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52 Cards in this Set

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List some indications for an NG tube.
Upper GI tract bleeding
Gastric content analysis
Gastric lavage
Feeding/medication
Gastric decompression
Contraindications for an NG tube include pt at risk for ________, tube placement cannot be _________, ________ blocks tube passage, or ____-_______ pt.
aspiration
confirmed
obstruction
non-cooperative
Common size for tubes are _________ french.
8-16
A ________ tube has one lumen and is best used for feeding.
Levine
Nasojejunal tubes are used for ________ and ________.
feedings
medications
An example of a gastric sump tube is a _____ _____. A _______ ______ tube is a large lumen for suction, food, meds. A small blue lumen is open to _____.
salem sump
double lumen
air
How do you measure a pt. for the proper length NG tube?
Measure 50 cm
Determine NEX measurement
Length of tube to reach stomach is 1/2 way in between
Mark with tape.
When lubricating the NG tube, always use a _____ based lubricant and not an _____ based one.
water
oil
S&S of resp distress when placing a NG tube are _______, ________, gasping for air, ________.
wheezing
coughing
cyanosis
If the pt experiences resp distress when placing NG tube, _______ withdraw tube and ______ pt before cont. Never ______ tube during placement.
partially
assess
force
To verify placement of an NG tube: _______, ________, and ________,
x-ray
aspirate
auscultate
When removing NG tube, have pt. take a deep breath and ______ to close the _______, which reduces risk of aspiration.
hold
epiglottis
Sterile objects remain sterile only when touched by other ______ objects
sterile
Anything left open more than ____ minutes is considered contaminated.
30
In sterile procedures, always ______ _____ first. When opening sterile packages _____, _____, _____, and then _______ you.
wash hands
away
side
side
towards
In the male pt,the catheter should be advanced to the point of the _____ in the catheter before the balloon is ________
Y
inflated
Reasons for an intermittent (straight) cath is in a pt. with loss of bladder _______, such as a _____ _____ injured pt.
control
spinal cord
Reasons for indwelling cath:
_____-___, continuous bladder ________, or ____-_____ management.
post-op
irrigation
long-term
Indications of urinary retention/distention: bladder _______, voiding _____ amounts, and ________ or ________
distended
small
restlessness
discomfort
Empty a cath drainage bag every ___ hours or when it is _______ full
8
half
Some indications for IV therapy include providing ______ support, admin _____, replace body _____, obtain _____ samples,and measuring ______ pressure
nutritional
meds
fluids
blood
venous
Gloves are mandatory when ________ an IV site, and when ________ to SL/HL
starting
converting
Gloves are not necessary when ______, changing _____, or ______ meds
flushing
bags
piggyback
____ hours: How long the solution can hang once punctured. ___ hours for tubing. ____ hours TPN tubing. ____ hours site
24
72-96
24
72
When measuring venous pressure with an IV, the tip of the IV cath is in the ____ _____ or _____ ______
vena cava
right atrium
Never use _____ or ____ for an IV site.
feet
legs
Complications of IV therapy include ________, _________, or a systemic ________
phlebitis
infiltration
infection
How often should you assess an infusing IV and its site?
1st thing at the start of shift.
Physical Assessment
At least Q2h
Midpoint of med infusion
Any complaints from pt.
The roller clamp should always be either ____% open or _____% closed
100
100
______ mortis is the stiffening of a dead body that occurs as a result of the depletion of ______ in the muscle fibers
Rigor
ATP
_______ mortis is known as the "chill of death"
Algor
_______ mortis is the discoloration appearing on dependent parts of the body after death as a result of cessation of circulation
Livor
Don't remove _____ and _____ if there is an autopsy to be performed. When in doubt just leave them in.
tubes
lines
When the family says yes to organ donation no more ________ fees are incurred.
hospital
Wounds heal best in their own ______.
fluid
Decompression is another term for ________ the _______
emptying
stomach
________ is a dietary essential in wound healing because essential ______ _____ can only be obtained from dietary sources
Proteins
amino acids
An 11 yo pt continues to choke on her NG tube, as a nurse you might talk to the Dr. about a _________ tube for nutritional support
gastrostomy
NG tube is clean or sterile technique?
clean
The best solution for flushing an NG tube is _____ _______
tap water
A pt. receiving tube feeding experiences nausea and cramping, the best solution is to _____________
decrease the rate.
Tube feedings vs. bolus feedings are helpful because they avoid _______ and save ______.
bloating
time
NG medication is usually given by _______ or with a _______.
gravity
syringe
The proper position for the head after the tube has cleared the bridge of the nose is ________________
chin to chest
Prior to inserting the urinary catheter in the male patient, the penis sould be _________ to the body and ______ traction is needed.
perpendicular
light
What is the best french size for a male pt urinary catheter?
16-18
The Braden scale for wounds measures the degree of ________ and _______
friction
shear
The topical management of a clean, granular wound healing by secondary intention requires a ______ wound dressing.
moist
The primary advantage of a moist dressing is that it provides ______ insulation whie protecting the wound from _________
thermal
dehydration
When obtaining a wound culture to determine the presence of a wound infection, the specimen should be taken from _______, _______ looking tissue
clean
healthy
A __________ dressing is a dressing that forms a gel that interacts with the wound surface
Hydrocolloid
An aerobic infection is characterized as ________ smelling and an anaerobic as ________
musty
sweet