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