Quiz
INP #1 IV Blood Med Admin Peri-op Pain NG Ostomy TPN Infection Control
Questions in this quiz (41)
1Is the chain of infection: Infectious Agent -> Reservoir -> Portal of Entry -> Mode of Transmission -> Portal of Exit -> Host
- ATrue
- BFalse
2If your pt has CDIFF, what precautions do you use?
- AContact
- BAirborne
- CDroplet
3If your pt has Tuberculosis, what precaution do you use?
- AContact
- BDroplet
- CAirborne
4Determine the medication compatibility before setting up the IV line and/or piggyback.
- ATrue
- BFalse
5Should the 2nd IV line or piggyback be hung higher, same height or lower than the primary line?
- AHigher
- BLower
- CSame height
6How do you know if an IV line is not functioning well?
- Aburning sensation
- Bswelling
- Cbleeding
- Dwarm to touch
- Eitchy
7Why would a pt get TPN (Total Parenteral Nutrition)?
- AThey're hungry
- BUnable to digest or absorb nutrition
- CPrefer to eat through an IV line instead of through mouth
8Refeeding syndrome is when the body is not used to the increase or decrease of nutrition and electrolyte imbalances can occur
- ATrue
- BFalse
9What are the 3 top complications of TPN?
- ARefeeding syndrome
- BHypo/hyperglcemia
- CFatty Liver
- DAKI
- EDependancy
10A pt may experience pain post-op due to surgical manipulation of tissues, treatments, or positioning on the OR table.
- ATrue
- BFalse
11Pain is subjective and is what the pt tells you it is
- ATrue
- BFalse, it's what I say it is
- CPain is not that big a deal
- DPain will make someone an addict so don't treat it much
12A nurse can sign the consent form for a pt before they go for sx if we've chatted about the procedure.
- ATrue
- BFalse
13How often should a pt deep breath and cough per hour?
- AOnce
- B10 times
- C30 times
14What will splinting help with?
- ADehiscence prevention
- BReduces pulling on incision, reducing pain
- CMake the pt look cool while coughing
15PCA gives the pt control on managing their pain post-op. They can push the button as many times of they want but only receive a safe amount prescribed by the physician based on lockout time, basal rate and dose.
- ATrue
- BFalse
16If a pt has PCA hooked up, they are dependant on pushing the button only when they nurse is available
- ATrue
- BFalse
17Advantages of PCA:
- APatient Controlled
- BImmediate analgesia
- CShort term
- DConstant and steady pain relief
- ENurses don't have to be involved
- FRN can set up
- Gpt will get addicted to a new pain med
18Disadvantages of PCA:
- AUnderuse
- BFear
- CRequires peripheral IV
- DManages pain inconsistantly
- EPossibility of incorrect pump programming
19An epidural is a when an anesthetic is inserted through a cathetar to the epidural space
- ATrue
- BFalse
20In an epidural, local anesthetic diffuses into the spinal canal and temporarily stops the spinal nerves from working so that sensation and movement in the area supplied by the nerves does not occur
- ATrue
- BFalse
21Advantages of epidural
- ANot very invasive
- BSevere pain relief
- CSmall amount of medication needed
22Biggest disadvantage for a pt getting an epidural?
- AA needle poke into the lumbar
- BMigration of cathetar
- Csensory and motor are sometimes affected
23A spinal advantages are:
- AAutonomic. Motor, and Sensory blocks occur
- BFast onset
- CA headache is the only side effect. Its not very bad.
24Motor and Sensory bock come back first, then Pain block and last sympathetic block when a spinal is wearing off
- ATrue
- BFalse
25What can be done if spinal bandage location is leaking?
- Asbar doctor for a blood patch
- BApply lots of pressure
- CSit pt in high fowlers
- DIgnore it. It'll fix itself in due time. Not a biggie.
26A pt can walk before the anesthetic is worn off
- ATrue
- BFalse
27A strategy used to help relieve a pt pain during a dressing change is to encourage her to concentrate on a fav vacation spot. What is this non-pharmalogical pain intervention known as?
- ARecall
- BDistraction
- CImagery
- DRelaxation exercises
28A pt complains of pain in a site that is different from where it originates. How does the nurse document this pain?
- ATransient pain
- BSuperficial pain
- CPhantom pain
- DReferred pain
29Which one of the following responses would the nurse expect to assess as a physiological response to moderate pain?
- ARestlessness
- BDecreased heart rate
- CIncreased BP
- DProtection of painful area
30Aspiration is a complication of a pt with an NG tube
- ATrue
- BFalse
31Aspiration can lead to pneumonia, infection or potential abscess formation
- ATrue
- BFalse
32A Salem Sump NG tube is:
- AInserted by an RN
- BDecompresses the GI tract
- CSet to 40-80 mm/hg suction
- DPH can be checked to ensure placement is correct
- Ept able to eat and rink while using NG tube
- FPills can be crushed and given through NG tube
- Gpt should be lying flat
- HHOB at 30 degrees
33The suction can be turned back on the NG tube after giving meds in:
- A0 minutes
- B15 minutes
- C30 minutes
- D120 minutes
34The PH level in the stomach is:
- A1
- B2-3
- C7.45
- D12
35The NG tube placement can be measured from nose to earlobe to xyphoid
- ATrue
- BFalse
36Assess the pt with an NG:
- AAir vent not clamped, connected to suction and never used for irrigation
- BAbdominal distension
- CCondition of lips, throat, mouth
- DAmount and characteristics of drainage
- ERecord amounts of drainage only
- FDon't chart anything, it runs on its own just fine
- GTube secured to bridge of nose and pinned to gown
- HHOB 30 degrees
- ISuction set to doctors orders
37Types of ostomies are Colostony, Ileostomy and Urostomy
- ATrue
- BFalse
38Ostomy Drainage looks like this:
Ascending: liquid or pasty/mushy
Transverse: Semi liquid to pasty
Decending: Semi-formed or formed
Sigmoid: Formed- ATrue
- BFalse
39If an ostomy is unheathly it will look like:
- APale pink
- Bblanching, dark red to purple
- Cred
- Dbrown black
40Complications of a stoma:
- AIt's ugly
- BSkin Damage
- CObstruction
- DNot cute
- EInadequate blood flow
- FStoma prolapse or protrusion
- GIt's loud at inappropriate times
- HFluid and Electrolyte imbalances
41Ileostomy care includes 1.5-2 liters of fluid daily and a low residue diet
- ATrue
- BFalse
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- INP #1 IV Blood Med Admin Peri-op Pain NG Ostomy TPN Infection Control
- Author
- Kim M
- Language
- English
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