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69:257: Fundamentals of Psychiatric Nursing II > Lab Skill Assessment > Flashcards

Lab Skill Assessment Flashcards

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1
Q

A sterile object remains sterile only when touched by ______.

Sterile objects that touch ____ objects become contaminated

Sterile Objects that touch ____ objects become contaminated

If a tear or break in the covering or packaging of a sterile object is found, the object is considered to be _______________

A

Sterile

Clean

Contaminated

Contaminated

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2
Q

Only ______ objects may be placed in the sterile field

A

Sterile

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3
Q

A sterile object or field out of the range of _____ is contaminated. The nurse must never turn their ____ on a sterile tray

A

Vision

Back

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4
Q

An object held below a persons ______ is contaminated

A

Waist

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5
Q

A sterile object or field becomes contaminated by prolonged exposure to

A

air

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6
Q

When a sterile surface comes in contact with a ___ surface the sterile object or field becomes contaminated by capillary action

A

Wet

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7
Q

If ____ seeps through a sterile packages protective covering, microorganisms travel to the sterile object

A

Moisture

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8
Q

Fluid flows in the direction of ____

A

Gravity

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9
Q

The ___ of a sterile field or container are considered to be contaminated because the edge of the drape touches an unsterile surface, a ____ cm border around the drape is considered contaminated and objects placed on the sterile field must be within this border

A

Edges

2.5cm

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10
Q

How much O2 does a low flow nasal cannula give

A

1-6L/min

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11
Q

How much O2 does a oxygen conserving nasal cannula

A

1-15L/min

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12
Q

How much O2 does a high flow nasal cannula

A

up to 60L / Min

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13
Q

How much O2 does a Simple face mask

A

5 - 10 L / min

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14
Q

How much O2 does a Face mask with reservoir bag as a non breather give?

what must you ensure has happened before initiating and during the flow of O2?

A

15 L/ Min

Bag is inflated

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15
Q

How much O2 does a Face mask with reservoir bag as partial nonbreather?

What must you ensure has happened before initiating and during the flow of O2

A

10-12 L / Min

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16
Q

How much O2 does a Venturi Mask give?

And is it low or high flow?

A

4 - 12 L / Min

High flow

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17
Q

What mask gives the most control over flow?

A

Venturi Mask

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18
Q

How much O2 does a face tent giver

A

8-12 L /min

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19
Q

When is a face tent used for O2

A

When tight fitting masks are not tolerated and used for humidification

20
Q

How much O2 does a resuscitation mask give

A

15 L / Min or wide - open

21
Q

Describe when resuscitation mask is used?

A

Non breather in emergency setting

ECT

22
Q

Describe the process of initiating oxygen and when to start using humidification ?

A

Start at 1L and titrate from there

Add humidification at 4L

23
Q

What must be present if oxygen is being used?

A

A sign on the door

24
Q

When using oxygen we must never use ____ products why?

A

Petroleum because it could ignite

25
Q

What things must documentation include when documentation for oxygen is required

A

Delivery device

Liter flow (Written as 2L/nasal cannula)

Education provided to patient and family

Patient response to oxygen both pre and post

26
Q

If people with COPD are having trouble breathing what should a nurse encourage?

A

Pursed lip breathing

27
Q

Why is giving lots of oxygen to a person with COPD a bad thing?

A

If oxygen level is to high the brain thinks it no longer needs to breath

28
Q

What is the SPO2 level for COPD people

A

88-92%

29
Q

Documentation for Eternal Feeding should include what information

A

Amount and type of feeding

Patients response

Patency of tube

Stoma site

Skin integrity

Side affects if any

30
Q

Documentation for wound care must include

A

Wound and periwound tissue appearance, colour and tissue type

Presence and characteristics of exudate

Type and amount of dressing used

Patient tolerance of procedure

Patients level of comfort

Any analgesics provided

31
Q

Documentation for Urinary Elimination must include

A

Type and size of catheter used

Amount of fluid used to inflate balloon

Characteristics of urine (colour, clarity, odour)

Reason for catherization

Specimen collection (if required)

Patients response

Patient teaching

In and out record

32
Q

When checking supplies for the set up of a sterile field what must be check the supplies for

A

Expiration date

Punctures

Tears

Stains

Evidence of moisture

33
Q

Whenever pouring a sterile solution into the sterile field we must check what

A

Verified contents

Expiration date

34
Q

How do we know what rate the oxygen is set to?

A

If the line is in the middle of the ball

  • watch the ball doesnt fall when u adjust rate
35
Q

What are three things to make sure to do when preparing for a male catheterization?

A

Patient in supine

Draped upper and lower, only exposing the private area

Ensure waterproof pad is under

36
Q

Foreskin must be ____ when inserting a catheter

A

retracted and put back afterwards

37
Q

What are three things to do before a female catheterization that is important

A

Helped patient into dorsal recumbent position

Request patient to relax thigs

Draped upper and lower body

38
Q

When inserting a female catheter what other position (beside dorsal recumbent) can they be in?

A

Side-lying

39
Q

What position must the patient be in for enteral feeding?

A

Fowlers position

No less than 30
No more than 45

40
Q

When eternal feeding, formula must be given at what temperature?

A

Room temperature

41
Q

When preforming eternal feeding what must be label the bag with?

A

Tube-feeding formula type

Strength

Amount

Date

Time

Initials

Label “Not for IV use”

42
Q

When packing a wound we must think

A

Think fluff not stuff

43
Q

When dressing a wound we must label the dressing with

A

Date

Time

Initials

44
Q

When documenting for Oropharyngeal suctioning we must include

A

Amount, consistency, colour and odor of secretions

Patients response to procedure

Patients pre and post suctioning status

45
Q

When documenting for Tracheostomy suctioning and dressing change we must include

A

Patient response to procedure

Characteristics of sputum

Number of passes

Pre and post suctioning status

Inner cannula care

69:257: Fundamentals of Psychiatric Nursing II (1 decks)

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