Quizzes Flashcards

1
Q

Best reason to withdraw venous blood from CVC

A

Pt comfort

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2
Q

Include when utilizing standard/universal precautions

A
  • hand hygiene
  • ppe
  • environmental cleaning/disinfection
  • safe injection practice
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3
Q

Flush peripheral and central venous cath with

A

NS

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4
Q

Fall risk interventions:

A
  • bed in low postion
  • bed wheels locked
  • hourly rounds
  • call light and belongings in reach
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5
Q

Greatest risk for falling

A
  • hip replacement
  • oxycodone use
  • L. hemis CVA
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6
Q

Contact isolation precautions leave in room:

A
  • stethoscope
  • isolation gowns
  • thermometer
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7
Q

PCA pump used for what drugs?

A
  • morphine
  • dilaudid
  • fentanyl
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8
Q

ET tube

A
  • assess placement every shift
  • replace change tape or fastener only when wet or soiled
  • perform frequent skin assessment
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9
Q

PEEP

A

keep alveoli open

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10
Q

criteria to wean a pt off mechanical ventilation

A
  • able to cough/remove secretions
  • pain control
  • adequate nutrition
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11
Q

low pressure alarm goes off, check:

A
  • disconnection
  • chest rise
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12
Q

ET tube remains in place for how many days?

A

14days

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13
Q

immediate response of chest tube pulled out

A

cover insertion site

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14
Q

pneumothorax

A

air in pleural space

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15
Q

Hemothorax, immediate action

A
  • dependent loop hanging off edge
  • drainage secured to head of bed
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16
Q

recommended suction setting

A

80-100

17
Q

Glascow coma scale:

A
  • eye
  • motor
  • verbal
18
Q

consensual light reflex

A

constriction of opposite pupil when light stimulates the eye

19
Q

Glascow Coma Scale (?BCA?) of 15

A

no head injury

20
Q

ICP monitoring indicated

A
  • an unconscious client w GCS <8
  • client who is unable to open eyes and decorticate posturing
21
Q

what can you do to Lower IVP

A
  • hyperventilate
  • IV sedation
  • infuse osmotic diuretic
  • mannitol
  • open CSF drainage system
  • elevate HOB
22
Q

Conscious sedation recommended in these procedures:

A
  • EGD/colonoscopy
  • burn debreid
  • removal implanted devices
  • reduction and immobilization of fracture
23
Q

reversal agent for Benzodiazepines

A

Romazicon

24
Q

reversal agents for opiates

A

narcan

25
Q

Discharge of conscious sedation

A
  • patient able to couph and deep breath, (airway patent)
  • VS stable 30-90min post op
  • patient returns to preprocedure LOC
  • no N&V (tolerates fluids)
  • responsible driver & discharge teaching
26
Q

opiate with Narrow therapeuitic window

A

fentanyl

27
Q

Pt experiencing cardiac arrest what do you do

A

give epinepherine

28
Q

Defib will:

A
  • will depolarize a critical mass of heart
  • terminate arrhythmia
  • defib allows normal sinus rhythm to bodys natural pacemaker
29
Q

Will impact effectiveness of defib

A
  • duration of sustained vfib
  • # of countershocks
  • energy level delivered
  • condition of myocardium
  • body size
  • paddle placement
30
Q

AEDs are to be operated by qualified providers – TRUE or FALSE

A

False

31
Q

cardioversion

A

synchronized mode

32
Q

three proper pacing functions in tele strip

A
  • sensing
  • pacing
  • capture
33
Q

In CPR how often do you do a rhythm check

A

every 5 cycles

34
Q

First treatment in ACLS

A

pacemaker

35
Q

indication for pulmonary artery (Swan Ganz)

A
  • MI
  • CHF
  • schock states
  • trauma
  • cardiac surgery
  • non-cardiac surgery in high risk pts
36
Q

Atrial and ventricular antiarrhythmic, VT/VF

A

Amiodarone