AHN 568 Advanced Procedure videos Exam 5 Practice Questions and Answers

AHN 568 Advanced Procedure videos Exam 5 Practice Questions and Answers viral, bacterial, fungal meningitis, encephalitis, metabolic processes, inflammatory processes (MS, GBS), variety of oncologic procedures - ANSWER-what conditions could you diagnose with a lumbar puncture? narcotics, bupivocaine - ANSWER-To administer anesthesia after a lumbar puncture, what two drugs could be used? antibiotic administration of vancomycin, gentamycin - ANSWER-if a patient has ventriculitis or meningitis, what could be a therapeutic indication for a lumbar puncture? administration of methotrexate or chemotherapy - ANSWER-if a patient has leukemia or lymphoma, what would a therapeutic indication for lumbar puncture be? patients who are cardirespiratory compromised, patients with cerebral herniation/increased ICP and focal neurologic signs, coagulopathy increases risk of hematoma - ANSWER-what type of patients should avoid lumbar punctures? ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 2/5 22-gauge, 3.5in (8.9cm) because smaller hole decreases risk of CSF leakage - ANSWER-what size needle should be used for a lumbar puncture and why? lateral recumbent is preferred but sitting is also acceptable - ANSWER-what position should patient assume for lumbar puncture? to reduce risk of post-puncture headache and to obtain an accurate opening pressure - ANSWER-why is the lateral recumbent position preferred? to adopt the fetal position or arch back like a cat to widen the gap between spinous processes - ANSWER-once patient is in correct position, what should you instruct the patient to do? between L3--L4, or L4-L5 because these points are below termination of spinal cord - ANSWER- where should a needle be inserted for lumbar puncture? subclavian vein or IJ? - ANSWER-when inserting a CVL, which site has the least risk of complications? infection of placement site, traumatic injury proximal to insertion site, known areas of deficient collateral circulation (raynauds, thromboangitis) - ANSWER-what are the contraindications for A line placement? fourth to fifth intercostal space in the anterior or mid axillary line at the horizontal level of the nipple; once this is felt, move hand laterally toward anterior axillary line which is the area of incision, the ©EMILLECT 2024/2025 ACADEMIC YEAR. ALL RIGHTS RESERVED FIRST PUBLISH OCTOBER 2024 Page 3/5 insertion site is one intercostal space above incision site - ANSWER-What is the proper location for a Chest Tube? 14 french or smaller usually under US guidance in radiology suite or at bedside - ANSWER-what size chest tube would you use in the seldinger method? 20 french or larger - ANSWER-what size chest tube would you use for an empyema? aim the tube basally for evacuation of fluids - ANSWER-how would you aim the chest tube to evacuate a hemothorax? aim the tube apically - ANSWER-how would you aim the chest tube to evacuate a pneumothorax? 16-22french; 24-28french - ANSWER-what size CT is used for large pneumo in stable patient vs unstable patient? the lung has to be fully expanded, no bubbles seen in chamber, if suction is used most physicians trial water seal - ANSWER-when can a chest tube be removed if indicated for a pneumothorax? when output is less than 200ml in 24 hours, fluid is serous, the lung has re-expanded and patient status has improved it can be removed - ANSWER-when can a chest tube be removed if indicated for a pleural fluid drainage? bleeding and hemothorax, perforation of visceral organs, perforation