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Fundamentals 2 Exam 4 Flashcards > Skills Finals Review (Jeopardy, Expanded + More In-Depth) > Flashcards

Skills Finals Review (Jeopardy, Expanded + More In-Depth) Flashcards

1
Q

This action prevents drainage from the NG Tube from going into the esophagus and pharynx upon removal of the NG tube =

A

Pinching the tube

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2
Q

This is the gold standard for confirmation of NG Tube placement =

A

X-Ray

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3
Q

Name of the 1st anatomical landmark used when measuring NG Tube placement =

A

Tip of the Nose

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4
Q

Name of the 2nd anatomical landmark used when measuring NG Tube placement =

A

Ear Lobe

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5
Q

Name of the 3rd anatomical landmark used when measuring or NG Tube placement =

A

Xiphoid Process

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6
Q

What is the position used for placement of an NG Tube?

A

High Fowler’s

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7
Q

Having a pt hold their breath during NG Tube placement prevents-

A

Aspiration

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8
Q

The unintended administration of a vesicant drug or fluid into the subcutaneous tissue =

A

Extravasation

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9
Q

What should the change interval be for continuous IV fluids?

A

Every 96 hrs

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10
Q

Veins in this proximity to the body should be attempted first =

A

Distal / Distally

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11
Q

Blue Hub Angiocath =

A

22 G

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12
Q

Yellow Hub Angiocath =

A

24 G

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13
Q

Pink Hub Angiocath =

A

20 G

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14
Q

Green Hub Angiocath =

A

18 G

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15
Q

Grey Hub Angiocath =

A

16 G

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16
Q

Orange Hub Angiocath =

A

14 G

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17
Q

What fluid has an Osmolality that’s the same as bodily fluids?

A

Isotonic Solution

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18
Q

What fluid has an Osmolality that’s lower than bodily fluids?

A

Hypotonic Solution

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19
Q

What fluid has an Osmolality that’s higher than bodily fluids?

A

Hypertonic Solution

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20
Q

Assessment tool used to assess pressure ulcer risk =

A

Braden Scale

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21
Q

A high diet in this nutrient will aid in wound healing =

A

Protein

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22
Q

Acute wounds should be treated with what kind of dressings?

A

Hydrogels, Hydrocolloids, Alginates, Foams, Films

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23
Q

Chronic wounds should be treated with what kind of dressings?

A

Cellulose / Bacterial Cellulose, Collagen, Chitosan, Hyaluronic Acid, Fibrinogen / Fibrin, Polylysine

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24
Q

Define chronic wounds =

A

A wound that doesn’t heal in an orderly set of stages (is unpredictable) and lasts longer than 3 months

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25
Q

Brown / Black dead tissue attached to a wound =

A

Eschar Tissue

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26
Q

Thick, yellow, green, tan, or brown wound drainage =

A

Purulent Exudate

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27
Q

Clear, watery serum from a wound =

A

Serous Exudate

28
Q

Bright red wound =

A

Sanguineous Exudate

29
Q

Pale, red, watery wound =

A

Serosanguinous Exudate

30
Q

Pus & Blood =

A

Purosanguinous Exudate

31
Q

Intact, nonblancheable area of redness over a bony prominence =

A

Pressure Ulcer Stage 1

32
Q

Partial-thickness skin loss which involves the epidermis layer and possibly the dermis layer of skin.
May be present as an abrasion, a blister, or a very shallow crater =

A

Pressure Ulcer Stage 2

33
Q

Full-thickness skin loss involving subcutaneous tissue =

A

Pressure Ulcer Stage 3

34
Q

Full-thickness skin loss involving muscle, bone, or other supporting structures such as tendons or joint capsules.
Undermining and sinus tracts may also be present =

A

Pressure Ulcer Stage 4

35
Q

What’s the maximum amount of time spent with one pass of the suction catheter =

A

10 Seconds

36
Q

Used to deliver high flow rates + High concentrations of oxygen =

A

Non-Rebreather Mask

37
Q

Used for clients with chronic airflow limitations or for long term use. Most commonly used. Inexpensive. Doesn’t interfere with eating or talking =

A

Nasal Cannula

38
Q

These are used in clients who are deteriorating who might require intubation =

A

Non-Rebreather Mask

39
Q

What do Venturi masks provide?

A

High-Flow Oxygen (You can select the amount of oxygen desired)

40
Q

What are the nursing interventions for a Croup Tent?

A

Make sure they know to not have any electrical toys in the tent.

May have to change the sheet often to keep the bed dry.

41
Q

Used to treat obstructive sleep apnea, prevent endotracheal intubation, pulmonary edema, COPD, and Respiratory failure =

A

CPAP, BIPAP, ST

42
Q

This holds the airway open allowing for patients with COPD longer to exhale CO2 if they are retaining CO2 =

A

BIPAP

43
Q

Used to deliver aerosol Medications + Usually takes 15-20 mins =

A

Nebulizer

44
Q

What are things that an Incentive Spirometer can solve?

A

Improve Pulmonary Ventilation

Loosen Secretions

Expand Collapsed Alveoli

Facilitate Respiratory Gas Exchange

Counteract the effects of Anesthesia or Hypoventilation

45
Q

This type of Incentive Spirometer does not measure volume of air inhaled =

A

Flow Oriented

46
Q

This type of Incentive Spirometer measures the volume of air inhaled =

A

Volume Oriented

47
Q

This is when you use gravity to facilitate the removal of bronchial secretions =

A

Postural Drainage

48
Q

When should coughing and deep breathing exercises be taught?

A

Chest surgery, COPD, or cystic fibrosis

49
Q

Device used to prevent pneumonia in Post-Op pt’s =

A

Incentive Spirometer

50
Q

Habit that should be avoided by anyone receiving oxygen therapy =

A

Smoking

51
Q

What is the setting for wall suction when performing an endotracheal suction?

A

80-100 MMHG

52
Q

The appearance of this structure may change in an infant depending on hydration status =

A

Anterior Fontanel

53
Q

Skin variation characterized by hyperpigmentation in the buttocks region =

A

Mongolian Spots

54
Q

Head circumference should be obtained until what age?

A

3 Years Old

55
Q

What are the 2 pain scales used for children who are not yet able to verbalize pain?

A

FLACC Scale

Wong-Baker FACES Scale

56
Q

What is the BMI?

A

A measurement of body fat determined by comparing height and weight

57
Q

The donation of the pt’s own blood prior to a pt’s scheduled procedure =

A

Autologous Donation

58
Q

Collecting the patient’s blood during surgery, filtering the blood, and then reinfusing the red cells back to the patient =

A

Blood Salvage

59
Q

This occurs when a patient’s compatible family members and/or friends donate blood for their upcoming procedure =

A

Designated Donor

60
Q

What’s the amount of time the nurse must remain with a pt after they start a blood transfusion?

A

15 Mins

61
Q

This must be obtained prior to the administration of blood or blood products =

A

Informed Consent

62
Q

Religious group that may refuse he transfusion of blood or blood products =

A

Jehovah’s Witnesses

63
Q

Universal Donor =

A

O-

64
Q

Universal Recipient =

A

AB+

65
Q

What blood types can AB blood be donated to?

A

AB blood is only compatible for recipients who also have AB blood

66
Q

Rh+ blood can’t be donated to recipients with Rh- blood. However, Rh- blood can be donated to Rh+ recipients.

True or false?

A

True

67
Q

What are the 4 factors that must be assessed after placement of a splinting device or cast?

A

Color
Movement
Sensation
Pulse

Fundamentals 2 Exam 4 Flashcards (12 decks)

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