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SKILLS QUESTIONS
SKILLS
16
Nursing
Undergraduate 1
04/22/2013

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Term
WHAT ARE THE NURSING ASSESSMENTS PRIOR TO ADMINISTERING MEDICATION VIA GASTRIC TUBE?
Definition
AUSCULTATE FOR BOWEL SOUNDS.
PALPATE THE ABDOMEN FOR DISTENTION AND TENDERNESS.
Term
WHEN ADMINISTERING MEDICATION VIA GASTRIC TUBE, WHAT POSITION SHOULD THE PATIENT BE AT?
Definition
HIGH FOWLERS POSITION.
Term
WHAT STEP IS NECESSARY BEFORE ADMINISTERING MEDICATION VIA GASTRIC TUBE?
Definition
CHECK THE PLACEMENT OF THE TUBE PRIOR TO ADMINISTERING ANY MEDICATION OR FOLLOW FACILITY POLICY.
Term
AFTER ADMINISTERING THE FIRST DOSE OF MEDICATION HOW MUCH WATER DO YOU FLUSH THE TUBE WITH? AND FOR THE LAST DOSE?
Definition
FLUSH THE TUBE WITH 5-10 ML AFTER THE FIRST DOSE AND 30-60 ML AFTER THE LAST DOSE.
Term
WHAT SPECIAL CONSIDERATION IF MEDICATION ARE BEING ADMINISTERED VIA AN NG TUBE THAT IS ATTACHED TO A SUCTION?
Definition
SUCTION SHOULD BE OFF AND ALLOW TIME FOR THE MEDICATION TO BE ABSORBED BEFORE TURNING ON SUCTION.
Term
WHEN ADMINISTERING A TUBE FEEDING, WHAT POSITION SHOULD THE PATIENT BE?
Definition
THE PATIENT HEAD SHOULD BE ELEVATED AT LEAST 30 TO 45 DEGREE ANGLE TO MINIMIZE POSSIBILITY OF ASPIRATION.
Term
WHAT IS THE PH LEVEL OF GASTRIC CONTENTS?
Definition
PH LEVEL OF GASTRIC CONTENT IS 5.5
Term
WHAT IS THE MOST RELIABLE METHOD OF CHECKING FOR NG TUBE PLACEMENT?
Definition
XRAY
Term
AFTER CHECKING THE PLACEMENT OF THE NG TUBE, WHAT IS THE NEXT STEP FOR FEEDING?
Definition
ASPIRATE ALL GASTRIC CONTENTS WITH THE SYRINGE AND MEASURE TO CHECK THE RESIDUAL AMOUNT OF FEEDING IN THE STOMACH.
IF RESIDUAL IS UP TO 400 ML CONTINUE THE FEEDING. ANYTHING GREATER THAN 400 ML HOLD THE FEEDING AND NOTIFY THE PHYSICIAN.
Term
WHAT IS THE PURPOSE OF AN INCENTIVE SPIROMETRY?
Definition
ENCOURAGES THE PATIENT TO MAXIMIZE LUNG INFLATION AND PREVENT OR REDUCE ATELECTASIS.
Term
WHAT IS THE POSITION FOR INCENTIVE SPIROMETRY?
Definition
UPRIGHT OR SEMI-FOWLERS POSITION. UPRIGHT POSITION FACILITATE LUNG EXPANSION.
Term
WHAT IS THE NORMAL FINDING DURING INSPIRATION AND EXPIRATION OF THE WATER LEVEL IN THE WATER SEAL CHAMBER?
Definition
FLUCTUATION OF THE WATER LEVEL.
Term
WHAT INDICATES A CONSTANT BUBBLE IN THE WATER SEAL CHAMBER?
Definition
IT INDICATES AN AIR LEAK IN THE SYSTEM.
Term
WHEN DO YOU NOTIFY THE PHYSICIAN WHEN CHECKING THE DRAINAGE OF THE CHEST TUBE?
Definition
NOTIFY THE PHYSICIAN WHEN THE DRAINAGE EXCEEDS 100ML/HR AND BRIGHT RED. THIS MAY INDICATE FRESH BLOOD.
Term
WHATS ARE NURSING INTERVENTIONS FOR PREVENTING HYPOXIA DURING SUCTIONING?
Definition
HYPEROXYGENATE THE PATIENT BEFORE AND AFTER SUCTIONING AND LIMIT THE APPLICATION OF SUCTION 10 TO 20 SECONDS.
MONITOR THE PULSE FREQUENTLY TO DETECT POTENTIAL EFFECTS OF HYPOXIA AND VEGUS NERVE STIMULATION.
Term
WHATS THE APPROPRIATE PRESSURE FOR SUCTIONING TO PREVENT ATELECTASIS?
Definition
80-120 MM HG
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