Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NCLEX > Procedures > Flashcards

Procedures Flashcards

You may prefer our related Brainscape-certified flashcards:
NCLEX-PN® flashcards NCLEX-RN® flashcards
0
Q

Regional anesthesia (spinal anesthesia)

A

Adequately hydrate to prevent hypotensive problems

Not NPO

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
1
Q

Amniotomy

Artificial rupture of membranes

A

Increase efficiency of contractions

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Appendectomy

A

Large amount of serosanguineous drainage so ask if tissue drain placed during surgery.
Complains of pain: after administering analgesic, elevate head of bed 30-45 degrees to reduce stress on suture line and provide comfort

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Arteriogram

A

Injecting radiopaque contrast agent directly into vascular system to visualize vessels
Shows location of obstruction and collateral circulation

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Biofeedback

A

Useful for reducing stress associated with physiologically based disorders

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Prepare for breast feeding

A

Wash breasts with water and rub with a towel every day

The pill suppresses production of breast milk, pick another contraceptive

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Bronchoscopy

A

Assess for respiratory distress from swelling due to procedure (tachypnea, tachycardia, respiratory strider and retractions)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Brudzinskis reflex

A 
Gently flex child's head and neck onto chest
Positive response (flexion of hips and knees) indicates meningeal irritation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Bucks traction

A

Patient with fractured femur keeps sliding down in bed: elevate the foot of the bed on blocks bc it will keep leg straight and counter the pull of the weights
Immobility leading cause of problems so turn client every 2 hrs to unaffected side
Head of bed 15-20 degrees
Strict bed rest
No footboard bc it would interfere with traction
No pins
Assess elastic bandages are not too loose or too tight to make sure circulation is not being compromised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Bulge test

A

Lie down and extend your legs

Confirms presence of fluid in knee

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Cane

A

Sprained right ankle
Nurse should stand on client’s left side and slightly behind
Use gait belt to assist patient

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Cardiac cath

A

Check pedal pulses after procedure every 15 min for 1 hr, then every 30 min for 2 hr, then every 4 hr
NPO after midnight
Bed rest 8 to 12 h after procedure with pressure dressing applied over catheter insertion site
May feel burning sensation when dye injected
May feel fluttery sensation when catheter passed into left ventricle

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Cardioversion

A

Elective procedure to treat dysrhythmias; is a synchronized countershock
Conducting agent between skin and paddles
Call “clear” before discharging electrical current
Paddle placed directly on skin
Apply approx 20-25 lb of pressure on each paddle
Record the electrical current delivered and resulting rhythm
Administer versed for procedure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Cataract surgery

A

Immediate post op: position client on back or unaffected side with head slightly elevated to prevent trauma to surgical eye

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Chest tube

A

If water-seal chamber doesn’t fluctuate - indicates re-expansion of lung, x-Ray will confirm
Keep water seal chamber with 2 mL of water to maintain negative pressure
Constant bubbling in water seal chamber would indicate air leak
Clamp tube if checking for air leaks or changing equip
Crackling under skin after chest tube removed yesterday describes subcutaneous emphysema which indicates pneumothorax

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Cholecystectomy

A

Incision high on abdominal wall

Decreased breath sounds post op might indicate complication of pneumonia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Contractions stress test

A

Negative: normal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

CPR

A

Depress sternum 2”
Reposition airway if chest wall fails to rise
4-6 min to respond to prevent permanent brain damage
100 compressions/min

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Defibrillator

A

Check it every 8 hrs

Don’t touch bed when using to prevent accidental countershock

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Ear irrigation

A

Warm the irrigant; if too cool it can elicit dizziness

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

ECT

A

General anesthesia-NPO after midnight

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

Enema

A

Hold irrigation set 12-18 inches above rectum
Insert irrigation tube 3-4 inches into rectum
Patient in sims position, descending colon at lowest point
Warm water to slightly higher than body temp (105)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

EPS (electrophysiology studies)

A

Study hearts electrical system
Invasive procedure
Special wire is introduced into heart to produce dysrhythmia
NPO for 6-8 hrs before test
Antidysrhythmics held for at least 24 hrs
Sedation avoided since clients verbal response is extremely important

24
Q

Hemodynamic monitoring

Swan-ganz catheter

A

Indirectly measures the pressure in the ventricles

25
Q

Ileostomy

A

Laxatives (miralax) contraindicated

Enteric coated contraindicated

26
Q

Intravenous pyelogram (IVP)

A

Ask client about allergies, iodine

May experience hot feeling and my skin may feel flushed and nausea caused by dye injection

27
Q

Lumbar puncture

A

Remain flat in bed for 8 hrs after test to prevent post-lumbar headache
No general anesthetic
Fluids not restricted before test

28
Q

Guthrie blood test

A

Evaluates neonate for PKU

Give lofenalac formula bc it is low in Phenylalanine

29
Q

NG tube

A

Check pH
Large barreled syringe to aspirate
Flush with 30 mL of air before aspirating
Tube feeding at room temperature
Check tube placement prior to giving medication
If stomach contents draining from the air vent, insert 30 ml of air to reset abolish proper suction

30
Q

Incentive spirometer

A

Quantifiable method of assessing respiratory effort with deep breathing exercises
Mouthpiece in mouth, exhale normally, seal lips around mouthpiece, inhale slowly and deeply, keep balls or cylinder elevated 2-3 sec, exhale

31
Q

Position for Liver biopsy

A

Supine with arms raised above head

On right side with small pillow under puncture site for 3 hrs after procedure

33
Q

Knee gatch post surgery

A

Knee gatch: don’t use bc would compromise circulation and predispose to thrombus formation
Two pillows behind knee: don’t because it would compress the vessels behind the knee

34
Q

Total laryngectomy

A

Communicate in writing initially then by artificial larynx or esophageal speech
Feeding tube: Requires nutritional support for 10 days until wound heals, then gradually resumes oral intake
Will require laryngectomy tube to prevent scar tissue contracture
May develop some difficulty with taste and smell after surgery
Cough and deep breath after surgery
Suction: client to take several deep breaths before suction catheter is inserted
Not able to sing, whistle or laugh using laryngeal communication

36
Q

Paracentesis

A

Client to void before procedure to prevent puncture of bladder
NPO not needed
Bowel prep not needed

36
Q

Radium implant

A

Evaluate position of applicator every 8 hrs
Strict bed rest
High fluid intake
Low residual diet to decrease bowel movements (BMs can dislodge it)

37
Q

MRI

A

nitroglycerine patch to be removed before test

38
Q

Peritoneal dialysis

A

Cloudy or opaque dialysate output is earliest sign of peritonitis

39
Q

Non-stress test

A

Reactive: normal

39
Q

Myelogram

A

Dye injected into subarachnoid space before x-Ray of spinal cord and vertebral column to assist in identifying spinal lesions
Drink extra fluids after test to replace CSF lost during test
NPO 4-6 hrs
Bed rest after for as long as 24 hrs
HOB 30 degrees for 24 hrs

41
Q

Pacemaker

A

Avoid lifting post-op arm above shoulder for 1 wk
Takes 2 mo for full range of motion to return
Microwaves don’t interrupt
Avoid heavy lifting until approved by HCP
Any time the pulse rate drops below the preset rate on the pacemaker, the pacemaker is malfunctioning; the pulse should be maintained at a minimal rate set on the pacemaker

43
Q

Packed cells

A

1 Obtain history of transfusion reactions
2 Start IV gauge 19
3 Obtain blood product
4 Begin transfusion

45
Q

Rombergs sign

A

Have the child stand with his eyes closed, his arms at his sides, and his feet and knees close together.
Assesses equilibrium and cerebellar functions

46
Q

Subclavian triple lumen catheter

A

Supine with the clients head low and turned away from the insertion site. This produces dilation of neck and shoulder vessels, making entry easier and preventing air embolus

47
Q

Systemic desentization

A

Form of behavior modification for learned disorders

Best for phobic disorders, learned disorder

48
Q

Sengstaken Blakemore tube

A

If patient in respiratory distress, cut the balloon ports and remove the tube.

49
Q

Fractured right femur
Thomas splint and Pearson attachment
Weights on floor
Feet touching foot of bed

A

Steady traction and ask child to bend the left leg and push up in bed
Don’t release weights
Don’t pull on weights

50
Q

Suppository

A

Pt to breath through mouth to relax for insertion
Inserted 3-4 in into rectum
Positioned to touch wall of rectum
Lubricant applied to tip of suppository prior to insertion

52
Q

Tracheostomy

A

Suction 90-120 mm Hg
#12 or #14 French catheter
Hyper oxygenate
If it dislodges, immediately replace to secure airway

52
Q

Thyroidectomy

A

Monitor for signs of respiratory distress every hour
Head of bed elevated
Check trousseau’s and chvostek’s in case parathyroid was damaged

52
Q

Tonsillectomy

A

Observe for frequent swallowing indicating post op hemorrhage

52
Q

Transcutaneous electrical nerve stimulation (TENS)

A

Place electrodes over, above or below painful area
Apply Conducting gel to electrodes
Client turns up voltage until feels prickly pins and needles sensation
Client adjusts voltage based on relief of pain experiences

53
Q

Transcutaneous pacing

A

Non-invasive
temporary means of pacing a patient’s heart during a medical emergency. It is accomplished by delivering pulses of electric current through the patient’s chest, which stimulates the heart to contract.
3 electrodes, 2 pads

54
Q

Wound irrigation

A

Sterile field that includes the irrigating equip

Wash hands, prepare sterile field and remove soiled dressing

54
Q

Uterine relaxed

A

Put infant to breast

54
Q

Transition phase of 1st stage of labor

A

Shallow respirations during contractions (pant breathing)

55
Q

Crutches

A

Strong leg lead the way going upstairs; when going downstairs, the crutches are advanced to the lower step, the weak leg is advanced, and then the strong leg follows

56
Q

Suctioning

A

80-120 mm Hg

NCLEX (8 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions