CLABSI
Peripheral IVs
Infection Prevention
CAUTI
Regulatory
100
Your patient wants to shower with his newly placed central line, you should ...
What is wrap it up with clear plastic and tape ensuring that all edges of the dressing are sealed.
100
TRUE or FALSE: Each patient that is admitted to the hospital needs an IV in case of an emergency
What is FALSE
100
The proper sequence for doffing PPE
What is gloves, gown, eye/face shield, mask
100
Urinary catheter care should be performed and documented _________.
What is twice a shift
100
These timing intervals are the minimum requirements for when to take a full set of vital signs when administering any type of blood product.
What is
- Prior to spiking
- 15 minutes after the start if the infusion
-Periodically throughout the transfusion as patient condition warrants
-End of the infusion
200
Central lines placed from OSH require this before they can be used.
What is x-ray confirmation of placement and a physician order that it is okay to use.
200
You arrive to Mr. Smiths room and he complains that his arm with IV fluids infusing is cold, swollen, and painful. These are signs of_____
What is infiltration
200
The most effective way to break the chain of infection.
What is Hand Hygiene
200
TRUE or FALSE: Specimen cups containing urine can be sent via the tubing system to the lab.
What is false.
200
A patient using a this type of mask should maintain what minimum oxygen flow rate and why?
What is 10-15 L/min to prevent rebreathing of exhaled CO2 and ensure adequate oxygen delivery.
300
A patient with a device such as a central line should receive this type of bath daily
What is CHG
300
Dressing changes should be performed on all PIVs every _________ days or _____.
List indications for changing VAD dressing.
What is change transparent dressings at least every 7 days and when the dressing is not intact, the dressing is loose or moist, drainage or blood is under the dressing, or further assessment is needed for a suspected infection or complication.
300
This technique is used to scrub the central line area and for a minimum of _____ seconds.
What is back and forth motion for a minimum of 30 seconds.
300
Reassessment of the reason for continuing urinary catheterization should be documented every ______.
What is every shift.
300
This is the maximum L/min O2 flow rate for which a nasal cannula may be used. If the patient's O2 needs increase beyond this the O2 delivery device should be changed to ______ and the provider notified of the change in O2 needs.
What is 6 L.
400
TRUE or FALSE: Activase or CathFlo is a low dose t-PA that is used to restore patency and blood return to central lines, PICCs, and Medports.
What is TRUE
400
This complication involves vesicant medication leaking into tissue, potentially causing severe tissue damage including necrosis.
What is extravasation
400
You walk into your patient's room and the IV tubing and primary bag is not labeled and it is time to hang an antibiotic. You should...
What is discard the unlabeled tubing and primary bag and use new tubing and bag ensuring the fresh set is labeled.
400
The green clamp on the indwelling urinary catheter drainage bag can be used to ____________.
What is prevent dependent loops by attaching the green clamp to the sheets.
400
DI Score
500
Your patient has a dialysis catheter and you noticed there is dried blood underneath the dressing. As the nurse you should...
What is change the dressing using Aseptic technique.
500
You must verify this before administering a CHIPS IV medication.
What is 2 RN independent check
500
Your patient has an allergy to CHG. This should be used to clean the site of the central line instead of CHG.
What is sterile alcohol swabs or povidone-iodine swabs.
500
TRUE or FALSE: Strict I/Os is a valid reason for keeping in a indwelling urinary catheter.
What is false, the following reasons for an indwelling urinary catheter are:
Hematuria-gross or presence of clots
Obstruction-urinary/continuous bladder irrigation
Urologic surgery
Dermis-Assist in healing of open sacral/perineal wounds (Stages III, IV, or unstageable - incontinent patients only)
I &O Only in critically ill patients
No code-comfort care/hospice care
Immobility-due to physical constraints (unstable fractures, IABP)
500
Your patient had soft wrist restraints earlier in the day. The restraints were removed because the patient appeared to be calm and cooperative. However, within a couple of hours the patient becomes increasingly agitated and tries to pull at their IV line again. The restraint order has not expired yet. You should...
What is a new order must be obtained to apply restraints.