Seminar 2

Question 1

How is high flow oxygen measured

Answer 1

measured in % of O2 instead of L/min

Question 1

does high flow O2 have to be humidified

Answer 1

Yes

Question 2

how much do you titrate high flow oxygen

Answer 2

titrate it by 5-10% each time

Question 3

How long can a person be on high flow oxygen

Answer 3

usually only left on for 7 days

Question 4

what is the definition of high flow oxygen

Answer 4

when the flow rate is higher than the inspiratory rate of the patient so the patient doesn’t breath any room air

Question 5

what info should be on the label of all oxygen equipment

Answer 5

always label with the pt’s name and the date

Question 6

is optiflow or airvo considered an AGMP?

Answer 6

No since it only turns the water into vapor not an aerosol

Question 7

how often should a nurse assess the settings flow temp and sterile water bag on optiflow or arivo system

Answer 7

should be accessed at least every 4 hours

Question 8

for the first 24 hours a patient is on optiflow or airvo how often do you need to access patients resp status and VS

Answer 8

every 4 hours for the first 24 hours and then PRN after that

Question 9

who is in charge of setting up titrating or discontinuing optiflow/airvo systems

Answer 9

resp therapist or CCN not an RN

Question 10

how would you calculate how long a cylinder will supply o2 to a patient

Answer 10

(PSI x conversion factor)/ (L/min)
This will give you how many minutes is left in the tank at that specific flow rate

Question 11

what is the conversion factor for E-class tanks

Answer 11

0.28

Question 12

what are these called

Answer 12

oropharyngeal airways

Question 13

how long can you use a Oropharyngeal Airway

Answer 13

very short term

Question 14

how often do you have to remove and access an oropharyngeal airway

Answer 14

every 8 hours

Question 15

how do you measure an oropharyngeal airway

Answer 15

from the mouth to the angle of the jaw or from the mouth to the earlobe

Question 16

if a person is using a nasopharyngeal airway how often do you have to reposition the airway to the other nare

Answer 16

switch nares every 8 hours

Question 17

how do you measure a nasal airway

Answer 17

measure from the earlobe to the tip of the nostril

Question 18

what are the three components of a trach tube

Answer 18

Outer canula
inner canula
obturator

Question 19

when caring for a patient with a chest tube what additional equipment should be at the bedside

Answer 19

-Two clamps
-Sterile dressing
-tape
-Bottle of sterile water

Question 20

where would a chest tube be inserted if someone had fluid in the pleural space

Answer 20

lower chest since the fluid would sit in the bottom of the pleural space

Question 21

where would a chest tube be inserted for a pneumothorax

Answer 21

in the upper chest since that is where the air would collect

Question 22

what is an empyema

Answer 22

when pus builds up in the pleural space

Question 23

what would you do if chest tube becomes disconnected from the drainage system

Answer 23

-clamp tube
-submerge in 2cm of sterile water
-clean ends and reconnect
-un clamp

Question 24

what would you do if a chest tube is pulled out of the patient

Answer 24

-cover site with sterile gauze and tape
-leave one side un taped so air can get out but not get back in

Question 25

is it ever safe to try and milk the chest tube to get clots out

Answer 25

no causes a lot of pressure inside the pleural space

Question 26

should you ever recap a used needle

Answer 26

NO should only cover it with a safety device

Question 27

when should a sharps container be changed

Answer 27

when it is 2/3 full

Question 28

how much liquid is typically injected intra dermally

Answer 28

usually only 0.1 mL

Question 29

what should a syringe be labeled with if it has medication in it

Answer 29

-2 client identifiers
-name of med
-dose

Question 30

what is the most common site for an ID injection

Answer 30

inner forearm or anywhere there is not a lot of sub q tissue

Question 31

when administering an ID injection the needle should be inserted at what angle

Answer 31

should be inserted at 5-15 degrees

Question 32

how far should you insert the needle into the patient

Answer 32

about 3mm into the skin

Question 33

how long after administration is a TB skin test read

Answer 33

48-72 hours

Question 34

how many mm is considered negative for a TB skin test

Answer 34

0-4 mm is considered negative

Question 35

how many mm is considered positive in high risk populations for a TB skin test

Answer 35

5-10 mm is considered positive in high risk populations

Question 36

how many mm is considered positive for all people in a TB skin test

Answer 36

anything over 10mm is positive for everyone