NR462 Exam 1 Questions With Correct
Answers
Rational for Central venous access device (CVAD) - CORRECT
| | | | | | | | |
ANSWER✔✔-Direct access to patient bloodstream for long-term | | | | | | |
delivery of fluids, nutrition, and medication
| | | | |
Reason for CVAD dressing change - CORRECT ANSWER✔✔--Prevent
| | | | | | | |
introduction of microorganisms into the blood stream
| | | | | |
-Protect insertion site | |
How often to change CVAD dressing - CORRECT ANSWER✔✔--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 ANSWER✔✔--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 ANSWER✔✔--
| | | | | | | | |
Hospice/comfort care |
-Immobilization after trauma or surgery | | | |
Negative outcomes of catheters - CORRECT ANSWER✔✔--Bladder
| | | | | | |
spasm
-CAUTI
-Bacteremia
-Phylenophritis
How is sterility broken? - CORRECT ANSWER✔✔--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 ANSWER✔✔--Use only when needed
| | | | | | | | |
-Sterile equipment and technique
| | |
-Hand hygiene
|
3 reasons for urinary retention - CORRECT ANSWER✔✔--Obstruction
| | | | | | |
, -Inflammation
-Neurological disorders |
Sterile technique purpose - CORRECT ANSWER✔✔-Reduce risk for
| | | | | | | |
bacteria or infection | |
When to use a sterile field - CORRECT ANSWER✔✔--Indwelling catheter
| | | | | | | | |
-N/T/tracheal suctioning |
-Central line dressing change| | |
Prevent errors in sterile technique - CORRECT ANSWER✔✔--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 ANSWER✔✔-50-60 %
| | | | | | |
1 space shifting - CORRECT ANSWER✔✔-normal ECF and ICF movement
| | | | | | | | |
2nd space shifting - CORRECT ANSWER✔✔-Increased accumulation of
| | | | | | | |
interstitial fluid | |
Answers
Rational for Central venous access device (CVAD) - CORRECT
| | | | | | | | |
ANSWER✔✔-Direct access to patient bloodstream for long-term | | | | | | |
delivery of fluids, nutrition, and medication
| | | | |
Reason for CVAD dressing change - CORRECT ANSWER✔✔--Prevent
| | | | | | | |
introduction of microorganisms into the blood stream
| | | | | |
-Protect insertion site | |
How often to change CVAD dressing - CORRECT ANSWER✔✔--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 ANSWER✔✔--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 ANSWER✔✔--
| | | | | | | | |
Hospice/comfort care |
-Immobilization after trauma or surgery | | | |
Negative outcomes of catheters - CORRECT ANSWER✔✔--Bladder
| | | | | | |
spasm
-CAUTI
-Bacteremia
-Phylenophritis
How is sterility broken? - CORRECT ANSWER✔✔--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 ANSWER✔✔--Use only when needed
| | | | | | | | |
-Sterile equipment and technique
| | |
-Hand hygiene
|
3 reasons for urinary retention - CORRECT ANSWER✔✔--Obstruction
| | | | | | |
, -Inflammation
-Neurological disorders |
Sterile technique purpose - CORRECT ANSWER✔✔-Reduce risk for
| | | | | | | |
bacteria or infection | |
When to use a sterile field - CORRECT ANSWER✔✔--Indwelling catheter
| | | | | | | | |
-N/T/tracheal suctioning |
-Central line dressing change| | |
Prevent errors in sterile technique - CORRECT ANSWER✔✔--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 ANSWER✔✔-50-60 %
| | | | | | |
1 space shifting - CORRECT ANSWER✔✔-normal ECF and ICF movement
| | | | | | | | |
2nd space shifting - CORRECT ANSWER✔✔-Increased accumulation of
| | | | | | | |
interstitial fluid | |
