Infusion Calculation:
Drip Happens
Drip Happens
Calculate the Infusion Rate (mL/hour)
Volume to be infused: 1,000 mL
Duration: 4 hours
250 mL/hr
With proper maintenance, how many days is a peripheral venous catheter typically good for?
3-4 days
With proper maintenance, how long is a central venous catheter typically good for?
Up to 7 days
Your patient is ordered a urine culture and has an indwelling catheter. Where should the urine be withdrawn to provide an appropriate sample?
The tubing close to the patient (NOT the bag).
What is the anatomical landmark for auscultating the tricuspid valve?
4th Intercostal Space
Left of the Sternal Border
Calculate the Infusion Rate (mL/hour)
Volume to be infused: 1,000 mL
Duration: 12 hours
ROUND TO THE NEAREST WHOLE NUMBER
83 mL/hr
Name the Complication:
The IV catheters has accidently migrated out of the vein and into the surrounding tissue.
Infiltration
What major complication are patients with a central venous catheter at risk for?
Central Line Associated Blood Stream Infection (CLABSI)
When is the best time to collect a sputum specimen?
In the morning before the patient has had anything to eat or drink.
What is the predominant sound elicited when percussing the abdomen?
Tympany
Calculate the Infusion Rate (mL/hour)
Volume to be infused: 750 mL
Duration: 5 hours
150 mL/hr
Name the Complication:
Inflammation of the vein
Phlebitis
Which type of catheter is appropriate for long term use (6 month or sometimes longer)?
Tunneled Dialysis Catheter
You are the nurse obtaining a specimen from a patient. When should you label the specimen?
(Include two considerations).
1. After the specimen is collected.
2. In the presence of the patient.
This assessment is used to assess a patient's balance. If positive, it may indicate a neurological disorder such as posterior column disease, vestibular dysfunction, or cerebellar disorders.
The Romberg Test
Calculate the Drip Rate (gtt/min)
Total Volume: 1,000 mL
Time: 6 hours
Drop Factor: 10 gtt/mL
ROUND TO THE NEAREST WHOLE NUMBER
28 gtt/min
Name the Complication:
The leaking of vesicant medications and solutions into the surrounding tissue causing damage.
Extravasation
Accurately identify 3 routes of access for a central venous catheter.
1. Internal Jugular (IJ) Vein
2. Subclavian Vein
3. Femoral Vein
Name two contraindications to performing a nasopharyngeal swab on a patient being ruled out for COVID 19.
1. Nasal surgery
2. Facial trauma or injury to the nares
3. Potential skull fracture
4. Epistaxis
While assessing fremitus on your patient's posterior chest wall, you notice that the vibrations feel significantly less pronounced on the patient right side. What could this be indicative of?
Pneumothorax
Calculate the Drip Rate (gtt/min)
Total Volume: 1,500 mL
Time: 9 hours
Drop Factor: 10 gtt/mL
ROUND TO THE NEAREST WHOLE NUMBER
28 gtt/min
Identify 3 interventions a nurse can implement to reduce the risk of infection in a peripheral IV.
1. Replace IV tubing whenever the cannula is changed
2 Avoid disconnecting tubing and lines unless necessary.
3. Change and date tubing regularly - frequency will be determined by facility procedures.
4. Use aseptic technique with appropriate cleansing solution during catheter insertion, when changing the site dressing, each time ports are accessed, and each time tubing is changed or disconnected/reconnected.
5. Change IV site according to facility policy.
Identify the name of the vein in which a peripherally inserted central catheter (PICC) is most commonly inserted.
Basilic Vein
Identify two types of medication patients undergoing a FOBT (or guaiac test) should avoid prior to obtaining a stool sample.
Aspirin, anticoagulants, and NSAIDs.
While auscultating your patient's carotid artery, you hear a bruit.
1. What could this be indicative of?
2. What is the patient at risk for?
1. Plague or significant narrowing of the carotid artery.
2. Stroke.