ICU Review

Question 1

what does a pink arm band mean?

Answer 1

don’t take BP in that arm

Question 2

name three devices that assist the heart

Answer 2

pacemaker, LVAD, infra-aortic balloon pump

Question 3

is a PICC line an arterial or venous line?

Answer 3

venous

Question 4

which of these can be used to monitor heart function: CVP line, PICC line, IV line, swan ganz, vasacath?

Answer 4

PICC line, CVP line, Swan Ganz

Question 5

what is a swan ganz?

Answer 5

passing of thin tube through the right side of the heart into the pulmonary artery to monitor hearts function and output in people who are hemodynmically unstable?

Question 6

dislodging which of the following is considered critical if you dislodge it?
swan ganz
sequential compression
PiCCO
foley 
epidural

Answer 6

PiCCO, Swan Ganz

Question 7

which of the following is used to deliver the highest concentration of oxygen?
nonrebreather, nasal cannula, face mask

Answer 7

nonrebreather

Question 8

precautions on a ventilator

Answer 8

empty canisters first; empty condensation 
avoid head and neck movements
mobility is possible 
be careful of gait belt
check with RN and MD OOB orders

Question 9

should a gait belt go above or below ?
NG
chest
colostomy 
foley

Answer 9

below
above
over
above

Question 10

Which of the following lab values is/are likely to preclude exercise: glucose level of 55, Hgb 14, SpO2 92%, hct 14, platelets 40K?

Answer 10

glucose indicates exercise with caution
SpO2 is patient dependent; check what is going on
hct 14, should not exercise
platelets indicate moderate exercise

Question 11

Which of the following is used to drain wounds: Passy-Muir, Jackson Pratt, Hemovac?

Answer 11

jackson pratt, hemovac

Question 12

what is the difference between an NG and PEG tube?

Answer 12

NG is short term, goes through nose

PEG is long term, goes directly to stomach

Question 13

What precautions should you take when working with a patient who has a colostomy bag?

Answer 13

make sure the bag is empty, dry and sealed; place gait belt above

Question 14

Which of the following lines goes into a vein: IV, PICC, Swan-Ganz, Hickman, PICCO, Permacath, NG tube

Answer 14

IV, PICC, swan-ganz, hickman, permacath

Question 15

What should you do if you knock over a chest tube drainage container?

Answer 15

pick it back up; notify nursing staff

if chest tube becomes dislodged, cover it and get help

Question 16

What do you need to consider when working with a patient who has a Foley catheter?

Answer 16

container needs to remain below the level of the bladder; gait belt placed above; drain bags before mobility

Question 17

What should you do if you pull out an IV line?

Answer 17

stop bleeding and notify nursing staff

Question 18

Which of the following is the most invasive form of urinary drainage: urostomy, Foley catheter, suprapubic catheter

Answer 18

urostomy

Question 19

Describe each of the following catheters: Foley, Permacath, port-a-cath, triple lumen catheter

Answer 19

foley has a balloon, for urination
permacath: used for hemodyalisis
port-a-cath: venous line that can stay there for years
triple lumen catheter: has three tubes inside

Question 20

What accessibility guidelines are federally regulated?

Answer 20

employment; public services and transportation; public accommodations

Question 21

what is a reasonable accommodation? who decides?

Answer 21

employer accommodates for someone’s needs, but not at the expense of the employer
required by ADA and FEH
determined by employer; employee must ask; work together to determine them

Question 22

what are essential functions?

Answer 22

the minimum requirements to complete daily job tasks

Question 23

what is required for a residence to be visitable?

Answer 23

at least one zero step entrance; one WC accessible bathroom