final (new info) Questions With Complete Solutions
be familiar with incidence reports Correct Answers aka adverse
event reporting (AER), file every time something goes wrong
DAR Correct Answers data, action, repsonse
deep tissue pressure injury Correct Answers persistent non-
blanchable deep red, maroon, or purple discoloration
dehiscence Correct Answers margins of wound separate and
split open
describe how to check residual and know what to do with
aspirate Correct Answers flush the tube with air, aspirate
contents, return unless volume >200 ml and flush with 30 ml
water
describe restraint usage Correct Answers ensure immediate
safety, temporary measure, applied according to hospital policy,
discontinued ASAP
evisceration Correct Answers intestines break through and out
of suture
face tent Correct Answers for facial trauma/surgery and cannot
handle a mask, 28-100% FiO2
geriatric considerations with IV therapy Correct Answers
dehydration/overload balance, 22 G (or 24 for frail), don't use
back of hand, insert at 5-15 degree
,Hemovac drain Correct Answers CLOSED drain system, a
surgical drain to prevent blood and lymphatic fluid buildup
under your skin and encourage healing; drains fluid by passive
suction; holds up to 500 ml of fluid
high flow nasal cannula Correct Answers adjustable FiO2, up to
60 L/min
how and when do you provide perineal care to male and female
patients? Correct Answers HOW- head then shaft, wash outside
then inside (front to back)
WHEN- performed during complete bed bath (may be more
frequent with incontinence, indwelling Foley catheter,
renal/genital surgery)
how do you apply a urinary pouch? Correct Answers press
adhesive barrier to the stoma, attach to straight drainage, attach
to bedside drainage
how do you assess a stoma? Correct Answers pink and moist,
peristomal skin intact with minimal redness
how do you assess for pressure wounds on dark skinned
patients? Correct Answers since just observing isn't enough,
check for changes in sensation, temp, tissue consistency
how do you assist with feeding patients? Correct Answers know
what food order they want to eat in, cut food, adaptive
eating/drinking aids if necessary, facilitate chewing and
swallowing, fluids as needed
, how do you care for a gastrotomy or jejunostomy tube? Correct
Answers assess site for drainage/infection/bleeding q 4-6 hrs,
clean around site with warm water and soap, dressing if
indicated
how do you check placement of a feeding tube before starting
feedings? Correct Answers initial x ray, re-verify before
administering food or meds and every 4-6 hours
how do you check placement of a NG tube? Correct Answers
aspirate gastric contents, pH, x ray, penlight and tongue blade
how do you clean contacts? Correct Answers apply 1-2 drops of
solution to lens and rub with finger 20-30 seconds, store
how do you clean dentures? Correct Answers brush like normal
teeth under tepid water, store or insert
how do you clean hearing aids? Correct Answers wipe outside,
clean out with wax loop, store or insert
how do you collect a 24 hour urine sample? Correct Answers
have patient start with an empty bladder, pee into container for
24 hour slot
how do you establish measurable patient centered outcomes?
Correct Answers individualized for each patient, not able to be
copied from a book
how do you give a bed bath? Correct Answers towel underneath
to prevent wet sheets, keep as much covered as possible, be
gentle, only water on face...