A
B
C
D
E
100
When administering medications via feeding tube what medications should not be crushed and administered through the tube? select all that applies
A. Sublingua
B Buccal
C. Enteric coated
D sustained release
E antineoplastic drugs
Sublingual or Buccal
Enteric coated or sustained release
or potentially carcinogenic (antineoplastic products)
All cannot be given pg 681
100
NG Tube Insertion
Please explain the traditional method of measurement
Pg504 You would measure from the tip of the nose to the tip of the ear and then to the xiphoid process. mark the distance on the tube with a piece of tape this is called the traditional mark
100
What is considered the golden standard to check for NG tube placement?
an X-ray
100
How much mls of fluid should be considered for prevention of clogging a feeding tube?
30ml page 507
100
What must you remember when you walk into your Hesi?
You will pass your Hesi
200
Perform a Urine specimen test.'
Give an example of what you would be looking for ?
Glucose
Ketones
200
You have a New admit in room 132 and part of your assessment is performing a Neur Check on your patient.
Please pick a partner and tell us what you would perform?
Glasgow coma scale
pg 401
eye, motor, and verbal
200
Your patient Patty Smith is scheduled for an MRI at noon. Her medication scheduled medication are as followed. 1. Lisinopril 2. Lasix, and Fentanyl patch on her Left shoulder that was placed by the evening nurse. She has a piercing on the left side of her lip.
What teaching would you provide to prepare your patient for her MRI
Magnetic resonance imaging
pg 414.
Remove the patch and have a second nurse sign with you as you both dispose it.
and the Piercing must be removed
explain the danger of possible burns from patch and the piercing causing serious injury if left in
200
Tell the class how you would perform a stool occult and what you are looking for
get a speicman cup
put a hat on the toilet
tell the patient to inform you when they have a bowel movement.
collect it place in container and then send to lab in a biohazard bag
pg 431
200
What position would you place your patient when you want to feed them?
What are you trying to prevent/
High fowlers
aspiration
300
You just administered your patient scheduled Tylenol via g-tube what would you do next?
follow the medication with 30 to 60 ml of water pg 682
300
Give the order you would draw up 5 units of NPH and 5 units of regular insulin
Tell the class
300
A nurse accessing the injection port of the IV tubing will “scrub the hub” for:
a. 5 seconds.
b. 10 seconds.
c. 15 seconds.
d. 30 seconds.
C
The hub of the injection port on a piggyback setup should be scrubbed for 15 seconds.
300
A patient is to have an IV insertion site changed. The current line is in the lower right forearm. Which location is contraindicated for the new site?
a. Right upper forearm
b. Right hand
c. Left upper forearm
d. Left hand
B
A new IV site should not be placed distal to an old site; the right hand is distal to the right forearm, so it should not be used.
300
The nurse caring for a patient with an intermittent IV device should:
a. attach continuous fluid infusion to the device.
b. infuse saline or heparin solution to maintain patency.
c. discontinue when the IV medication is finished.
d. reduce patient activity to prevent dislodgement.
B
The intermittent IV device should be flushed periodically with saline or heparin, depending on facility policy, to maintain patency, which allows more freedom of movement for the patient.
400
Activities considered to be aspects of the implementation step of the nursing process are: (Select all that apply.)
a. documentation of care given.
b. assembly of supplies.
c. analysis of data gathered.
d. modification of aspects of the plan.
e. evaluation of the patient response.
BC
Documentation of care and assembly of supplies are nursing interventions performed during the implementation step of the nursing process.
400
Which of the following items could be the responsibility of the LPN/LVN for a patient’s plan of care? (Select all that apply.)
a. Collect data.
b. Perform nursing interventions.
c. Initiate the plan of care.
d. Assist the RN with evaluation of the patient’s response to nursing interventions.
e. Document nursing care.
ABD
Registered nurses are officially responsible for the initiation of nursing care plans for each patient, but the LPN/LVN assists with each part of the care plan. The LPN/LVN is often responsible for data collection to assist the RN with the assessment phase.
400
Continuous learning needs for the patient upon discharge should be communicated to the: (Select all that apply.)
a. visiting nurse.
b. family.
c. primary care provider.
d. pharmacy or medical supply facility.
e. home health aide.
ABC
Health care entities that need to be aware of post-discharge continuous learning needs include the visiting home health nurse, the family, and the primary care provider. Pharmacies and medical supply facilities are not notified. The home health aide will not be instructed by the home health nurse.
400
The nurse reminds the patient that health instruction supports the goals of Healthy People 2030, which include: (Select all that apply.)
a. promoting healthy behavior.
b. increasing the life span.
c. providing equipment for self-care.
d. ensuring access to adequate health care.
e. strengthening community relationships.
ADE
Health instruction supports the goals of Healthy People 2030, which include promoting healthy behaviors, protecting health, ensuring access to quality health care, and strengthening community health promotion programs.
400
The nurse explains that the common aspirin can be classified as an: (Select all that apply.)
a. antipyretic
b. analgesic
c. anti-inflammatory
d. antibiotic
e. anti-clotting
ABCE
Aspirin is classified as an antipyretic, analgesic, anti-inflammatory, and anti-clotting drug.
500
Name the order you Don on your PPE?
Gown
Mask
Googles/ face shield
Gloves
500
Go to Chapter 22 and locate the image that names the areas you can Auscultate the heart sounds
Name the one that is missing?
All Pigs Eat Too Much
Aortic area
Pulmonic are
Missing
Tricuspid area
Mitral Area
Erbs Point
500
Name six adventitious Breath sounds.
1. Wheezes
2. crackles
3. Rhonchi
4. Stertor
5. Stridor
6. Plural friction rub
page 390
500
Go To page 390 and display the assessment of the figure 22.10 Let the class know what type of an assessment and what abnormality you would be looking for.
500
Name the order you remove your PPE?
Gloves
Googles/ face Shield
Gown
Mask
pg 238