Term
| Lower incidence of infection and utilized for short term therapy are characteristics of the . |
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Definition
| Butterfly or wingtip needle |
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Term
| The the gauge of the needle indicated the the diameter of the needle |
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Definition
1) smaller
2) larger
The smaller the gauge of the needle the larger the diameter of the needle |
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Term
| The veins are used for peripheral IV therapy |
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Definition
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Term
| The veins are preferable for initating IV therapy because these veins are naturally splinted by bones |
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Definition
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Term
| The vein is the most frequently utilized for routine blood sampling |
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Definition
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Term
| The tourniquet is applied to distend the vein but not to obliterate the |
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Definition
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Term
| When using an over the needle catheter, back flow of blood may occur before the catheter is completely in the vewin because the needle is than the catheter |
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Definition
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Term
| In order to calculate the IV flow rate, the nurse must check the IV administration set for the delivered by that IV set |
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Definition
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Term
| The of venipuncture attempts made to initiate the IV therapy must be documented |
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Definition
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Term
| The most veins are used first when initiating IV therapy |
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Definition
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Term
Patients with high infusion rates must be monitored for
1.
2.
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|
Definition
1. circulatory overload
2. Pulmonary Edema
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Term
| If an IV fluid bag is allowed to run dry, it may cause a to form at the tip of the IV cannula |
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Definition
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Term
| IF a clot is suspected in an IV cannula, do not 1. 2. or 3. |
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Definition
1. flush
2. irrigate
3. push fluids
**run the risk of pushing the clot into the circulatory system--> think DVT/PE |
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Term
| Penetrating the vessel wall is an example of trauma to the vein |
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Definition
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Term
| An irritating medication is an example of trauma to the vein |
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Definition
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Term
The accumulation of IV solution in the tissue which causes vasoconstiction, tissue necrosis and tissue sloughing is called
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Definition
extravasation
EC: Regitine |
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Term
| Poor asceptic technique is the most common cause of IV . |
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Definition
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Term
| When infiltration of IV fluid occurs, the affected areas should be 1. and 2. , a moist cloth should also be applied to the site |
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Definition
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Term
| If a systemic reaction occurs while administering an IV medication, the nurse should the infusion |
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Definition
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Term
| IF an air embolism is suspected, place the patient on their side, with the head of the bed than the heart and start O2 therapy |
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Definition
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Term
| It take approximately seconds for injected IV medication to reach the heart |
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Definition
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Term
| When a IV piggyback medication is administred, the primary IV solution must be placed than the piggyback infusion |
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Definition
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Term
| Insulin clings to plastic material, therefore it should be prepared in a container |
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Definition
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Term
| Intermittent need therapy ( ) ports must be irrigated periodically with to prevent clotting |
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Definition
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Term
| Only combine drugs to administer them IV when drug has been confirmed |
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Definition
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Term
| The type of blodd test ordered determines the type and size of the laboratory used and the volume of blood needed |
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Definition
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Term
| Major concerns when obtaining a venous blood sample are patient and the collection of a blood specimen |
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Definition
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Term
| If the needle is removed before the trouniquet is released, a or bruise will occur |
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Definition
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Term
| Placement of the central venous catheter ( ) is confirmed by |
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Definition
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Term
| The correctly palced CVC sits centrally in the |
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Definition
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Term
| The smallest ml syringe used to flush a central line is |
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Definition
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Term
| A major risk to the patient with a CVC catheter is |
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Definition
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Term
If IV therapy is required for longer than 4 to 6 weeks a or
may be utilized |
|
Definition
surgically implantable port
tunneled catheter |
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Term
| the volume of fluid needed for long term CV catheter irrigation is determined by the volume that each of the catheter holds as well as the volume held by any connected extension tubing |
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Definition
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Term
| Only smooth clamps are used to clamp a long term CV catheter because clamps with teeth or ridges will the catheter |
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Definition
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Term
| Redness and tenderness along the tunnel track of a CV catheter may indicate |
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Definition
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Term
| A surgically implantable port MAY BE accessed immediately after surgery BUT because of post-operative and is usually not accessed until these resolve |
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Definition
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Term
| Syringes less than in size exert too great a pressure and can damage the lumen |
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Definition
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Term
| When accessing the septum of an implantable port, only a needle should be used |
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Definition
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Term
| Clamping of extension tubings and primary IV tubing prevents the introduction of into the system |
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Definition
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Term
| A criteria for a patient to receive TPN is a serum albumin level below |
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Definition
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Term
| Lipids are a component of TPN, to provide essential |
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Definition
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Term
| TPN solutions and tubing should be changed very |
|
Definition
24hrs
rationle: very high in sugar--> bacteria love to grow there |
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Term
| TPN should be administered through an to carefully control the flow rate |
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Definition
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Term
| TPN does NOT provide essential so the patient may require a mainenace IV fluid |
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Definition
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Term
| Patients on TPN need strict and every day |
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Definition
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Term
| To assess a patient's tolerance of the concetrated glucose solution, should be performed on all patients receiving TPN |
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Definition
FSBS
finger stick blood sugars |
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Term
| Effective TPN therapy is indicated by a throughout treatment |
|
Definition
| positive nitrogen balance |
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Term
| For long-term TPN therapy may be added to compensate for high glucose levels |
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Definition
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Term
| Packed red blood cells ( ) are the most commonly used blood product. Eighty percent of the is removed |
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Definition
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Term
A physician's order is required for a blood transfusion. An order for a is not an order to transfuse
(but does need to be done before and every 72 hours) |
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Definition
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Term
| Ideally, a number gauge catheter is used for blood transfusions, however a number gauge catheter can be used if necessary |
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Definition
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Term
| A IV catheter must be palced before blood is obtained from the |
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Definition
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Term
| is used for all blood transfusions because other IV solutions can cause to the RBC's |
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Definition
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Term
| Blood should not be out of the blood bank for longer than beofre the transfusion is started |
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Definition
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Term
| A unit of blood must be administered within |
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Definition
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Term
| For any severe blood reaction, the blood transfusion should be and the blood bag with the tubing send to the |
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Definition
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Term
| Circulatory overload can be caused by the transfusion of PRBC's and the physican may order a |
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Definition
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Term
autotransfusion can be used when 1 or more units can be retrieved from the patient. The advantage for autotransfusion is that it provides for objections to blood transfusions.
Disadvantage: not avaible during |
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Definition
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Term
Nasogastric (NG) tubes are frequently used in the clinical setting for the management of patients who require?
1.
2.
3.
4. |
|
Definition
1. decompression
2. diagnosis and assessment
3. nutritional support
4. medication administration |
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Term
The use of NG tubes is associated with these complications
1.
2.
3.
4.
5.
6.
|
|
Definition
1. Pulmonary aspiration
2. Diarrhea, constipation, N/V
3. tube related trauma; nasal ulcers, tube occulusions
4. Tube displacement/dislodgement
5. dehydration
6. electrolyte imbalances |
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Term
| Observing for the presence of coughing and choking to differentiate between gastric and respiratory tube placement is not applicable in patients with or with nuerological debiliation where gag and couch reflexes may be suppressed |
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Definition
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Term
| The most commonly used bedside method to check for gastric tube placement is |
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Definition
|
|
Term
| Ausculation as its limitations since a tube inadvertently placed in the or can transmit a sound similarly to that of air entry in the stomach |
|
Definition
respiratory tract
esophagus |
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|
Term
from the tube is another method used to assess the location of the distal end of the tube
how? |
|
Definition
Aspiration
Checks the pH
This is the MOST accurate way to check NG tube placement |
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|
Term
| With small bore tubes, aspiration is difficult as they tend to with the application of suction |
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Definition
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