2431 Unit 3 BP
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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| Early s/s hypoxemia | show 🗑
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| show | sinus disorders
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| show | nasal cannula, venturi mask (can adjust to specific percentage of O2), face mask, tracheostomy collar, face tent, non-rebreathing mask, partial rebreathing mask (PAGE 523)
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| nasopharyngeal airway | show 🗑
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| trach suctioning: | show 🗑
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| trach suctioning continued: | show 🗑
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| trach suctioning continued: | show 🗑
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| Nasotracheal suctioning (always try oral suction before nasopharyngeal) | show 🗑
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| show | suture kit, petroleum jelly, dry gauze, tape (check this - not sure)
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| show | 2-3 L
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| incentive spirometer use: | show 🗑
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| show | picture on pg. 532; position pt who is very sob in the orthopneic position, using pillows on the over-the-bed table
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| trach care: | show 🗑
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| show | used 1/2 strength peroxide and 1/2 NS; pt in semi-Fowler's position or supine; document number of times suctioned, type of technique used (sterile), characteristics of secretions, any problems encountered.
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| causes of hypoxia: (pg. 509) | show 🗑
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| show | decreased neuromuscular function (depressed CNS, drugs, coma, disease); disturbance in diffusion of gases (disease, trauma, emboli, tumor, respiratory distress syndrome); environmental causes (high altitude)
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| retractions | show 🗑
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| trach care teaching for home pt's | show 🗑
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| show | surgeries with large incisions (abdominal)
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| stages of anesthesia | show 🗑
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| show | height and weight
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| show | surgeon should obtain; RN witnesses signature; LVN - be sure it is in chart; parent must sign if patient is under 18
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| show | two nurses should listen when phone consent given
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| purpose of TCDB | show 🗑
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| surgical skin prep | show 🗑
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| administering prep meds - best time to do so | show 🗑
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| show | off or covered with tape
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| show | clean bed, emesis basin, suction, oxygen
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| same day surgery recovery and teaching | show 🗑
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| show | every 15 minutes for first hour; every 30 minutes for next 2 hours; every hour for 4 hours or until pt is totally recovered and vs have returned to normal
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| show | on side
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| marking drainage | show 🗑
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| show | 30 mL/hr
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| procedure for assisting pt OOB for first time following surgery | show 🗑
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| primary intention | show 🗑
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| show | scraping away layers of skin
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| purulent | show 🗑
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| show |
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| Jackson Pratt drain emptying procedure | show 🗑
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| show | non-adherant pad used so skin doesn't come off
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| Montgomery straps | show 🗑
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| ecchymosis | show 🗑
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| show | remove from corners first; use NS if sticking
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| removing staples | show 🗑
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| show | mark each shift
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| show | restlessness, anxiety, increased HR, decreased BP
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| irrigating non-infected wounds | show 🗑
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| independent nursing interventions to relieve gas pains | show 🗑
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| sterile dressing change procedure | show 🗑
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| show | use separate swab from top to bottom on each side of incision and continue outward; use separate swab from wound edge outward then other side from top to bottom; do not cleanse directly over wound unless excessive drainage
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| show | cleanse drain sites using circular motion from the drain outward; use circular motion; discard in biohazard bag; document conditionof wound, including subjective statements of pt, objective observations, health teaching performed for wound care
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