Skills

Question 1

What do you do if there is a catheter occlusion?

Answer 1

Reposition the client
assess the tube for kinks

attempt a flush, if not working call HCP.

Question 2

How do you prevent air embolism in Central Venous catheter removal?

Answer 2

Supine position
Bearing down
Apply air occlusive dressing

Question 3

How is NG feeds done?

Answer 3

Elevate head semi-fowler
flush before and after
check q4hrs
low residual means tolerating well.

Question 4

How to go up with crutches

Answer 4

Lead with Good
Tripod 
place unaffected leg onto step
Transfer body weight
Advance the affected leg 
Realign crutches

Question 5

When changing PICC how should it be done?

Answer 5

Sterile technique

tell pt. to hold their breath

Question 6

How to do endotrach suctioning?

Answer 6

Hand hygiene 
Oral care
<120 mm suction 
Hyperoxygenate lungs
Advance catheter
Gentle rotation 
Evaluate Tolerance

Question 7

How does 24hr urine works to evaluate cushing?

Answer 7

Use a dark jug with powder
Collect 24 hrs empty bladder to coincide with start time
Keep in refrigerator

Question 8

What size of IV catheter to be used for emergency and hypovolemic shock?

Answer 8

14

Question 9

What size to be used for large amounts of blood

Answer 9

18

Question 10

What size for general IV and meds?

Answer 10

20-22

Question 11

What size of IV for children and small adults ?

Answer 11

24

Question 12

How to calculate net urine?

Answer 12

ML/ hr x Run time (hr)

Minus total of the above from urine collected

Question 13

What is the correct way for TB injection?

Answer 13

1 mL 27 gauge 1/4 inch
Left arm upward
pull skin taut
10 degree bevel up 
inject slowly raising a small wheal 
do not rub area

Question 14

How is urine samples collected via catheter ?

Answer 14

Aseptically

Collect from collection port
aspirate urine with sterile syringe
use aseptic technique transferring urine into specimen cup.

Question 15

What do when blanching of the skin occurs from IV?

Answer 15

Stop the infusion
aspirate the drug from IV
elevate above heart level
notify HCP - antidote phentolamine

Question 16

What is paraphimosis?

Answer 16

When an uncircumcised male foreskin does not return to original position after retracting back

Question 17

What should be done to ensure safety in blood transfusion?

Answer 17

Two client identifier
Match and Rh
Administer through normal saline n/s tubing to prevent clumping 
Monitor vitals - delegate to UAP 
Transfuse blood within  4 hrs

Question 18

How to insert enema

Answer 18

Sims position 
hang enema no more than 12 cm 
lubricate tubing ,  tip towards umbilicus to prevent intestinal preforation 
retain 
stop if cramps