NR462 Exam 1 questions with answers
|\ |\ |\ |\ |\
Rational for Central venous access device (CVAD) -
|\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Direct access to patient
|\ |\ |\ |\ |\ |\
bloodstream for long-term delivery of fluids, nutrition, and |\ |\ |\ |\ |\ |\ |\
medication
|\
Reason for CVAD dressing change - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔-Prevent introduction of microorganisms into the blood|\ |\ |\ |\ |\ |\
stream
|\
-Protect insertion site |\ |\
How often to change CVAD dressing - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔-Replace dressings every 5-7 days and every 2 days
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for CVAD sites with gauze
|\ |\ |\ |\
-Change immediately is soiled, damp, or loosened
|\ |\ |\ |\ |\ |\
Ways to prevent CLABSI - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\
Dressing dry, clean and intact |\ |\ |\ |\
-Assess for redness, swelling tenderness
|\ |\ |\ |\
-Note the insertion date and date dressing was last
|\ |\ |\ |\ |\ |\ |\ |\ |\
changed
Rational for indwelling urinary foley catheter - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔- Hospice/comfort care |\ |\ |\
,-Immobilization after trauma or surgery |\ |\ |\ |\
Negative outcomes of catheters - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔-Bladder spasm |\
-CAUTI
-Bacteremia
-Phylenophritis
How is sterility broken? - CORRECT ANSWERS ✔✔-Turning
|\ |\ |\ |\ |\ |\ |\ |\
back on supplies
|\ |\
-Not cleaning vagina/penis before insertion
|\ |\ |\ |\
-Contact with non sterile items |\ |\ |\ |\
-Packaging (replace gloves or equipment) |\ |\ |\ |\
-Avoid touching sterile field
|\ |\ |\
Reduce risk of cauti - CORRECT ANSWERS ✔✔-Use only
|\ |\ |\ |\ |\ |\ |\ |\ |\
when needed |\
-Sterile equipment and technique
|\ |\ |\
-Hand hygiene |\
3 reasons for urinary retention - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\
Obstruction
-Inflammation
, -Neurological disorders |\
Sterile technique purpose - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\
✔✔Reduce risk for bacteria or infection |\ |\ |\ |\ |\
When to use a sterile field - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\ |\
Indwelling catheter |\
-N/T/tracheal suctioning |\
-Central line dressing change |\ |\ |\
Prevent errors in sterile technique - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔-1 inch border is not sterile
|\ |\ |\ |\ |\
-Do not reach over sterile field
|\ |\ |\ |\ |\
-Do not turn your back on sterile field
|\ |\ |\ |\ |\ |\ |\
-Keep items above waist level
|\ |\ |\ |\
total body water % - CORRECT ANSWERS ✔✔50-60 %
|\ |\ |\ |\ |\ |\ |\ |\
1 space shifting - CORRECT ANSWERS ✔✔normal ECF and
|\ |\ |\ |\ |\ |\ |\ |\ |\
ICF movement
|\
2nd space shifting - CORRECT ANSWERS ✔✔Increased
|\ |\ |\ |\ |\ |\ |\
accumulation of interstitial fluid |\ |\ |\ |\
|\ |\ |\ |\ |\
Rational for Central venous access device (CVAD) -
|\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔Direct access to patient
|\ |\ |\ |\ |\ |\
bloodstream for long-term delivery of fluids, nutrition, and |\ |\ |\ |\ |\ |\ |\
medication
|\
Reason for CVAD dressing change - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔-Prevent introduction of microorganisms into the blood|\ |\ |\ |\ |\ |\
stream
|\
-Protect insertion site |\ |\
How often to change CVAD dressing - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔-Replace dressings every 5-7 days and every 2 days
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
for CVAD sites with gauze
|\ |\ |\ |\
-Change immediately is soiled, damp, or loosened
|\ |\ |\ |\ |\ |\
Ways to prevent CLABSI - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\
Dressing dry, clean and intact |\ |\ |\ |\
-Assess for redness, swelling tenderness
|\ |\ |\ |\
-Note the insertion date and date dressing was last
|\ |\ |\ |\ |\ |\ |\ |\ |\
changed
Rational for indwelling urinary foley catheter - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔- Hospice/comfort care |\ |\ |\
,-Immobilization after trauma or surgery |\ |\ |\ |\
Negative outcomes of catheters - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\
✔✔-Bladder spasm |\
-CAUTI
-Bacteremia
-Phylenophritis
How is sterility broken? - CORRECT ANSWERS ✔✔-Turning
|\ |\ |\ |\ |\ |\ |\ |\
back on supplies
|\ |\
-Not cleaning vagina/penis before insertion
|\ |\ |\ |\
-Contact with non sterile items |\ |\ |\ |\
-Packaging (replace gloves or equipment) |\ |\ |\ |\
-Avoid touching sterile field
|\ |\ |\
Reduce risk of cauti - CORRECT ANSWERS ✔✔-Use only
|\ |\ |\ |\ |\ |\ |\ |\ |\
when needed |\
-Sterile equipment and technique
|\ |\ |\
-Hand hygiene |\
3 reasons for urinary retention - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\
Obstruction
-Inflammation
, -Neurological disorders |\
Sterile technique purpose - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\
✔✔Reduce risk for bacteria or infection |\ |\ |\ |\ |\
When to use a sterile field - CORRECT ANSWERS ✔✔-
|\ |\ |\ |\ |\ |\ |\ |\ |\
Indwelling catheter |\
-N/T/tracheal suctioning |\
-Central line dressing change |\ |\ |\
Prevent errors in sterile technique - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔-1 inch border is not sterile
|\ |\ |\ |\ |\
-Do not reach over sterile field
|\ |\ |\ |\ |\
-Do not turn your back on sterile field
|\ |\ |\ |\ |\ |\ |\
-Keep items above waist level
|\ |\ |\ |\
total body water % - CORRECT ANSWERS ✔✔50-60 %
|\ |\ |\ |\ |\ |\ |\ |\
1 space shifting - CORRECT ANSWERS ✔✔normal ECF and
|\ |\ |\ |\ |\ |\ |\ |\ |\
ICF movement
|\
2nd space shifting - CORRECT ANSWERS ✔✔Increased
|\ |\ |\ |\ |\ |\ |\
accumulation of interstitial fluid |\ |\ |\ |\
