CPSS Exam Questions And Accurate Answers (A+)
contraindications to I&D include
large, deep abscess
pulsatile mass at the site of infection
close proximity to neurovascular bundle
perirectal, periareolar abscesses, as they may be associated with fistulas
contraindications to IV catheterization include
active skin infection
distal to any area of thrombophlebitis
avoid LE IVs in elderly, PVD, venous insufficiency
history of mastectomy → do opposite side
history of IV complication
site of dialysis port
how is IV catheter size selected? ***
18 - 22 g = adults
24 - 26 g = neonates
22 - 26 g = infants & pediatrics
20 - 22 g = infusion of moderate amts of fluid
which resuscitation fluid is used to build intravascular volume & reduce edema?
colloids → albumin
what can rapid correction of hyponatremia lead to?
central pontine myelinolysis
what is a microdrip set?
,allows 60 drops (ggt)/mL through the drip chamber → ideal for medication admin / fluids
to a peds pt
what is a macrodrip set?
allows for 10-15 drops (ggt_/mL through the drip chamber → ideal for rapid fluid delivery
& maintenance fluids in adults
how is rate of infusion calculated?
(volume in mL x drip set) / (time in mins) = gtts/min
if need to use hands for an IV site, which veins are preferred?
dorsal metacarpal veins
which vein for an IV has a close proximity to the median nerve, therefore risking injury?
basilic vein
complications of IV catheterization include ***
arterial puncture
bleeding
cellulitis
infiltration (catheter outside vessel)
phlebitis / thrombophlebitis
sepsis
catheter fragment embolism
, air embolism
contraindications to intubation include
blunt trauma of the larynx
penetrating trauma of the airway
hematoma / partial transection of airway
What do you do if unable to intubate in 30 seconds?
Remove the tube & ventilate pt. w/100% oxygen w/ a BVM w/face mask for 3-5 minutes
before attempting intubation again
If breath sounds post-intubation are diminished on one side, what should you suspect?
A right mainstem bronchus intubation has taken place
If, after intubation, symmetrical chest wall movement is not present, what should you
suspect?
a mainstem bronchus or esophageal intubation has occured
If air movement or gurgling is heard on auscultation following intubation, what should
you suspect?
intubation of the esophagus has occured
For what situation is a straight or intermittent catheter used?
good for obtaining sterile urine sample or intermittent drainage in patients w/neurogenic
bladder
Which type of catheter can be left in place for extended periods?
indwelling / foley catheter
What is an indwelling 3-way catheter used for?
continuous irrigation for patients w/hematuria or blood clots, drain urine
contraindications to I&D include
large, deep abscess
pulsatile mass at the site of infection
close proximity to neurovascular bundle
perirectal, periareolar abscesses, as they may be associated with fistulas
contraindications to IV catheterization include
active skin infection
distal to any area of thrombophlebitis
avoid LE IVs in elderly, PVD, venous insufficiency
history of mastectomy → do opposite side
history of IV complication
site of dialysis port
how is IV catheter size selected? ***
18 - 22 g = adults
24 - 26 g = neonates
22 - 26 g = infants & pediatrics
20 - 22 g = infusion of moderate amts of fluid
which resuscitation fluid is used to build intravascular volume & reduce edema?
colloids → albumin
what can rapid correction of hyponatremia lead to?
central pontine myelinolysis
what is a microdrip set?
,allows 60 drops (ggt)/mL through the drip chamber → ideal for medication admin / fluids
to a peds pt
what is a macrodrip set?
allows for 10-15 drops (ggt_/mL through the drip chamber → ideal for rapid fluid delivery
& maintenance fluids in adults
how is rate of infusion calculated?
(volume in mL x drip set) / (time in mins) = gtts/min
if need to use hands for an IV site, which veins are preferred?
dorsal metacarpal veins
which vein for an IV has a close proximity to the median nerve, therefore risking injury?
basilic vein
complications of IV catheterization include ***
arterial puncture
bleeding
cellulitis
infiltration (catheter outside vessel)
phlebitis / thrombophlebitis
sepsis
catheter fragment embolism
, air embolism
contraindications to intubation include
blunt trauma of the larynx
penetrating trauma of the airway
hematoma / partial transection of airway
What do you do if unable to intubate in 30 seconds?
Remove the tube & ventilate pt. w/100% oxygen w/ a BVM w/face mask for 3-5 minutes
before attempting intubation again
If breath sounds post-intubation are diminished on one side, what should you suspect?
A right mainstem bronchus intubation has taken place
If, after intubation, symmetrical chest wall movement is not present, what should you
suspect?
a mainstem bronchus or esophageal intubation has occured
If air movement or gurgling is heard on auscultation following intubation, what should
you suspect?
intubation of the esophagus has occured
For what situation is a straight or intermittent catheter used?
good for obtaining sterile urine sample or intermittent drainage in patients w/neurogenic
bladder
Which type of catheter can be left in place for extended periods?
indwelling / foley catheter
What is an indwelling 3-way catheter used for?
continuous irrigation for patients w/hematuria or blood clots, drain urine
