extras Flashcards
(87 cards)
1
Q
safety checks
A
9 rights of medication
- right pateint
- drug
- dose
- route
- time
- frequency
- reason
- site
- documentation
2
Q
safety checks
A
9 rights of medication
- right pateint
- drug
- dose
- route
- time
- frequency
- reason
- site
- documentation
3
Q
im injection sites
A
- ventrogluteal- 3 ml adults
- vastus lateralis- 2 ml adults
- deltoid- under 1 ml
4
Q
shit to have for im injection
A
order, meds, needle, syringe, alcohol swab
5
Q
cleaning site
A
from center and out
6
Q
do you massage site after admin?
A
NO apply gentle pressure to aid distribution of the drug
7
Q
lady is 35, 169 what IM needle?
A
1 1/2 inch, 21- 23 gauge needle
8
Q
what sites can be used for sub cut injection generally
A
fat pads on the abdomen, upper hips, upper back and lateral upper arms and thighs.
9
Q
where does heparin normally get injected?
A
fat pads on abdomen
10
Q
heparin needle on normal person
A
tuberculin needle with a 26-27g needle
11
Q
acceptable range of volume for subcut admin
A
0.5 -1 ml
12
Q
acceptable range of volume for heparin SCinjection
A
13
Q
heparin angle of needle
A
us. 45 degrees angle
14
Q
do not massage after heparin
A
.ALWAYS ROTATE SITES
15
Q
SITES used for insulin
A
all of the us. SUB CUT sites in rotation
16
Q
insulin needle us used
A
100u
17
Q
needle angle for insulin
A
90 degrees,
DO NOT massage site,
DO NOT aspirate
18
Q
needle angle for insulin
A
90 degrees,
DO NOT massage site,
DO NOT aspirate
19
Q
im injection sites
A
- ventrogluteal- 3 ml adults
- vastus lateralis- 2 ml adults
- deltoid- under 1 ml
20
Q
shit to have for im injection
A
order, meds, needle, syringe, alcohol swab
21
Q
cleaning site
A
from center and out
22
Q
do you massage site after admin?
A
NO apply gentle pressure to aid distribution of the drug
23
Q
lady is 35, 169 what IM needle?
A
1 1/2 inch, 21- 23 gauge needle
24
Q
what sites can be used for sub cut injection generally
A
fat pads on the abdomen, upper hips, upper back and lateral upper arms and thighs.
25
where does heparin normally get injected?
fat pads on abdomen
26
blood trandfusion
first 15 mins, run blood at 1-2 ml per min. if no changes to person, run for 2 hours. no longer than 4 hours
Only compatible with normal saline
Special blood tubing with filter
27
acceptable range of volume for subcut admin
0.5 -1 ml
28
acceptable range of volume for heparin SCinjection
29
heparin angle of needle
us. 45 degrees angle
30
do not massage after heparin
.ALWAYS ROTATE SITES
31
SITES used for insulin
all of the us. SUB CUT sites in rotation
32
insulin needle us used
100u
33
cloudy insulin
rotate with hands before
34
needle angle for insulin
90 degrees,
DO NOT massage site,
DO NOT aspirate
35
TB skin testing and what size needle
intradermal,
NEEDLE- 26-27 1/2 inch
DO NOT massage
36
what volume of medication is usually given ID
less than 0.5ml
37
TB sites
normally forearm,
| outer aspect of the upper arms and back between the scapulae.
38
angle for TB
5-15 degrees.
39
rate of flow
round to whole #
40
for RL you need what type of bag?
1000 ml
41
oscar
1. open lower clamp
2. squeeze the drip chamber
3. close the lower clamp
4. and
5. release drip chamber
42
saline lock should be
flushed with 2 ml of water q8h. allows to move around
43
blood trandfusion
first 15 mins, run blood at 1-2 ml per min. if no changes to person, run for 2 hours. no longer than 4 hours
44
what type of infusion is hyperdermoclysis
is a SUB CUT infusion
45
jackson pratt
A Jackson-Pratt Drain (also called a JP Drain) is a closed-suction medical device that is commonly used as a post-operative drain for collecting bodily fluids from surgical sites. The device consists of an internal drain connected to a grenade-shaped bulb via plastic tubing.
46
Which of the following is NOT correct with respect to indwelling catheterization?
Used for one-time bladder emptying
47
WE WOULD NOT OPEN DRAINGAE SYSTEM FOR 100 ML
because its pointless.
48
PARAOHIMOSIS
SWELLING OF THE PENIS
49
PHLEBITIS
- INFLAMMATION OF THE VEINS
50
CYSTITIS-
BLADDER
51
Collapsed alveoli at the base of the lungs are referred to as which of the following?
Atelectasis
52
EUPNEA-
NORMAL BREATHING
53
Mr. Jackson arrives to the emergency department with shortness of breath and respiratory distress after smoke inhalation from a mild kitchen fire. He is ordered 35% O2. What type of oxygen delivery system would the nurse expect to use for Mr. Jackson?
Venturi Mask- system if ppl need a specific % of oxygen
54
Simple oxygen and nasal cannulas are ordered with
with liters per min
55
Chest tubes are put into ppl
to remove air and fluid from the pleural space.
56
Which type of tracheostomy tube allows a client to speak?
A Fenestrated trach cuffed is when it stops air movement, fenestrated to speak, non fenestrated Is idkidkidk
57
When suctioning the patient the nurses reaches the carina, withdraws 1cm and then applies intermittent suctioning. What type of suctioning is the nurse performing?
Nasotracheal
58
When a tracheostomy tube is inserted, the upper airway is bypassed, this also includes bypassing all the normal functions except which of the following?
Cooling
59
Which of the following is not required when inserting an NG tube?
A sterile technique
60
Know what bronc, vesicular, broncvesicluar sounds and where
.
61
What testing needs to be monitored on a patient receiving NG tube feedings?
glucose
62
The nurse is documenting administration of a medication that is given at 10:00hr 1400hr, and 1800hr. The medication that the nurse is documenting is which of the following?
Morphine sulfate, 10 mg q4h prn
63
The physician's order reads: Pack wound with saline soaked ribbon gauze and cover with a dry dressing. The nurse is aware that this is performed for which of the following reasons?
To promote healing from the base of the wound upwards
64
Z-track intramuscular injections are indicated in which of the following situations?
When an irritating medication is being administered
65
IF YOU SEE A QUESTION ABOUT DORSAL GLUTEAL IGNORE IT ITS PROB WRONG
.
66
The nurse is giving an intramuscular injection. What factors are consistent with IM injections for an adult?
Aspiration of the needle if indicated
| YOU CAN USE A 22 OR 21 GAUGE NEEDLE NOT 25
67
Which patient would benefit from a spacer when administering a metered dose inhaler?
An 89yr old female with severe arthritis
68
Which of the following are NOT true in regards to hypodermoclysis?
Can be used for long-term fluid therapy in severly dehydrated patients
69
Calculate the correct dose for IM administration. Dose ordered 460 mg. Dose available 500mg in 5 mL.
4.6 mL
70
Which solution is 3.3 % dextrose plus 0.3% NaCl?
2/3 and 1/3
71
Infiltration-
FLUID OUT OF THE VEI INTO THE SURROUNDING TISSUE, NOT LIFE THREATING
72
Cellulitis-
INFLAMMATION OF THE TISSUE
73
Phlebitis-
INFLAM OF VEIN
74
Extravasation-
DRUG LEAKED INTO THE TISSUE AND ITS BLACK AND YOU NEED TO DEBRIDE
75
A patient has been admitted with dehydration. The doctor has ordered an IV of Ringers Lactate to infuse at 125 mL/hr. Using a macrodrip infusion set with a drop factor of 15 drops/min, what does the nurse calculate the drops per minute to be?
31 gtt/min
76
If the patients only symptoms are hypertension and mild dyspnea, the transfusion may be continued cautiously.
False-
77
Know what bronc, vesicular, broncvesicluar sounds and where
.
78
What is an autologous transfusion and what are the advantages of this type of transfusion?
Autologous blood transfusion is the collection of blood from a single patient and retransfusion back to the same patient when required. This is
79
Intermittent Intravenous Infusions
Use small volumes of solution - 50mL or 100mL
| Administered over 30 to 60 minutes
80
Threaded lock and lever lock cannula
are used to connect secondary lines to primary lines in a needless system
81
Syringe Pumps
Used to administer a low rate continuous infusion or bolus doses such as in a PCA pump
82
iv push
Not in scope of practice for RPN currently
83
1. What is the difference between isotonic, hypotonic and hypertonic solutions?
hypo-concentration of solute is lower than that of the other solution
hyper-he concentration of solute is higher than that of the other solution.
iso-the concentration of solute is equal in both solutions.
84
What is a central line?
A central line is an intravenous catheter or IV placed into a large vein. A central line is needed to give the medical team access to a large vein that can be used to give fluids, measure the amount of fluid in the body, or to give medication that might be irritating to smaller veins. Your child will be sedated for the central line insertion. Central lines are inserted in the operating room. In some situations, central lines are inserted at the bedside or in the treatment room. Everyone who uses this line will wear gloves. Cleaning the line with Betadine and alcohol should be done before each use. A sterile dressing change will be done around the insertion site on a regular basis to prevent infection.
85
PICC
A PICC is a long, thin, flexible tube known as a catheter. It is inserted into one of the large veins of the arm near the bend of the elbow. It is then pushed into the vein until the tip sits in a large vein just above the heart. The tube is threaded through the vein until the end is near to your heart. The space in the middle of the tube is called the lumen. Sometimes the tube has two lumens. This allows different treatments to be given at the same time. At the end of the tube outside the body, each lumen has a special cap to which a drip line or syringe can be attached. There is also a clamp to keep the tube closed when it is not in use. The end of the tube comes out just below the bend of your elbow. What is it used for? The PICC line can be used to give you treatments such as chemotherapy and antibiotics. It can also be used to take samples of your blood for testing. You can go home with the PICC in and it can be left in for weeks or months. This makes it possible for you to have your treatment without having to have needles frequently inserted into your veins. This may be particularly helpful if your veins are hard to find or have been hardened by previous chemotherapy treatment. How is the catheter put in? Your PICC will be put in by a specially trained nurse or doctor, in an outpatient department or on the ward. It will be put in using a local anaesthetic, so that you do not feel any pain. First, the skin in the area where the PICC will be inserted is numbed, using a special anaesthetic cream. When the skin is completely numb a needle will be inserted and then removed as the PICC is threaded through it into the large vein which leads to your heart. This should not take long and is usually painless. The PICC will be held securely in place by a transparent dressing. You will then have a chest x-ray to check that the end of the tube is in the correct position. Possible problems when putting in the PICC: If your veins are small, it may be difficult to put the PICC in. Sometimes it can be difficult to thread the PICC up the vein towards the heart. If this happens, it is possible to try again using a different vein. Sometimes the PICC seems to go in easily but the x-ray shows it is not in the right place. If this happens it will be taken out and replaced.
86
What is a Portacath?
A portal (reservoir) is implanted under the skin in the upper chest
The catheter runs under the skin, enters the internal jugular vein
87
needle gauge
IM injections usually use: 18 – 27 gauge needle
Sub-Q injections usually use: 25 gauge needle
Use longer needles 2.5 – 3.8cm for IM
Use shorter needles 1 – 1.6cm for Sub-Q
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