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C.T. quiz
| Question | Answer |
|---|---|
| Ph is less than 7.35 | acidosis |
| PCO2 values are? | 35-45 |
| Ph is more than 7.45 | alkalosis |
| Excess elimination of CO2, is? | HYPERventilation |
| Accumulation of CO2 in blood is? | HYPOventilation |
| Reason for chest tube: | to establish an airway |
| What confirms placement of a chest tube? | Chest x-ray |
| Chest tube assessment is | Site, tubing, output, patient |
| Placement of chet tube placement being high indicates... | air removal |
| Placement of chest tube placement being low indicates... | removal of blood and fluids |
| Equipment needed available at all times with chest tubes? | padded hemostats, clamps, sterile guaze. Dr.s order needed for clamping. |
| Indications for a tracheostomy | obstruction, removal of secretions, long term ventilation, increase ability to eat & communicate |
| Trach suctioning | 80-120 mmHg, sterile field, pre(hyper)oxygenate(ambu),DO NOT suction greater than 10 seconds, 2-3 suctions per session,hi fowlers postition,air warming and air humidification, use 10-16 frech size cath for adult suctioning |
| tension pnemothorax is | complete collapse of lung (spontaneous) |
| Closed pneumothorax is | Deviation of the trachea AWAY from affected side |
| Open pneumothorax is | Deviation of the trachea TOWARD affected side = Respiratory distress |
| Thoracenthesis "time out" | Right patient, right procedure, right site...NEED CHEST X-RAY |
| Packed red blood cells | increased 02 carrying capacity |
| How long can blood be out of the refridgerator? | no more than 30 minutes |
| Do NOT tranfuse blood for more than... | 4 hours |
| Tubing & blood filter should be used for what amount of time? | Not more than 4 hours |
| What is the ONLY wsolution compatible with blood? | 0.9% normal saline |
| What is whole blood used for> | emergencies |
| Most common nursing dx with blood transusions? | Fluid volume overload/excess |
| What is the most important step in the transfusion process? | Patient identification |
| What bolld product is used to provide volume expansion? | albumin |
| What blood product is used to prevent bleeding? | platelets |
| What blood product is used to increase oxygen-carrying capacity? | packed red blood cells |
| What donor is considered the universal donor? | O |
| When should vitals signs be taken for blood transfusions? | @ Start and 15 minutes hourly |
| What are your steps as a nurse if a reaction starts during a blood transfusion? | Stop transfusion, give benedryl, keep vein open with 0.9% normal saline |
| How long is type & cross match good for? | 72 hours |
| 4 C's of delegation? | Clear, concise, correct, complete |
| What does SBAR stand for? | Situation, background, assessment, recommendation |
| What are the 3 main things when taking a phone order or any medication order? | WRITE IT DOWN, READ IT BACK, GET CONFIRMATION |
| What are the 5 rights of delegation? | RIGHT...task,circumstance,person,communication,supervision |
| When is the only time a verbal order can be used? | emergencies |
Created by:
nms2018
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