CLINICAL SKILLS
The term used to state the size of a foley catheter
What is French
The phase of the nursing process that gathers data
What is assessment
The four blood types, the universal donor and recipeint
What is A, B AB and O
Universal donor is O-
Universal recipient AB+
Risk factors for sickle cell anemia
What is
African, Mediterranean, or Hispanic heritage
Parents with a family history of sickle cell anemia
The focus of nursing care post op
What is to alleviate pain and establish patients body equilibrium
The correct way to determine how far to insert an NGT
What is measuring the tube alongside the tip of the nose to the earlobe and towards the xiphoid process
The client urine output was 450ml is considered what
What is objective data
The drug of choice given if patient has a history of transfusion reaction
What is benadryl
Drig of choice for preventing painful crises in sickle cell anemia
What is hydroxyurea
The term used to describe recovery room staff, highly skilled nurses, surgeon anesthetist and anesthesiologist
What is PACU
The way to check placement each shift for the NGT
What is testing pH strip with aspirated gastric contents
The phase of the nursing process that the following statement falls under-Pain will be relieved within 2 hours following administration of Morphine sulfate 2mg IM
What is planning
The steps to take once the patient has a transfusion reaction
What is
Change the IV tubing down to the IV site
Keep the IV line open with normal saline fluid
Call provider
Follow local facility policy for blood transfusion reaction
Notify the blood bank
Obtain blood and urine samples
The early signs that patient is in a crisis
What is joint pain and swelling, fatigue
Item s that patient needs to have at bedside post surgey
Emesis basis, toothpaste, mouthwash, toothbrush, call light within reach
The way in which proper placement is verified once NGT inserted
What is a chest X ray
Collecting data related to outcomes, drawing conclusions
What is evaluating
The most dangerous type of transfusion reaction and its symptoms
What is acute hemolytic reaction symptoms include n/v, pain in lower back, hematuria
The diet therapy that will help sickle cell patients improve their condition
What is fresh fruits and vegetables, lean protein, foods high in folic acid, adequate fluids and avoidance of alcohol
Which is the position of choice for a patient post op who has no contraindications
What is lateral
The way you know patient is voiding adequately every hour via foley catheter
What is their out put will be anywhere between 30-50ml
Where objective data can be obtained
What is from observing the patient, diagnostic tests, and nursing record progress note
The symptoms of a hemolytic transfusion reaction
What is fever chills, disseminated intravascular coagulation and circulatory collapse
The two types of pain events a sickle cell patient goes through
What is vaso-occlusive crises and acute chest syndrome
The number one task the nurse should do once patient returns to floor from PACU
What is perform vital signs