RESPI AND RENAL NURSING PROCEDURES

Question 1

Recommended Position in Suctioning (CONSCIOUS)

Answer 1

Semi - Fowlers

Question 2

Recommended Position in Suctioning (UNCONSCIOUS)

Answer 2

Side Lying

Question 3

Recommended WALL unit pressure of Suctioning (Adult, Child, Infant)

Answer 3

A: 100 - 120 mmhg
C: 95 - 110 mmhg
I: 50 - 95 mmhg

Question 4

Recommended PORTABLE UNIT pressure of Suctioning (Adult, Child, Infant)

Answer 4

A: 10 - 15 mmhg
C: 5 - 10 mmhg
I: 2 - 5 mmhg

Question 5

Size of sterile suction catheter

Answer 5

A: 12 -18/ 12 - 15 inch
C: 8 - 10 inch
I: 5 - 8 inch

Question 6

Length and Measurement of the catheter

Answer 6

from the tip of the nose to the earlobe ; 13cm (5-6 inches)

Question 7

Apply suction for how many seconds, maximum of

Answer 7

5-10 secs ; 15 seconds

Question 8

how many seconds does the interval bet. each suction

Answer 8

20 -30 secs

Question 9

What lubricant is use in Nasopharyngeal suctioning?

Answer 9

Water - soluble lubricant

Question 10

What lubricant is use in Oropharyngeal suctioning?

Answer 10

NSS/ sterile water

Question 11

It is the removal of fluid or air from the pleural cavity

Answer 11

Thoracentesis

Question 12

How much of withdrawn fluid should be?

Answer 12

600 - 1000mL

Question 13

Recommended position for thoracentesis

Answer 13

Sitting Upright Leaning Forward
Orthopedic Position

Question 14

What are the signs of HYPOVOLEMIA

Answer 14

HYPO
TACHY
TACHY
SOB
WEAKNESS
RESTLESSNESS

Question 15

It is a direct inspection and examination of the larynx, trachea and bronchi through either a flexible fiberoptic bronchoscope or a rigid bronchoscope

Answer 15

Bronchoscopy

Question 16

Recommended position for Bronchoscopy

Answer 16

Supine (During) Side lying (After)

Question 17

Why do we need to position the pt. in side lying position after bronchoscopy?

Answer 17

To prevent aspiration and promote drainage of secretions

Question 18

Is low grade fever is common after bronchoscopy?

Answer 18

Yes

Question 19

What will you assess before bronchography?

Answer 19

Food allergies particularly in seafoods

Question 20

How many hours should the pt. undergo NPO

Answer 20

6-8 hrs

Question 21

Pre-op meds of Bronchography

Answer 21

anti- cholinergic and valium

Question 22

It detects Acid base imbalance and use to assess ventilation

Answer 22

ABG

Question 23

Common site for ABG

Answer 23

Radial Artery

Question 24

It is the test that will occlude your radial & ulnar arteries until it blanched and turns to pinkish color within 6 seconds

Answer 24

Allen’s test

Question 25

Amount of ABG

Answer 25

2 mL

Question 26

Why do we need to use 10ml Pre- heparinized syringe

Answer 26

To prevent blood clotting to prevent RBC breakdown/Hemolysis

Question 27

This is to identify pathogenic organisms and to determine whether malignant cells are present

Answer 27

Sputum Studies

Question 28

How many hours should specimen delivered to the lab

Answer 28

within 2hrs

Question 29

It detects fluids, tumors, foreign bodies and other pathologic conditions. Taken after FULL INSPIRATION or DEEP BREATH

Answer 29

Chest x-ray

Question 30

Remove the end products of protein from metabolism from the blood

Answer 30

Dialysis

Question 31

Maintain safe levels of electrolytes

Answer 31

Dialysis

Question 32

What Renal disorders will occur if you have increased BUN,ICP and SERUM CREATININE>

Answer 32

Renal Encephalopathy

Question 33

What is the site of insertion of Peritoneal Dialysis

Answer 33

2inch below umbilicus

Question 34

During peritoneal dialysis why do we need to warm up the Dialysate Solution?

Answer 34

To prevent abdominal discomfort To prevent capillary permeability

Question 35

Infusion time of peritoneal Dialysis

Answer 35

10mins

Question 36

Dwell Time of peritoneal Dialysis

Answer 36

After 4-6 hrs maximum of 20 mins

Question 37

Drainage time of peritoneal Dialysis

Answer 37

30 mins

Question 38

For the first few bottles of drainage what will be the normal color

Answer 38

Pink - tinged

Question 39

If drainage stops what would be your initial action?

Answer 39

Turn the pt. to the side and check for the lumen if it is occluded in the colon/large intestine

Question 40

CAPD (Continues Ambulatory Peritoneal Dialysis) is done at home for how many hours and how frequent?

Answer 40

q6 -8 hrs 3 to 4x a day

Question 41

Why do we need to monitor it hydration status?

Answer 41

Possible weight loss may occur after dialysis

Question 42

Why do we need to give small amount of insulin to a pt. who undergo dialysis?

Answer 42

Dialysis solution contains glucose

Question 43

S/Sx of Disequilibrium Syndrome

Answer 43

Headache Hypertension Decreased LOC Disorientation Confusion

Question 44

If pt. experienced respiratory difficulty after dialysis what is the ideal position?

Answer 44

Semi - Fowler

Question 45

Requires Vascular Access

Answer 45

Hemodialysis

Question 46

Duration and frequency of Hemodialysis

Answer 46

2-3 hrs a day ; 3- 4x a week

Question 47

Initial Hemodialysis takes how many minutes?

Answer 47

only 30 minutes to prevent Disequilibriun syndrome

Question 48

During the procedure check the V/S every?

Answer 48

5-15 minutes

Question 49

What sound you'll auscultate in pt. with AV fistula?

Answer 49

Bruits

Question 50

What sound you'll palpate in pt. with AV fistula?

Answer 50

Swishing/thrills/vibration sound

Question 51

Why does anti - hypertensive medications are omitted?

Answer 51

it may further decreased BP

Question 52

What are the benefits of hemodialysis

Answer 52

Increased BUN, Serum crea, Electrolytes, Blood pressure and absence of edema

Question 53

S/Sx of Steal Syndrome

Answer 53

Diminished pulse Pale