NCLEX Procedures Flashcards

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36 cards   |   Total Attempts: 188
  

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Front Back
Central Venous Catheter:
- signs of air embolism is coughing, pale, dyspneic - position pt on left and lower HOB
Know ausculatation landmarks
All People Enjoy Time Magazine
[A]ortic = R, 2nd intercostal[P]ulmonic = L, 2nd intercostal [E]rb's pt = L, 3rd intercostal (s1 s2)[T]ricuspid = lower left, 4th intercostal[M]itral = Left 5th intercostal, midclavicular line
Paracentesis
Have blood pressure cuff near
Autologous blood is
Own blood
Can donate blood up to ____ weeks before surgery
5
Bulge test
Confirms fluid in knees ; legs should be extended
Chest tube:
- constant bubbling in water seal chamber indicates leak
Ostomy care
Inspect and change bag once a week
TPN has a high glucose content:
Monitor for HYPERglycemia esp first 24 hours
Salem sump pump
Is not like a chest tube; should hear a hissing sound that air is exiting airway
Lumbar puncture
Pt will remain in lying down position for 8 hrs after procedure
Chief complaint should be recorded
With patient's own words
Myelogram
Dye is used; asked about allergies
Wet-to-dry dressing change:
- remove old dressing dry so would debris and necrotic tissue is removed ; do not add sterile saline
After total hip replacement
- pillow between legs prevents dislocation of prosthesis.

- Keep heels OFF the bed to prevent pressure sores.