11720545
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Quiz von Laurie White, aktualisiert more than 1 year ago
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Erstellt von Laurie White
vor mehr als 6 Jahre
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Frage 1
Frage
The IV site is changed only as needed
Antworten
- True
- False
Frage 2
Frage
It is ok to stop a heparin or antibiotic infusion
Antworten
- True
- False
Frage 3
Frage
How many cc to flush a SL lock?
Antworten
-
2cc
-
3cc
-
5cc
-
10cc
Frage 4
Frage
1cc and 1ml are the same thing
Antworten
- True
- False
Frage 5
Frage
PRBs are often used for
Antworten
-
trauma/surgery
-
low BP
-
to correct fluid volume
-
for active bleeding to coagulate blood
Frage 6
Frage
albumin is used to
Antworten
-
treat blood loss from trauma/surgery
-
to correct fluid volume (draw fluid back into the vessels)
-
for active bleeding to coagulate blood
-
to decrease BP
Frage 7
Frage
The difference between blood type, screen & cross match is only good for 72 hours
Antworten
- True
- False
Frage 8
Frage
what enters the blood stream and has a systemic effect?
Antworten
-
analgesics
-
anesthetics
-
normal saline
-
antiemetics
Frage 9
Frage
The top port of the primary IV line is used to connect a PCA
Antworten
- True
- False
Frage 10
Frage
You are unconscious when given this type of anesthesia
Antworten
-
local
-
regional
-
general
Frage 11
Frage
dermatomes need to be tested after patient has had this type of anesthetic
Antworten
-
local
-
general
-
regional
Frage 12
Frage
what dermatome marks the umbilicus?
Antworten
-
T8
-
T9
-
T10
-
T11
Frage 13
Frage
Patients with an epidural will also have a foley catheter
Antworten
- True
- False
Frage 14
Frage
Spinal are injected in what region?
Antworten
-
L1-L2
-
T11-T12
-
L3-L4
-
T1-T2
Frage 15
Frage
The onset of an epidural is much faster then a spinal
Antworten
- True
- False
Frage 16
Frage
What caused a spinal headache?
Antworten
-
dehydration
-
low BP
-
CSF leaking out the injection site
-
anesthesia has spread to the brain
Frage 17
Frage
LPNs fill out PCA forms
Antworten
- True
- False
Frage 18
Frage
Check all the apply
To avoid risk of bleeding or hematoma...
Antworten
-
Do not give dalteparin for at least 4 hours after epidural catheter is removed
-
Do not give heparin for at least 2 hours after an epidural is removed
-
Do not remove epidural within 12 hours of a deltaparin or heparin injection
Frage 19
Frage
There is a risk of patients with PCAs getting addicted to opiods
Antworten
- True
- False
Frage 20
Frage
When a new med infusion is prescribed via IV and the drug guide does not say that it IS or IS NOT compatible with the current med in the PCA, you can assume it's compatible and prime a secondary line
Antworten
- True
- False
Frage 21
Frage
Which type of anesthesia requires the airway to be maintained by a endotracheal tube & ventilator?
Antworten
-
local
-
regional
-
general
Frage 22
Frage
local anesthetic is used for most major surgeries
Antworten
- True
- False
Frage 23
Frage
pick the correct order of how things return when regional anesthetic wears off
Antworten
-
pain, sensation, motor
-
motor, sensation, pain
-
sensation, pain, motor
-
sensation, motor, pain
Frage 24
Frage
urinary retention is a side effect of general anesthesia
Antworten
- True
- False
Frage 25
Frage
check all that apply
potential complications post surgery:
Antworten
-
hemorrhage
-
pnemonia
-
PE
-
DVT
-
paralytic ileus
-
wound infection
Frage 26
Frage
match the term: excision/ removal
Antworten
-
ectomy
-
oscopy
-
ostomy
-
plasty
Frage 27
Frage
match the term: forming an opening
Antworten
-
ectomy
-
oscopy
-
ostomy
-
plasty
Frage 28
Frage
match the term: surgical repair
Antworten
-
ectomy
-
oscopy
-
plasty
-
otomy
Frage 29
Frage
match the term: anastamosis
Antworten
-
forming an opening
-
surgical joining of two ducts, vessel or bowel
-
collapse of alveoli
-
visual examination with an instrument
Frage 30
Frage
match the term: Minimal depression of the LOC with maintenance of protective airway refleces
Antworten
-
general sedation
-
conscious sedation
-
local sedation
-
regional sedation
Frage 31
Frage
pick the correct motor block score:
-no motor block, able to fully flex knees and feet
Antworten
-
0
-
1
-
2
-
3
Frage 32
Frage
a motor block score of 3 would indicate that the patient...
Antworten
-
has no motor block and can fully flex knees and feet
-
is only able to move knees and feet (unable to raise extended legs)
-
able to move feet only
-
unable to move hips, knees or feet (unable to flex ankle joint)
Frage 33
Frage
check all the post-operative exercises that should be done 10x per hour
Antworten
-
deep breathing
-
coughing
-
leg exercises
-
turning and re-positioning
-
dangling
-
incentive spirometer
Frage 34
Frage
what is the most common purpose of the NG tube?
Antworten
-
decompression of the GI tract (suction)
-
feeding
-
compression
-
lavage
Frage 35
Frage
which tube type is used for decompression of the GI tract
Antworten
-
entroflex tube
-
saleum sump tube
-
standard suction tube
-
a 12-14fr catheter tube
Frage 36
Frage
LPNs can insert & remove NG tubes
Antworten
- True
- False
Frage 37
Frage
Assessment of the NG tube, pick the correct scenario
Antworten
-
suction is set between 40-80mmHg, HOB elevated to 30 degrees, NG tube taped securely to bridge of nose and pinned to gown
-
suction is set between 40-80mmHg, HOB elevated to 30 degrees, NG tube taped securely to cheek and gown
-
suction set above 80mmHg, HOB elevated to 45 degrees, NG tube taped securely to bridge of nose and pinned to gown
-
suction is set between 40-80mmHg, bed is supine, NG tube taped securely to bridge of nose and pinned to gown
Frage 38
Frage
gastric aspirate is alkaline, ph is 7+
Antworten
- True
- False
Frage 39
Frage
when giving NG medications...
Antworten
-
Turn off NG suction, flush NGT with 30-50ml of warm tap water pre & post med admin, do not turn NG tube back on until 30min post med admin
-
Turn off NG suction, flush NGT with 5ml of warm tap water pre & post med admin, do not turn NG tube back on until 30min post med admin
-
Turn off NG suction, flush NGT with 30-50ml of warm tap water pre & post med admin, turn NG suction back on
-
Leave NG suction on, flush NGT with 30-50ml of warm tap water pre & post med admin
Frage 40
Frage
What to report to physician, check all the apply in regards to NG tubes
Antworten
-
NG tube drainage: coffee grounds, hemolyzed sanguinous drainage, dark brown granular appearance
-
excessive losses: more than 500-1000 mls per hour
-
minimal losses: less than 30ml/hr
-
NG tube drainage: bile coloured aspirate
Frage 41
Frage
During TPN, the client pump is alarming, the screen indicates upstream occlusion.
The LPN would assess between...
Antworten
-
The bag and the pump
-
the pump and the patient
Frage 42
Frage
TPN can be a shock to a malnourished body
Antworten
- True
- False
Frage 43
Frage
Name the syndrome:
Defined as the potentially fatal shifts in fluids and electrolytes that may occur in malnourished patients receiving artificial refeeding eg. TPN (whether enterally or parenterally). These shifts result from hormonal and metabolic changes and may cause serious clinical complications.
Antworten
-
Refeeding symdrome
-
Malabsorption syndrome
-
toxic shock syndrome
-
cushing's syndrome
Frage 44
Frage
The pump has broke down for a client receiving TPN and a new one may take a hour to find, what should be done?
Antworten
-
Give TPN PIV by gravity
-
Give D5W PIV by gravity
-
D10W PIV by gravity
-
No need to do anything, wait the hour and restart TPN with new pump
Frage 45
Frage
In regards to TPN:
after the initiation of a lipid, the client starts complaining of SOB and chest pain... what do you do?
Antworten
-
raise the head of the bed and do a chest assessment to check for crackels
-
this is likely a fat embolism, follow air embolism protocol and call a code blue!
-
take an O2 sat, get the patient to do DB & C, re-assess
-
check for a prn order of nitro spray
Frage 46
Frage
TPN can be administered via a PICC or PIV
Antworten
- True
- False
Frage 47
Frage
A patient on TPN would have an NPO diet
Antworten
- True
- False
Frage 48
Frage
Max hang time for TPN and/or lipids
Antworten
-
TPN 24 hours, Lipids 12 hours
-
TPN & Lipds 24 hours
-
TPN & Lipds 4 hours
-
TPN 12 hours & Lipds 6 hours
Frage 49
Frage
Upon initial initiation of TPN, blood glucose is checked Q6h x48, then daily.
What is the rational for this
Antworten
-
no rational, standard policy and will very by employer
-
because TPN has a high concentration of dextrose, can cause hyperglycemia
-
Patients may become hypoglycemic on TPN
-
to monitor for refeeding syndrome
Frage 50
Frage
Name the main metabolic problems that can occur with TPN
Antworten
-
hyperglycemia, fluid overload, refeeding syndrome, rebound hypoglycemia, hepatic dysfunction
-
hypoglycemia, dehydration, refeeding syndrome, rebound hyperglycemia, hepatic dysfunction
-
Nausea, vomitting and diarrhea
-
infected IV, phlebitis and air embolis,
Frage 51
Frage
You suspect the patient has an air embolus - what is the protocol?
Antworten
-
check O2 sat, listen for crackles in the lungs, slow the infusion, raise head of bed, notify RN
-
moitor for chest pain, SOB, rapid weak pulse, place on left side trendelenburg position (unless contraindicated), administer O2, notify RN/ call a code blue if necessary
-
moitor for chest pain, SOB, rapid weak pulse, place on right side trendelenburg position (unless contraindicated), administer O2, notify RN/ call a code blue if necessary
-
moitor for chest pain, SOB, rapid weak pulse, lie patient supine (unless contraindicated), check O2 sat, notify RN if <95% on RA
Frage 52
Frage
A patient will never discontinue TPN, it is given at the end stages of life as comfort care
Antworten
- True
- False
Frage 53
Frage
an ileostomy is placed where?
Antworten
-
any part of the colon (ascending, transverse, descending)
-
end of the ileum
-
the ideal conduit
Frage 54
Frage
paralytic ileus is an indicator for a colostomy
Antworten
- True
- False
Frage 55
Frage
an ileostomy is permanent
Antworten
- True
- False
Frage 56
Frage
a cold stoma is a healthy stoma
Antworten
- True
- False
Frage 57
Frage
a black stoma is a beautiful stoma
Antworten
- True
- False
Frage 58
Frage
a person with a colostomy will lose 1.5-2L of fluids daily
Antworten
- True
- False
Frage 59
Frage
After a bowel surgery, it is normal for bowel sounds & gas to have not returned by POD1.
Antworten
- True
- False
Frage 60
Frage
How is C-diff spread?
Antworten
-
poor hand hygiene
-
airborn
-
droplets
Frage 61
Frage
Name the required precaution:
Used for patients/residents that have an infection that can be spread by contact with the person’s skin, mucous membranes, feces, vomit, urine, wound drainage, or other body fluids, or by contact with equipment or environmental surfaces that may be contaminated by the patient/resident or by his/her secretions and excretions.
Antworten
-
airborne precautions
-
droplet precautions
-
contact precaustions
-
standard precautions
Frage 62
Frage
Name the type of precaution:
Used for patients/residents that have an infection that can be spread through close respiratory or mucous membrane contact with respiratory secretions.
Antworten
-
standard
-
contact
-
droplet
-
airborne
Frage 63
Frage
Name the type of precaution:
Used for patients/residents that have an infection that can be spread over long distances when suspended in the air. These disease particles are very small and require special respiratory protection and room ventilation.
Antworten
-
standard
-
airborne
-
droplet
-
contact
Frage 64
Frage
Contact precautions are a set of basic infection prevention practices intended to prevent transmission of infectious diseases from one person to another. Because we do not always know if a person has an infectious disease, contact precautions are applied to every person every time to assure that transmission of disease does not occur. These precautions were formerly known as “universal precautions.”
Antworten
- True
- False
Frage 65
Frage
Hospitals have pressurized rooms for patients with compromised immune systems. Air will flow out of the room instead of in, so that any airborne microorganisms (e.g., bacteria) that may infect the patient are kept away.
This type of pressure is called:
Antworten
-
positive pressure
-
negative pressure
-
standard pressure
Frage 66
Frage
"___________________" room pressure is an isolation technique used in hospitals and medical centers to prevent cross-contaminations from room to room. It includes a ventilation system that generates "________________" pressure to allow air to flow into the isolation room but not escape from the room, as air will naturally flow from areas with higher pressure to areas with lower pressure, thereby preventing contaminated air from escaping the room. This technique is used to isolate patients with airborne contagious diseases such as tuberculosis, measles, or chickenpox.
Antworten
-
negative and negative
-
negative and positive
-
positive and negative
-
positive and positive
Frage 67
Frage
A hospital-acquired infection (HAI), also known as a "_____________________", is an infection that is acquired in a hospital or other health care facility.
Antworten
-
nosocomial infection
-
transient flora
-
latrogenic infection
-
exogenous infection
-
endogenous infection
Frage 68
Frage
The chain of infection order
Antworten
-
an infectious agent (pathogen), a reservoir, a portal of exit, a mode of transportation, a portal of entry (to host), a susceptible host
-
an infectious agent (pathogen), portal of exit, a reservoir, a mode of transportation, a susceptible host, a portal of entry (to host),
-
an infectious agent (pathogen), a portal of entry (to host), a susceptible host, a reservoir, a portal of exit, a mode of transportation
-
an infectious agent (pathogen), a susceptible host, a portal of entry (to host), a mode of transportation, a reservoir, a portal of exit
Frage 69
Frage
check all that apply - modes of how pathogens are spread
Antworten
-
contact (direct & indirect)
-
droplet (respiratory secretions)
-
airborne (particles suspended in air)
-
vehicle (through contaminated substances)
-
vectorborne (through fleas, ticks, lice, pests)
-
sterileborne (through sterilized products)
Frage 70
Frage
What is not in the LPN scope in regards to PIVs
Antworten
-
hang/change non-med bags such as NS, D5W, Ringer's lactate etc
-
adjust IV rate as required on a manual and/or pump
-
care and maintenance of a SL lock
-
remove SL/ discontinue IV
-
prime a primary and/or secondary line
-
hang IV meds and red label bags
Frage 71
Frage
KCL (potassium) can be hung by an LPN if prepared by a pharmacist and the LPN has additional training
Antworten
- True
- False
Frage 72
Frage
LPNs can assess and change a dressing on a central IV line
Antworten
- True
- False
Frage 73
Frage
The medication line is hung ______________ than the primary line
Antworten
-
higher
-
lower
-
same level
Frage 74
Frage
increased pulse, increased bp, increased resps, edema, weight gain, lung crackles and increased urination are signs of what?
Antworten
-
phlebitis
-
fluid overload
-
air embolism
-
occlusion
-
infection
Frage 75
Frage
Blood must be initiated (hung & infusing) by RN within _________ of leaving blood bank. Once out of fridge, a bag of blood is only usable for ___________.
Antworten
-
30min, 4 hours
-
60min, 4 hours
-
30min, 6 hours
-
4 hours, 24 hours
Frage 76
Frage
Name the correct term:
A large volume of fluid or dose of a drug given intravenously and rapidly at one time.
Antworten
-
an IV bolus
-
a TKVO
-
a DRIP
-
an IV infusion
Frage 77
Frage
In regards to TPN
lipids are fatty acids/glycerol and contain twice as many calories per gram than Carbohydrates and proteins
Antworten
- True
- False
Frage 78
Frage
Too many amino acids create a positive nitrogen balance in our bodies and this not helpful
Antworten
- True
- False
Frage 79
Frage
Carbohydrates are our main source of energy
Antworten
- True
- False
Frage 80
Frage
If the order may read “replace NG losses 2:1” with D5NS with 20 MEq of KCL”
it means every 12 hours the nurse will tally NG losses and replace with twice the amount of IV solution over the next 12 hours
Antworten
- True
- False
Frage 81
Frage
In regards to NG tubes
Excessive gastric content loss may yield metabolic alkalosis but, a) the kidneys may compensate, and b) NG may only be short term – so alkalosis may only be mild.
Antworten
- True
- False
Frage 82
Frage
When might kayexalate be ordered for a patient?
Antworten
-
before bowel surgery to clear out the GI system
-
when potassium levels are high
-
when potassium levels are low
-
to wake up a sleepy bowel
Frage 83
Frage
post-surgery patients are often prescribed more than 1 opioid medication
Antworten
- True
- False
Frage 84
Frage
choose all the apply in regards to PCAs
Antworten
-
only the patient can press the button
-
a family member or nurse can press the button for the patient
-
requires a PIV
-
usually initiated by the RN in PAR
-
average length of use is 7 days
-
a basal rate of pain medication is always transfusing and the PCA is in addition
-
it is often under used due to patient fear of addicion
-
it is often overused due to patient addiction
-
patient education is required
-
LPNs can monitor: dose, med concentration, lockout, basal rate, attempts, and delivered
Frage 85
Frage
A spinal is given into the epidural space
Antworten
- True
- False
Frage 86
Frage
check all that apply
Effects of anesthesia can be maintained as long as required for
Antworten
-
epidurals
-
spinals
-
local
-
general
Frage 87
Frage
There is such thing as a patient controlled epidural (PCEA)
Antworten
- True
- False
Frage 88
Frage
Which route of med admin has the fastest onset
Antworten
-
IV
-
IM
-
PO
-
SQ
-
SL
-
Transdermal
Frage 89
Frage
LPNs need to take report from the PAR nurse and collaborate with RNs when receiving "fresh" post-op patients
Antworten
- True
- False
Frage 90
Frage
Pick the correct terminology:
An area of skin innervated by the sensory fibers of a single dorsal root of a spinal nerve
Antworten
-
dermatome
-
afferent nerve
-
efferent nerve
-
motor/sensory nerve
-
neuron
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