different types of oxygen devices?
Nasal Cannula (0.5-6 liters), Simple Face Mask (5-8 liters), Oxymask (1-15 liters), Venturi Mask (can give more precise O2), Trach Collar (1-10 liters), Non-Rebreather Mask (10-15 liters)
800
What are some reasons medication errors still happen?
Provider could order a medication on the wrong patient, Shortages of medications (new medication you don’t normally use now ordered), Labeling and packaging changes (i.e. you are used to seeing a vial with a certain color top), Nurse fatigue, Understaffing
800
Name 3 defense mechanisms
Denial, Regression, Reaction formation, Acting out, Repression, Suppression, Displacement, Compensation, Identification
**Mature defense mechanisms are:Repression; Rationalization; Intellectualization; Compensation; Substitution; Sublimation; Identification.
**Immature defense mechanisms are: Denial, Projection; Regression; Conversion; Fixation; Withdrawal, or Dissociation.
800
What is the placement for a 12-lead ECG?
800
Which IV narcotic is the strongest?
Hydromorphine
800
What do you look for when evaluating an IV on a patient?
Phlebitis, Infiltration, Extravastion
800
When would surgery be cancelled?
Not NPO, medications, sometimes high BP's