N326 Final Review

Labs 1

100

BEST way to prevent spread of infections.

Hand hygiene

200

Type of asepsis is inserting a urinary catheter.

Surgical asepsis (or sterile)

300

An intervention reduces the risk of aspiration during enteral feedings. 

HOB elevated 

400

Name 3 prevention methods for falls in the hospital setting.

1. Using appropriate devices (walker/cane/gait belt)

2. Non-slip socks or shoes

3. Alert bracelet

4. Room closer to the nurses station

5. Bed alarm

6. Call light within reach. 

7. Personal belongings within reach.

8. Siderails up

9. Hourly rounding

500

Name 2 (out of 6) key principles of surgical asepsis. 

1. A sterile object remains sterile only when touched by another sterile object.

2. Only sterile objects may be placed on a sterile field

3. A sterile object or field out of range of vision or an object held below a person’s waist is contaminated.

4. A sterile object or field becomes contaminated by prolonged exposure to air.

5. When a sterile surface comes in contact with a wet, contaminated surface, the sterile object or field becomes contaminated by capillary action.

6. The edges of a sterile field or container are considered to be contaminated.

Labs 2

100

A patient's IV is swollen, pale, and cool to the touch. What is occurring?

Infiltration

200

Type of dressing used for large amounts of drainage from a wound. 

Alignate

300

Pt is receiving Vancomycin 750 mg IV over 90 minutes. The bag is 750 mg in 150 mls. What is the rate ml/hr and what is your volume to be infused?

Rate: 100 ml/hr

VTBI: 150 mls

400

Write the steps in mixing insulin (NPH and Regular).

1. Roll NPH (cloudy)

2. Wipe tops 

3. Inject air into NPH without touching solution

4. Inject air into Regular (clear). 

5. Draw up Regular 

6. Draw up NPH

500

Name the angle of insertion for Intradermal, Subcutaneous, and Intramuscular injections.

ID: 5-15 degrees

Subq: 45 degrees (90 if more fat tissue)

IM: 90 degrees

Unit 1

100

Name a documentation tip. What should your document be consisted of?

Clear and concise

Do not double chart

Short sentences

Facts!! 

Timely

200

What part of the ISBARR framework identifies the immediate problem or reason for the communication?

Situation

300

A patient is seizing. What position do you put the patient in?

Side-lying

400

Name the acronym for fire safety and the acronym for using a fire extinguisher. 

RACE and PASS

500

Name the urinary elimination problem from each sentence:

1. Patient is frequently urinating a small amount, it is painful, and foul smell. 

2. Involuntary urination without sensation of a full bladder.

3. Small leakage of urine due to sudden pressure 

4. Involuntary urination and can't get to the bathroom fast enough

1. Urinary Tract Infection

2. Overactive

3. Stress

4. Functional

Unit 2

100

Best way to prevent multiple postoperative complications. 

Ambulate

200

Which can be delegated to a PCT?

1. Assessment of IV 

2. Taking patient's vital signs

3. Administering medications

4. Getting a culture

Taking vital signs

300

Explain what a time-out is and when it occurs.

Short pause before surgery to confirm that they are about to perform the correct procedure on the correct body part of the correct patient. 

400

List 3 signs of infection.

Redness

Swelling/Inflammation

Warm to touch

Fever

500

How do you use an incentive spirometer? Include patient positioning and how often.

1. Sit up

2. Breathe out normally

3. Use IS and breathe in slowly and deeply through mouthpiece

4. Hold breath for 3-5 seconds and exhale (not through IS)

Perform 10 times per hour

Unit 3

100

Name of model for determining basic human needs such as food, water, and safety.

Maslow's Hierarchy of Needs

200

Name a cause of fluid volume excess.

Replacing water not electrolytes, SIADH, hypotonic solutions, heart failure, cirrhosis, kidney failure, age, burns, excessive sodium intake

300

Name 3 signs and symptoms of fluid volume deficit.

Weakness, fatigue, dizziness, confusion, thirsty, dry mucous membranes, weight loss, decreased output, delayed capillary refill, cool/clammy skin, absence of tears, decreased skin turgor, 

VS: BP and O2 sat = decrease, HR and RR = increase, temp = either

400

Name two diagnostic test or procedure for bowels.

1. Endoscopy

2. Sigmoidoscopy

3. Colonoscopy

4. Fecal Occult 

5. Culture

500

Name the electrolyte associated with each number:

1. Chvostek Sign

2. EKG changes (peak T wave)

3. 135-145 mg/dL

1. Calcium 

2. Potassium

3. Sodium