Final Exam: Acute Care and Special Environments Flashcards
What is the patient mobility and PT involvement for a level 1 Mobility Scale for ICU patients
PROM and turning every 2 hours
No PT involvement, just nursing
What is the patient mobility and PT involvement for a level 2 Mobility Scale for ICU patients
Level 1 Mobility plus AROM and use of dependent lifts
No PT involvement, just nursing
What is the patient mobility and PT involvement for a level 3 Mobility Scale for ICU patients
Level 2 mobility plus bed mobility, activity sitting at edge of bed, standing weight shifts, pivot transfers
Yes, PT is involved
What is the patient mobility and PT involvement for a level 4 Mobility Scale for ICU patients
Level 3 ability plus pre gait activities, stepping transfers, and ambulation
Yes, PT is involved
What does a NG tube stand for
nasogastric tube
How long should NG tubes be stopped before supine activities
30 min for adults
1 hour for pediatrics
What position should a patient with a NG tube before beginning supine activities
upright position
If a patient has a indwelling/foley catheter and collection bag, the collection bag should be kept (above/below) the bladder level
below
If a patient has a indwelling/foley catheter and collection bag, the clinician should (add/avoid) tension on tubing
avoid
f a patient has a indwelling/foley catheter and collection bag, a clinician should drain urine from tubing (before/after) activity.
before
Is the IV or PICC used for administering drugs and fluids
both but the PICC is for long term use
Is the IV or PICC typically put in a vein on the forearm or back of hand; also neck, leg, or foot
IV
Is the IV or PICC bag maintained above insertion site
IV
Should the IV or PICC line avoid using a BP cuff on the limb with the line
both
Is the IV or PICC peripherally inserted central venous line
PICC
Is the IV or PICC inserted in vein of upper extremity, terminating in superior vena cava
PICC
Is the use of axillary crutches a contraindication of the IV or PICC
PICC
Is the endotracheal tube or tracheostomy tube inserted through mouth into the trachea
Endotracheal
Is the endotracheal tube or tracheostomy tube attached to a ventilator
both
Should you avoid excess head and neck movement with a endotracheal tube or tracheostomy tube
endotracheal
Is the endotracheal tube or tracheostomy tube also called a “trach”
tracheostomy
Is the endotracheal tube or tracheostomy tube inserted through neck into trachea
tracheostomy
Is the endotracheal tube or tracheostomy tube smaller in diameter than the other
tracheostomy
Does the endotracheal tube or tracheostomy tube provide some functional mobility if the trach is in place
tracheostomy
An _______ ______ _____ is a small catheter that connects sensor in epidural space or dural tube to transducer and measures the pressure within the brain
intracranial pressure monitor
A _______ ____ is a tube that is surgically placed into the ventricle of the brain to shunt excess cerebrospinal fluid from the brain to the jugular vein or abdominal cavity
ventricular shunt
After a ventricular shunt, a patient should be on best rest for ___ hours
24
After a ventricular shunt, what are signs to look for and should be reported to nursing if seen
severe headache or nausea upon sitting or standing
A pleurovac is another name for a ____ ___
chest tube
A chest tube bedside container should be kept upright and (above/below) the insertion site
below
True or False
accidental removal of chest tube is a life threatening emergency
true
In the management of acute care environment, which supplies should be ready for the patient
pillows/blankets AD gowns/non stick socks wheelchair someone to push equipment
