Comp I QUESTIONS AND ANSWERS| GRADED A+

Document Content and Description Below

Comp I What do Peg, feed bags and TPN tubing have in common? Correct Answer: Need to be changed every 24 hours *What are nursing concerns with PEG tube?* Correct Answer: *Elevate HOB* Aspira... tion Do you store open tube feeding? Correct Answer: No *How do you check PEG tube placement?* Correct Answer: *Checking residual from tube* Ex: residual 50ml old tube feeing, do you continue? YES, Residual 250? NO -Cutoff is 200+, stop feeding How do you check placement for an NG tube? Correct Answer: Check gastric pH (0-4 low) X-ray Do not put air to listen for gurgle *Be aware of expected vs unexpected* Correct Answer: *Ex: crackles in lungs, disease process CHF= expected, does not require immediate action* Unexpected results require immediate action Know normal physiological growth and development of children Correct Answer: *Vital signs as they grow* Know basic growth and development Why does TPN have an increased risk of infection? Correct Answer: Due to glucose content in TPN (very high) Need to change dressing regularly using sterile technique If TPN is not available what can you do? Correct Answer: Give 10% dextrose or 20% dextrose What happens if you stop your TPN at a high glucose level and you don't replace the glucose? Correct Answer: Hypoglycemia will occur Ex: D20 is hanging and pharmacy delivers TPN do you wait until D20 is done to hang TPN? NO, hang TPN *How many nurses check TPN?* Correct Answer: *2* How many nurses hang blood? Correct Answer: 2 How long can you hang blood? Correct Answer: 4 hours *Know blood type and who can receive* Correct Answer: low back pain is first symptom *What are the nursing concerns for a patient receiving blood for the first time?* Correct Answer: Monitor vitals q15 minutes *RN needs to be in the room for the first 15 minutes, 30 or hour* What is the smallest size needle for blood transfusion? Correct Answer: 20g, 18g ideal If you patient is getting IV and IV solution is supposed to infuse in 4 hours and is running late, do you increase the rate? Correct Answer: NO, it could cause fluid overload *Besides checking the IV insertion site, what is the primary assessment for a patient receiving IV fluids?* Correct Answer: *Respiratory checking for fluid overload* What is the difference between hemoglobin and hematocrit? Correct Answer: Hg: is a protein that sits on the RBS that holds the O2 Hct: is the percent of RBCs What does a high HCT indicate? Correct Answer: Dehydration More Hct=less fluid What does a low Hct indicate? Correct Answer: Fluid overload Bleeding Anemia *What risks exist for heparin?* Correct Answer: *bleeding* *What is the reaction called when a person reacts to heparin?* Correct Answer: *Heparin induced thromboyctopenia= low platelets (no clotting) What lab value is checked with heparin? Correct Answer: aPTT (normal 30-40) PT (normal *If the patient is on coumadin or warfarin what lab value do you check?* Correct Answer: *INR (normal 2-3) What is a normal albumin level? Albumin is a protein Correct Answer: 3.5-5 (same as K+) What is the difference between graves disease and hyperthyroidism? Correct Answer: Graves: autoimmune disorder, antibody TSH that stimulates the thyroid and is not a true hyperthyroid Hyperthyroidism: elevated TSH You are taking care of a pt with hyperthyroidism and the temp begins to rise, what is the concern? Correct Answer: Thyroid storm S/S: tachycardia, elevated temperature (even 1 degree more), HTN Tachycardia over time has what effect on the heart? Correct Answer: Heart failure Cardiomyopathy Decreased urine output *What order do you mix insulin?* Correct Answer: *Clear to cloudy* *Regular then NPH* *What insulin cannot be mixed?* Correct Answer: *Long lasting* Lantus *70/30 insulin means what?* Correct Answer: *70% is NPH* *30% is regular insulin* Can you teach patients to recap needles? Correct Answer: Yes, but it may not be necessary Can store in sharps container or coffee tin What is the difference between advanced directives and DNR? Correct Answer: AD: specific instructions regarding end of life care DNR: do not resuscitate, patient decides Power of Attorney: designates someone else to make medical decisions [Show More]

Last updated: 2 years ago

Preview 1 out of 15 pages