Answers
Which procedure needs informed consent? Select all A, B, C, D, F (depends on IV contrast), H
apply:
a. Lumbar Puncture E and G no consent needed
b. Liver biopsy CT scans w/out contrast used is not needed
c. Endoscopy (EGD)
d. Colonoscopy
e. X-rays
f. CT scan
g. Ultrasound
h. MRI
What preparations required for pelvic ultrasound exam? Full bladder
Empty bowels
schedule prior to barium
What preparations required for gallbladder ultrasound NPO 6 hours
exam?
What cranial nerve detects smell? Cranial nerve 1
Age influences on respiratory function infants: lungs are less compliant
Infants? elderly: more prone to infections, more sensitive to stress, surgery, anesthesia
Elderly?
Non-invasive diagnostic techniques for respiratory PFT (pulmonary function test)
assessments: CT
MRI
Oxygen Saturation
, Conditions affecting diffusion (respiratory): pulmonary edema, atelectasis, low Hgb levels
Conditions affecting transport (respiratory): Decreased CO, CHF, hypovolemia
Oxygen Therapy: Provide skincare to nares Q(?)H q4h
Order the Oxygen delivery devices from increasing flow C, D, A, B
rate capacities:
a. Venturi mask
b. Nonrebreather mask
c. Nasal cannula
d. Simple face mask
Which oxygen delivery device is good for O2 retainers Venturi Mask
and COPD patients? Why? provides accurate and specific FiO2 value and specific O2 concentrations
Clients recieving FiO2 of greater than 50% for longer than oxygen toxicity
24 hr are at risk for:
orthopnea difficulty breathing when lying down
Causes of orthopnea -Ventricular heart failure and/or pulmonary edema
-Asthma
-Chronic bronchitis
-Sleep apnea
-Panic disorder
High flow oxygen delivery systems Venturi mask
Which O2 delivery device delivers the highes O2 Non-rebreather mask
concentration possible?
Nursing actions to prevent oxygen toxicity: - Decrease FiO2 (O2% client receives) as the clients SpO2 improves
- Use the lowest level of oxygen necessary to maintain adequate SpO2
Early signs of hypoxia Select all that apply: A, B, E, D
a. Restlessness
b. Tachypnea
c. Bradycardia
d. Confusion
e. Hypertension
Acetylcysteine (3 things): to prevent CIN (contrast induced nephropathy), mucolytic (thins phlem) via
nebulizer route, antidote for Tylenol overdose
Injections, Maximum amounts: IM: max 3 mL
IM SQ: max 1 mL
SQ ID: max 0.1 mL
ID