PN 3006 Questions and Answers Already Passed

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PN 3006 Questions and Answers Already Passed 4 scenarios- which one has the least likely to have wound healing ✔✔healing time is 8 weeks or over What is expected 4th day post op? ✔✔swelling and redness, no discharge Eviscerated abdomen, what do u do ✔✔take gauze soaked in saline and cover it Old dressing abnormal findings ✔✔fully saturated, discolouration, foul odour, warm to touch Full thickness wound with lots of exudate ✔✔best thing to do is have well balanced die w high protein HCAs are able to tell u if a dressing is saturated ✔✔yes can look at it and let you know Before you do anything to a dressing what do you do ✔✔Assesment What if you are looking at a wound and notice undermining or tunnelling, what do you do ✔✔call RN but maintain sterility When you are irrigating a wound that has a wide opening, what equipment do you need to use ✔✔35 ml Wound irrigation on a child, what can u do to alleviate fear b/c they r squirmy ✔✔Distract them Fast running iv, which assessment should one do? ✔✔Respiratory assessment for pulmonary edema Prevent iv dislodging- what can u do? ✔✔Educate the pt not to move it White crystals in iv tubing ✔✔1.Stop iv 2. Let someone know Delegate to HCA ✔✔reporting the pts complaints over to the LPNs about iv Saline flush ✔✔-make sure its not clamped and there no kinks in the tube Primary nurse does blood iv- after 4 hrs blood doesn't go in- ✔✔the blood is no longer good cuz its been out for 4 hrs When you prepare to administer blood- 3 things that are top priority ✔✔1)blood type2)crossmatch 3)what product are then getting If you have a pt with IV for meds- what u do? ✔✔Flush iv with normal saline When priming blood what solution do you use on the other side? ✔✔Saline Why do we put in a urinary catheter before surgery? ✔✔Monitor how much they're voiding during surgery Pt unable to void- u put in a Foley catheter- what do u expect to find? ✔✔More than 30ml/hr of urine When putting in a catheter for a male pt, what position ✔✔Supine Position When cleaning a female for urinary catheter insertion, how do u clean- ✔✔non dominant on pt, clean with dominant When u are inserting a Foley catheter into a male ✔✔put them at 90 degrees or right angle Patient has a follow catheter for a while and has only voided 200ml in the last 6 hours ✔✔Not meeting requirements, Call Dr Do u think u should call dr is urine is cloudy and malodorous ✔✔YES Purulent at tip of penis ✔✔Let Dr. know !! what do you do if the pt is feeling mild discomfort due to catheter ✔✔-Its mild, give them ice You find out that a pt has not been being voiding and is at 30ml/hr ✔✔first thing you do is check that the catheter is working correctly Inserting catheter for male pt ✔✔hold catheter against sphincter Best thing you can to prevent a common complication of an indwelling catheter ✔✔Catheter Care If you take a catheter out and after 8 hrs they still cant pee- what do u do? ✔✔ask if they have had difficulty peeing previously

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