Funds 2

Question 1

What should the diet of a person with a new colostomy be?

Answer 1

6-8 weeks post surgery, avoid high fiver, bean, cabbage, cauliflower, brussels sprouts
simple carbs- white flower and potatoes, and progress slowly to normal diet
drink at least 2 quarts of water, especially in ileostomy

Question 2

When should fecal output start up from a colostomy

Answer 2

2-3 days

Question 3

What kind of electrolyte balance can happen with ileostomies

Answer 3

potassium and sodium output , wo make sure that patients with large output, because of possible hypow

Question 4

What are gas producing causes for ileostom or colostomy

Answer 4

alcohol/beer
carbonated beverage
gum
chives
cucumber, dried peas, eggs
fried foods
pasta noodles
peppers
pickeles

Question 5

foods that are natural intestinal dodorizers

Answer 5

buttermilk
parsley
yogurt

Question 6

odor-causing foods in colostomies

Answer 6

asparagus, dried beans, lentils
eggs
fish
garlic/ onion
some spicy foods
turnip

Question 7

PEG tube client care

Answer 7

A client with a PEG tube should check the length daily
check the bumper fits snugly against the skin
clean the skin around the PEG tube at least once a day
redness, swelling, or drainage from the stoma.
Turn tube gently to decrease pressure on the skin beneath the bumper, reduce the risk of breakdown and infection.
keep the skin around the tube dry, to prevent irritation.
Any prescribed topical ointments applied

Question 8

How often should a tube feed flushing occur?

Answer 8

Q4-6hrs

Question 9

latex allergy indicator

Answer 9

Allergies to banana or kiwi can indicate the client is at risk for a reaction to latex.

Question 10

propofol allergy indicator

Answer 10

Allergy to eggs or soybean oil is a contraindication to the use of propofol for anesthesia.

Question 11

What angle should the HOB be to to relieve pressure on the sacrum, buttocks, and heels.

Answer 11

at or below 30 degrees

Question 12

DTR responses

Answer 12

4+ = Very brisk with clonus (hyperactivity)
3+ = More brisk than average
2+ = Expected
1+ = Diminished
0 = No response

Question 13

client who has an ileostomy has an increased risk of what? why?

Answer 13

increased risk of kidney stones.
due to bicarbonate and fluid loss, leading to acidic urine and reduced urine volume, which decreases the solubility of uric acid and calcium oxalate, promoting stone formation

Question 14

Clients who are candidates for bariatric surgery:

Answer 14

BMI of 40+ and no complications from obesity
BMI of 35+ and one or more obesity-related complications
BMI of 30-34.9 who have type DM 2 uncontrolled with diet, physical activity, and medications

Question 15

How long after opening do sterile solutions expire?

Answer 15

24 hrs after opening and recaping

Question 16

from what height should an item be dropped into the sterile field?

Answer 16

6 inches

Question 17

Fire extinguisher use

Answer 17

P: Pull the pin.
A: Aim at the base of the fire.
S: Squeeze the handle.
S: Sweep the extinguisher from side to side, covering the area of the fire.

Question 18

Classes of fire extinguishers:

Answer 18

Class A is for combustibles (paper, wood, upholstery, rags, other types of trash fires). (ASH)
Class B is for flammable liquids and gas fires. (BOIL)
Class C is for eleCtrical fires. (current)
Class D is for metals/metal shavings. (dense metals)
Class K is for kitchen fires involving fats and oils.

Question 19

what is the chain of infection?

Answer 19

causative agent- virus, bacteria, fungus, etc
reservoir- the host, human, animal, inanimate surface
portal of exit- the mouth, wound, respiratory tract, GU
mode of transmission- fecal, indirect, droplet, vector
portal of entry- mouth, eyes (maybe same as the portal of ext
susceptible host- Compromised defense mechanisms (immunocompromised, breaks in skin), leaving the host more susceptible to infections

Question 20

What is the difference between isometric vs isotonic vs isokinetic

Answer 20

isometric- pilates, yoga, calisthenics, muscle resistance
isotonic- weight lifting and strength exercise
isokinetic- muscle interaction without resistance like swimming and stationary cycling

Question 21

What to do in case of extravasation or infiltration

Answer 21

stop infusion and remove
elevate extremity
encourage active ROM
warm or cold compress
restart infusion elsewhere

Question 22

diff b/w infiltration and phlebitis

Answer 22

infiltration: cool with palor
phlebitis- localized redness and red line

Question 23

treatment of phlebitis or thrombophlebitis

Answer 23

discontinue infusion and remove IV
elevate
warm compress 3-4x’s/day
restart elsewhere
obtain cultures if drainage

Question 24

how would you clean a stoma?

Answer 24

use mild soap and water and then dry gently.
don’t use moisturizing soap

Question 25

what are contraindications for CPT?

Answer 25

pregnant rib, chest, head, or neck injury; have increased intracranial pressure; have had recent abdominal surgery; pulmonary embolism; or have bleeding disorders or osteoporosis

Question 26

nursing actions for CPT

Answer 26

1 hr before or 2 hr after meals, and at bedtime Administer bronchodilator medication or nebulizer treatment 30 min to 1 hr prior Offer emesis basin and facial tissues. Apply manual percussion with cupped hands Place hands on the affected area, tense hand and arm muscles, and move the heel of the hands to create vibrations as the client exhales. cough after each set of vibrations. Remain in each position for 10 to 15 min to allow time for percussion, vibration, and postural drainage.

Question 27

when to take trough levels of gentamycin

Answer 27

just before administering next dose

Question 28

What is the depth and ratio for infant CPR?

Answer 28

1.5 or 1/3 depth of chest, 2:15 for two person, and 1:15 for one person CPR