q Flashcards
The following questions relate to the use of CVADs . Using the CDHB Vol 12 Fluid & Medication Policy
Who is qualified to perform checks and identification of CVAD’s. What is the most correct answer ?
Select one:
a.
1st level IV competent RN/EN
b.
1st level IV competent RN/EN or another 2nd level IV competent RN/RM
c.
2nd level IV competent RN/EN
d.
CDHB 2nd level IV certificated Registered Nurse/Registered Midwife
CDHB 2nd level IV certificated Registered Nurse/Registered Midwife
The following questions relate to the use of CVADs . Using the CDHB Vol 12 Fluid & Medication Policy
In the child health setting when are cannulae only rotated/resited ?
Select one:
a.
every 72 hrs
b.
before medication therapy
c.
when clinically indicated
d.
every shift
when clinically indicated
The following questions relate to the CDHB Fluid & Medication Policy and are related to the care of an intravenous cannula in an infant or child
For a phlebitis score of +4 what would you observe for in a child.
Select one:
a.
erythaema, pain at access site, streak formation, palpable venous cord = 1 cm, purulent discharge
b.
No pain, oedema, streak formation, serous discharge, palpable cord > 2cm
c.
erythaema, pain at access site, oedema, streak formation, palpable cord , purulent discharge
d.
erythaema, pain at access site , bleeding, streak formation, palpable cord, discharge
e.
erythaema, oedema, bleeding, streak formation, palpable cord, discharge
erythaema, pain at access site, streak formation, palpable venous cord = 1 cm, purulent discharge
The following questions relate to the CDHB Fluid & Medication Policy and are related to the care of an intravenous cannula in an infant or child
What are the child health specific IV infusion guidelines
Select one:
a.
Inline Buretrol must be attached to line, Buretrol will have a maximum fluid volume of no more than 2 hours at any one time, phlebitis scoring every 8 hrs.
b.
Inline Buretrol must be attached to line, all fluid will be delivered via volumetric pump, The buretrol will have a maximum fluid volume of no more than 5 hours at any one time
c.
Continuous IV infusion, cannula site rotated every 72 hrs, all fluid will be delivered via volumetric pump
d.
inline Buretrol must be attached to line, Buretrol will have a maximum fluid volume of no more than 2 hours at any one time, all fluid will be delivered via volumetric pump
inline Buretrol must be attached to line, Buretrol will have a maximum fluid volume of no more than 2 hours at any one time, all fluid will be delivered via volumetric pump
The following questions relate to the use of CVADs . Using the CDHB Vol 12 Fluid & Medication Policy
What are the three different types of non implanted CVADs
Select one:
a.
Hickman, Midline, CVC
b.
PICC, Hickman, portacath
c.
CVC, Portacath, Midline
d.
PICC, Hickman,CVC
PICC, Hickman,CVC
The following questions relate to the use of CVADs . Using the CDHB Vol 12 Fluid & Medication Policy
What are three Complications of CVAD’s
Select one:
a.
Infection, “pinch off” syndrome, Air embolism
b.
Thrombosis, Air Embolism, Bleeding
c.
Infection, “pinch off” syndrome, Rupture
d.
Catheter migration, Cardiac Tamponade, Bleeding
Infection, “pinch off” syndrome, Air embolism
The following questions relate to the CDHB Fluid & Medication Policy and are related to the care of an intravenous cannula in an infant or child
What should be documented on each occasion prior to accessing the IV cannula ? (1 mark)
Select one:
a.
discharge from cannula site
b.
pain
c.
what infusion is running
d.
phlebitis score
phlebitis score
The following questions relate to the CDHB Fluid & Medication Policy and are related to the care of an intravenous cannula in an infant or child
If IV therapy is not in progress, what solution should the IV cannula be flushed with? (1 mark)
Select one:
a.
3% saline
b.
sterile water
c.
5% saline
d.
0.9% normal saline
0.9% normal saline
The following questions relate to the CDHB Fluid & Medication Policy and are related to the care of an intravenous cannula in an infant or child
How often should cannulas be flushed when no IVI medication or fluid administration is prescribed ? (1 mark)
Select one:
a.
6 hrly
b.
once per shift
c.
daily
d.
every hour
once per shift
The following questions relate to the use of pain relief in children ( use the CDHB Pain management resource on Moodle ) :
What are the four assessments that must be made hourly when a child is receiving a continuous morphine infusion?
Pain score, respiratory rate, sedation rate, oxygen sats
The following questions relate to the use of pain relief in children ( use the CDHB Pain management resource on Moodle ) :
If a child is receiving a continuous morphine infusion in the hospital setting and you notice that they are unrousable and deeply sedated ( sedation score >3), what should you do? (5 marks)
Select one:
a.
Continue administering the morphine, check the cannula site, assist with ventilation, call for paediatric medical team, stimulate child.
b.
Assess pain, check cannula, call nurse in charge, stimulate child, document
c.
Stop the infusion, reverse morphine by administration of Naloxone, go and call for help, stimulate child, assist ventilation bag, mask and 02
d.
Call paediatric medical staff, stimulate child, assist ventilation with bag, mask and oxygen, reverse morphine by administration of naloxone
Call paediatric medical staff, stimulate child, assist ventilation with bag, mask and oxygen, reverse morphine by administration of naloxone
The following questions relate to Immunisations. Using the Immunisation handbook 2017 answer the following questions
What are the four key points that the parent/guardian/client must understand prior to the vaccination being administered?
Select one:
a.
understand who is administering vaccine, why prescribed by doctor, side effects, failure rates, size of needle used
b.
right to choice, why it is being offered, what is involved, understand benefits, uptake rate
c.
right to choice, trade name of vaccine, what is involves, why they are being offered vaccine.
d.
right to choice, understand why they are being offered the vaccine, understand what is involved in the vaccination procedure, given information on benefits, risks, side effects, failure rates and alternatives
right to choice, understand why they are being offered the vaccine, understand what is involved in the vaccination procedure, given information on benefits, risks, side effects, failure rates and alternative
The following questions relate to Immunisations. Using the Immunisation handbook 2017 answer the following questions
What are the recommended immunisations for a 5 mth old using name of vaccine?
Select one:
a.
Gardasil, ADT Booster, Act-Hib
b.
Prevenaer 13, M-M-R II, Boosterix
c.
Rota Teq, Act-Hib, Prevenar 13
d.
Rota Teq, Infanrix hexa, Prevenar 13
Rota Teq, Infanrix hexa, Prevenar 13
Which THREE groups of people from the following list should receive influenza vaccine? (3 marks)
Select one or more:
a.
People with asthmas not requiring preventative therapy
b.
People aged 6-64 who have decreased risk of influenza complications
c.
Adults with underlying co-morbid condition
d.
Pregnant women
e.
People with raised blood pressure
f.
People aged 65 years or over
People aged 65 years or over
Pregnant Women
Adults with comorbidities
Prior to immunization with any vaccine the vaccinator should ascertain if the vacinee ( child or adult): ( 5 marks)
Select one:
a.
Has a fever over 38 degrees, has had a reaction to a vaccine in the past, has appropriate spacing between doses of the same vaccine, has any allergies to the vaccines components, is pregnant.
b.
Is unwell today, has had a severe reaction to vaccine in the past, has appropriate spacing between doses of the same vaccine, has had any severe allergies to vaccine components, is pregnant
c.
Is unwell today, has had a reaction to the vaccine in the past, has appropriate spacing between doses of the same vaccine, is pregnant, has any allergies to the vaccines components, has a family history of allergic reactions
d.
Is unwell today, has a fever over 38 degrees, has had a severe reaction to any vaccine, is pregnant, has private health insurance, has allergic reaction to eggs.
Is unwell today, has had a severe reaction to vaccine in the past, has appropriate spacing between doses of the same vaccine, has had any severe allergies to vaccine components, is pregnant
