Final Flashcards
What type of surgical drain is a passive drain?
Penrose
What is the GOLD standard to verify placement after insertion of a naso-gastric tube?
Chest x-ray
The NGT placement has been confirmed by X-Ray. What is done to confirm placement in the stomach?
gastric pH
What is a t-tube drain?
Closed drain placed in bile ducts
Which surgical drain is shaped like a bulb?
Jackson-Pratt or JP
The nurse is inserting an NG tube and asks the patient to take sips of water while inserting. What is the purpose of this?
To prevent insertion of the NG tube into the trachea
The nurse can delegate the identification of the blood product at the patient’s bedside.
False
What is a complication associated with small-bore feeding tube?
More likely to become clogged.
The patient has received 2 units of PRBCs and is now complaining of shortness of breath, the nurse auscultates crackles. What does the nurse suspect is happening?
Fluid volume excess.
Within the first fifteen minutes after the start of a blood transfusion the patient exhibits signs of a hemolytic transfusion reaction. What should the nurse do?
Stop the transfusion, maintain line with normal saline in a separate tubing.
The patient with a PCA should be instructed NOT to push the button every time they have pain.
False
The purpose of the abduction pillow after hip replacement/repair.
Keep the joint in alignment
Post-op patient has a PCA of hydromorphone. The respiratory rate is 6 per minute and the patient does not rouse. What is the action needed?
Administer naloxone
What are 2 things that prevent post-op constipation?
Early ambulation or daily walking.
High fiber diet.
Daily stool softener
The patient with an Oral pharyngeal airway (OPA) begins to vomit while in PACU. What is the priority nursing action.
Remove the OPA.
