FINAL Flashcards
What size of needle and at what angle should the student practical nurse use for a slightly obese patient who requires an intradermal injection?
27 gauge, ⅝ inch, 15 degrees
What site should the student practical nurse use for an intradermal injection on an average size patient?
inner aspect of the forearm
The physician orders 36 units of nph and 12 units of regular insulin. The nurse plans to administer these drugs in 1 syringe. Identify the steps in this procedure by listing them in priority order.
- Inject air equal to nph dose into nph vial
- Invert regular insulin bottle and withdraw regular insulin dose
- Inject air equal to regular dose into regular dose
- Invert nph vial and withdraw nph dose
- Answer: 1324
Following administration of a sc narcotic the student practical nurse lets the patient know that he will return in 30 mine. What is the purpose of this return?
monitor for drug effects
The student practical nurse has prepared a narcotic to be administered through a sc catheter. However, some medication must be discarded. What is best practice?
the spn documents on the control inventory form
Which site is not recommended for im injections?
dorsogluteal
The student practical nurse has prepared a cognitive patients erd daily dose of im vitamin b12. Prior to administration, the patient states, i have never received an im injection, why are you giving it to me? How should the student respond
recheck patient name band and physician order
The student practical nurse is to administer an im injection. Why should the z track method be utilized?
Decreases irritation and seals the medication into the muscle tissue
Which type of oxygen delivery device provides the highest concentration of oxygen?
partial rebreather face mask
Which of the following is a crucial assessment that the student practical nurse performs for a patient on a non rebreather mask?
the attached bag is inflated at all times
When suctioning nasopharyngeal secretions, the student practical nurse does not apply suction for more than..
15 secs
A patient is admitted with pneumonia. Which of the following assessment findings would indicate that the patient needs oropharyngeal suctioning?
decreased independent ability to cough and expectorate
A patient has been newly diagnosed with emphysema. In discussing his condition with the nurse, which of his statements would indicate a need for further education?
if i get short of breath, i’ll turn up my oxygen levels as high as my tank goes
A patient is admitted to the emergency department with suspected carbon monoxide poisoning. The son understands that the patient is at a risk for decreased oxygen carrying capacity of blood because carbon monoxide does which of the following:
forms a strong bond with hemoglobin
The student practical nurse assesses a patient and finds her lying supine in bed. The patient tells the student practical nurse that she feels shortness of breath which should the student practical nurse do first?
raise the head of the bed to 45 degrees
After having transurethral resection of the prostate (turp), mr. Locke returns to the unit with a three way indwelling urinary catheter and continuous closed bladder irrigation. Which finding suggests that the patients catheter is occluded?
client reports bladder spasms and the urge to void
Mr ford is a carrier of mrsa what precautions should the spn take to prevent spread of mrsa to other patients?
mr ford should be moved to a private room and placed on contact precautions
The spn is assigned to care for a patient with a deep wound infection. Which action would result in the contamination of sterile gloves?
pulling bed linen over patient’s perineum for better draping
When transferring. Sterile item to a sterile field, what is the best method used by the spn?
open package, and follow the 2.5 borders, remaining sterile
What are the four characteristics of wouldnt drainage that must be assessed?
type, amount, odour, colour
When providing discharge teaching to a patient with a healing abdominal incision which of the following is an appropriate teaching point
protect the site and dressing while showering and clean it
A female patient with an indwelling urinary catheter is suspected of having a uti. What action does the spn take
clamp for 30 minutes and get a culture and sensitivity test
The student practice nurse is caring for a patient who is on continuous bladder irrigation. What technique should be used
maintain aseptic technique
After undergoing turp to treat benign prostate hypertrophy, a male patient returns to the room with continuous bladder irrigation. On the first day after surgery and reports bladder pain, what should the nurses intervention be?
assess the irrigation catheter for patency and drainage
The spn is caring for a patient on intermittent tube feeds of 350ml four times a day. How often should the spn assess tube placement?
before each feeding occurs, or at least once per shift if not being used
Patient is scheduled for feed at 2200 to subsidize nutritional intake from feeding tube, what position should patient be in?
high fowler’s
A patient with type 1 diabetes has a blood sugar level of 17.2 at bedtime. An order for insulin existet. What should the student nurse do first?
administered insulin as ordered but see when it was administered if all 3 doses have been given you call the doctor
define Hypoxia
inadequate tissue oxygenation
define dyspnea
difficulty breathing
define Orthopnea
inability to breath except in the upright position
Oropharyngeal and nasopharyngeal suction is used when
when the patient can cough effectively but is not able to clear secretions
Orotracheal and nasotracheal suction is used when?
patient is unable to manage secretions
Tracheal suction is used with
an artificial airway
what does the Pulse Oximetry do
- A device that measures the oxygen saturation of arterial blood in a subject by utilizing a sensor attached typically to a finger, toe, or ear to determine the percentage of oxyhemoglobin in blood pulsating through a network of capillaries
what are 3 ways to maintain and promote lung expansion?
- Position, to help reduce pulmonary stasis, maintains ventilation, and oxygenation
- Incentive spirometry, encourages voluntary deep breathing
- Chest tubes, a catheter is placed through the thorax to remove air and fluids from the pleural space or to prevent air from re-entering or to re-establish intrapleural and intrapulmonary pressures
What is The most effective position for patients with cardiopulmonary disease
is the 45-degree semi-fowlers position.
what is the Oropharyngeal Airway
- is a medical device called an airway adjunct used to maintain or open a patient’s airway. It does this by preventing the tongue from covering the epiglottis, which could prevent the person from breathing
What is a nasal cannula?
- A low-flow device used for oxygen delivery. this device consists of a lightweight tube which on one end splits into two prongs which are placed in the nostrils and from which a mixture of air and oxygen flows
Oxygen is delivered via the cannulas with a flow rate of? Flow rates greater than 4 L/min require what>
6 L/min.
-Flow rate greater than 4 L/min, humidification is required.
What is an oxygen face mask?
A simple face mask is used for? It fits loosely and delivers oxygen concentration at what %??
- An oxygen mask is a device used to administer oxygen, humidity, or heated humidity.
- The simple face mask is used for short-term oxygen therapy.
- O2 at 40-60% concentration (5-8L per minute)
The partial rebreather mask and non-rebreathing mask are low-flow devices with a reservoir bag. The partial rebreather mask provides and O2 concentration of? with a minimum flow rate of ?
The non-rebreather provides high concentration of O2 at?
- delivers O2 at 40-70% concentration with minimum 10L/min, reservoir bag allows ⅓ of exhaled air to be rebreathed with O2.
- non-rebreather = 60% - 80%, w/ min flow rate of 10 L/min