What is INTRAVENOUS THERAPY (IVT)?
A method where IV medications and fluids enter the bloodstream directly through the vein, acting rapidly to restore fluid volume and deliver medications.
What are CRYSTALLOIDS?
Solutions with small molecules that can be hypertonic, isotonic, or hypotonic, used for fluid replacement and electrolyte balance.
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Intravenous Therapy (IVT)

What is INTRAVENOUS THERAPY (IVT)?

A method where IV medications and fluids enter the bloodstream directly through the vein, acting rapidly to restore fluid volume and deliver medications.

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IV Fluid Solutions

What are CRYSTALLOIDS?

Solutions with small molecules that can be hypertonic, isotonic, or hypotonic, used for fluid replacement and electrolyte balance.

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Common Complications and Patient Safety

What is water toxicity?

Water toxicity refers to a condition that can develop when excessive amounts of water are consumed, leading to an imbalance of electrolytes in the body.

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IV Fluid Solutions

Which fluid choice is best for a client with nausea, vomiting, and diarrhea for 3 days?

Lactated Ringer's (LR) is the best choice for this client.

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Ostomy Management

What is GASTRONOMY?

A surgical procedure where a tube is placed through the abdominal wall into the stomach for long-term nutritional support, typically lasting more than 6-8 weeks.

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Intravenous Therapy (IVT)

What is the first action the nurse should take when a client complains of a pounding headache and dyspnea during IV therapy?

The nurse should first slow the IV infusion.

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Oxygenation

What is a PARTIAL REBREATHER MASK?

A simple mask with a reservoir bag that delivers oxygen at a flow rate of 6 – 10 L/min (40 – 60 % FiO2), where the partial rebreather bags should not totally deflate during inspiration to avoid CO2 buildup.

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Urinary Catheterization

What is a SINGLE LUMEN catheter used for?

It is used for one-time catheterization.

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Intravenous Therapy (IVT)

Who is a 22G BLUE IV catheter suitable for?

Patients with small veins, elderly, and pediatric patients.

p.2
Intravenous Therapy (IVT)

What does an infusion administration set consist of?

An insertion spike (trocar), a drip chamber, a roller flow valve/controller, tubing with a secondary port (Y-type), and a protective cap over the connector to the IV catheter (Luer Lock).

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Intravenous Therapy (IVT)

What is the purpose of a 16G GREY IV catheter?

Rapid fluid replacement, trauma, and surgery.

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Urinary Catheterization

What action should the nurse take to reduce the risk for a catheter-associated urinary tract infection (CAUTI)?

Use the smallest-size catheter possible.

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IV Fluid Solutions

What is an ISOTONIC solution?

A solution with the same concentration as intracellular fluid that stays in the intravascular compartment, such as 0.9% sodium chloride.

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Intravenous Therapy (IVT)

What is an IV CANNULA?

A small, color-coded plastic tube of different sizes/gauges used for intravenous access.

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Intravenous Therapy (IVT)

What is required before initiating IV access?

The patient's consent is needed.

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Ostomy Management

When does a colostomy begin to function postoperatively?

A colostomy begins to function 3-6 days postoperatively.

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Ostomy Management

How should a stoma be cleaned?

The stoma and surrounding skin should be cleaned with warm water and mild soap.

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Blood Therapy

What is BLOOD TRANSFUSION?

Blood transfusion or blood component therapy is the IV administration of blood components such as RBCs, platelets, or plasma.

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Urinary Catheterization

What is an INDWELLING CATHETER?

A thin, sterile tube inserted into the bladder that is left in place to drain urine, held in place with a balloon filled with sterile water.

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Oxygenation

What is a NON-REBREATHER MASK?

A mask that delivers the highest oxygen concentration, equipped with one-way valves that prevent exhaled air from returning to the reservoir bag, with a flow rate of 6 – 15 L/min (60 – 100 % FiO2).

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Enema Administration

Which type of enema is most likely to lead to circulatory overload?

A tap-water (hypotonic) enema should not be repeated after the first installation.

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Blood Therapy

What is the purpose of SCREENING in blood donation?

Screening is rigorously done to protect both the donor and the recipient from exposure to blood-borne diseases.

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Common Complications and Patient Safety

What is Horizontal Traction?

Horizontal traction is used to align the fracture of the humerus.

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Enema Administration

What is the significance of Proper Positioning in enema administration?

Positioning the patient in the left SIM’s position enhances the flow of the solution due to the colon's descent on the left side.

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Ostomy Management

What is the recommended volume of water for colostomy irrigation?

The irrigating reservoir should contain 500-1500 ml of lukewarm tap water.

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Nasogastric Tube Procedures

How do you measure for a Nasogastric Tube in infants and young children?

Measure from the nose to the tip of the earlobe and then to a point midway between the umbilicus and the xiphoid process.

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Tracheostomy Care

What is the purpose of TRACHEOSTOMY CARE?

To assist the patient in maintaining airway patency and preventing complications, often performed in a semi-Fowler's position using hydrogen peroxide and normal saline.

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Intravenous Therapy (IVT)

What indicates that the nurse should continue to advance the IV catheter after the initial stick?

The catheter advances easily.

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Intravenous Therapy (IVT)

What is the function of an 18G GREEN IV catheter?

Used for blood transfusion and large volume transfusions.

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Urinary Catheterization

What is a TWO-LUMEN catheter also called?

It is also called an indwelling Foley or retention catheter.

p.4
Enema Administration

What is a CLEANSING ENEMA?

A water-based enema meant to be held in the rectum for a short time to flush the colon.

p.2
Intravenous Therapy (IVT)

What is the purpose of a tourniquet in IV therapy?

To apply pressure to a limb or extremity to limit blood flow; should be applied 6-8 inches above the venipuncture site.

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Common Complications and Patient Safety

What is the purpose of Vertical Traction?

Vertical traction is used to maintain proper alignment of the forearm.

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Common Complications and Patient Safety

What is Russell’s Traction?

Russell’s traction is used to immobilize the hip or knees or to reduce fracture.

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Oxygenation

What is a High Flow Oxygen Delivery System?

A system that delivers all the oxygen required during ventilation in precise amounts, regardless of the client’s respirations.

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Ostomy Management

What are the INDICATIONS for an OSTOMY?

Conditions such as Inflammatory Bowel Disease (primarily Ulcerative Colitis), cancers of the colon or rectum, trauma, and birth defects.

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Ostomy Management

What is Primary END to END Anastomosis?

Primary END to END Anastomosis is a surgical procedure where a part of the colon is removed and the remaining ends are reconnected without creating an ostomy.

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Oxygenation

What is a SIMPLE FACE MASK?

A device used for short-term oxygen therapy, delivering oxygen at a flow rate of 8 - 12L/min (35 – 65% FiO2).

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Urinary Catheterization

What is a NON-INDWELLING CATHETER?

Also known as an intermittent catheter, it is inserted for a one-time evacuation of urine and is not left in place.

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IV Fluid Solutions

What is a HYPOTONIC solution?

A solution with lower solute concentration that hydrates cells, causing them to swell; examples include 0.45% saline and D5W.

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Intravenous Therapy (IVT)

What is the purpose of IVT?

To supply fluid when clients cannot take in adequate volumes orally, provide electrolytes, glucose, water-soluble vitamins, and establish a lifeline for medications.

p.4
Enema Administration

What is a HYPOTONIC enema solution?

A solution containing 500-1000 ml of tap water that distends the colon, stimulates peristalsis, and softens feces, with a time of effect of 15-20 minutes.

p.5
Enema Administration

What is the purpose of a Carminative enema?

To release flatus and provide relief from gaseous distention by instilling a small volume of solution into the rectum.

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Ostomy Management

What does a stoma indicate in colostomy care?

A stoma is an end or terminal colostomy that should be beefy red and swollen initially, gradually becoming pink or red; dark blue or purple indicates insufficient blood supply.

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Nasogastric Tube Procedures

What are the purposes of a Nasogastric Tube?

Nasogastric tubes are used for feedings & medications for patients unable to eat by mouth, suctioning stomach contents, removing stomach contents for lab analysis, and lavage the stomach in cases of poisoning or overdose.

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Blood Therapy

What is the ABO ANTIGEN TYPE?

ABO antigen type refers to the classification of blood into types A, B, AB, or O based on the presence of specific antigens on blood cells.

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Urinary Catheterization

Why should a male patient be instructed to take slow, deep breaths during catheter insertion?

To promote relaxation, which might help to pass the catheter through the urinary sphincter.

p.2
Intravenous Therapy (IVT)

What is the purpose of a 24G YELLOW IV catheter?

Designed for very fragile veins, elderly, and pediatric patients.

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Enema Administration

What is the definition of Fluid & electrolyte imbalance?

A condition where there is an abnormality in the levels of fluids and electrolytes in the body, which can lead to various health issues.

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Ostomy Management

What is an ileostomy?

An ileostomy produces liquid fecal drainage that contains digestive enzymes, which can be damaging to the skin, and has minimal odor due to fewer bacteria present.

p.5
Oxygenation

What is a Low Flow Oxygen Delivery System?

A system that delivers oxygen via small-bore tubing, providing less than the total oxygen required during ventilation.

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Nasogastric Tube Procedures

How should you position a patient when inserting a Nasogastric Tube?

Ask the patient to hyperextend the neck and tilt the head forward while swallowing.

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Tracheostomy Care

What is a CUFFED TRACHEOSTOMY TUBE?

A tracheostomy tube surrounded by an inflatable cuff that produces an airtight seal between the tube and the trachea, preventing aspiration and air leakage.

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Enema Administration

What is the safest enema solution for infants?

Physiological normal saline is the safest enema solution for infants due to their predisposition to fluid imbalance.

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Blood Therapy

What are the PURPOSES of blood transfusion?

Quickly restores blood volume (hemorrhage, burns, injury), combats shock, and treats severe anemia.

p.2
Intravenous Therapy (IVT)

What are the uses of a 20G PINK IV catheter?

Multipurpose; for medications, hydration, and routine therapies.

p.3
Blood Therapy

What is CROSS MATCHING?

Cross matching is the process of identifying possible interactions of the antigens with their corresponding antibodies.

p.2
Intravenous Therapy (IVT)

What is the function of an intravenous pole?

Used to hang the IV fluid solution container, with adjustable height.

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Ostomy Management

What is the purpose of irrigating a colostomy?

Colostomy irrigation is performed to empty feces, gas, or mucus, preferably after a meal and at the same time each day.

p.6
Oxygenation

What is a NASAL CANNULA?

The most common and inexpensive device for oxygen delivery, providing a simple and comfortable method for precise oxygen delivery at a flow rate of 2 – 6L/min (24 – 45% FiO2).

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Blood Therapy

What are ANTIGENS in relation to blood types?

Antigens are substances that trigger the body’s immune response, determining blood types based on the presence of antigen A, B, both, or neither.

p.1
IV Fluid Solutions

What is a HYPERTONIC solution?

A solution with higher solute concentration that dehydrates cells, causing them to shrink; examples include 5% saline and 3% saline.

p.3
Blood Therapy

What is BLOOD TYPING?

Blood typing is the process of determining an individual's blood group and Rh factor.

p.3
Blood Therapy

What are UNIVERSAL DONORS?

People with blood type O are considered universal donors because their blood can be transfused to any blood type.

p.5
Enema Administration

What is an Isotonic enema?

An enema that uses a solution with the same osmotic pressure as body fluids, typically consisting of 500-1000 ml of normal saline, to stimulate peristalsis and soften feces.

p.8
Ostomy Management

What characterizes a transverse colostomy?

A transverse colostomy produces malodorous, mushy drainage.

p.9
Nasogastric Tube Procedures

How do you determine the insertion length for a Nasogastric Tube?

Measure from the tip of the nose to the tip of the earlobe and from the tip of the earlobe to the tip of the xiphoid.

p.7
Ostomy Management

What is a DOUBLE-BARREL OSTOMY?

A surgical procedure where a section of the diseased colon is removed, resulting in two stomas: one for discharging effluent and the second for secreting mucus.

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Ostomy Management

What is JEJUNOSTOMY?

A surgical procedure where a tube is placed through the abdominal wall into the jejunum for long-term nutritional support, typically lasting more than 6-8 weeks.

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IV Fluid Solutions

What are COLLOIDS?

Solutions with large molecules that stay in the intravascular spaces longer than crystalloids, used for fluid replacement.

p.3
Blood Therapy

What is the Rh FACTOR?

The Rh factor indicates whether a person is Rh-Positive or Rh-negative, based on the presence of the Rh antigen.

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Urinary Catheterization

What action minimizes the patient's risk for injury during indwelling urinary catheter insertion?

Assessing the patient for allergies related to latex, antiseptic, tape, and/or iodine-based substances.

p.4
Enema Administration

What is a HYPERTONIC enema solution?

A solution containing 90-120 ml of sodium phosphate that draws water into the colon and has a time of effect of 5-10 minutes.

p.5
Enema Administration

What is the purpose of a Return-Flow enema?

To expel flatus and stimulate peristalsis by instilling a large volume of fluid in increments and then drawing it out to remove gas.

p.9
Nasogastric Tube Procedures

What should you do if a Nasogastric Tube meets resistance?

Withdraw, relubricate, and insert it in the other nostril; the tube should never be forced against resistance.

p.6
Oxygenation

What is a VENTURI MASK?

A high-flow oxygen delivery device that has wide-bore tubing and color-coded jet adapters corresponding to precise oxygen concentrations and liter flow, with a flow rate of 4 - 10 L/min (24 – 40% or 50 % FiO2).

p.4
Enema Administration

What is the purpose of ENEMA ADMINISTRATION?

It is used to stimulate stool evacuation, relieve severe constipation, and prevent involuntary escape of fecal material during surgical procedures.

p.3
Blood Therapy

What are UNIVERSAL RECEIVERS?

People with blood group AB are called universal receivers because they can receive blood from any blood type.

p.2
Intravenous Therapy (IVT)

How many attempts should a nurse make to initiate IV access?

A nurse should make no more than 2 attempts.

p.5
Enema Administration

What is a Retention enema?

An enema that introduces oil or medication into the rectum and sigmoid colon, retained for a prolonged time to soften feces and lubricate the rectum.

p.9
Common Complications and Patient Safety

What is Pelvic Traction used for?

Pelvic traction is used to relieve back pain.

p.9
Common Complications and Patient Safety

What is the purpose of a Halo Vest?

A Halo Vest is used to immobilize the cervical spine.

p.8
Ostomy Management

What foods should patients with a colostomy avoid?

Patients should avoid foods that cause excessive odor and gas, such as cabbage family, eggs, fish, beans, and high-cellulose products like peanuts.

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Tracheostomy Care

What is an OBTURATOR?

A device used to insert the outer cannula of a tracheostomy tube and then removed; it is kept at the bedside for reinsertion if the tube becomes dislodged.

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Enema Administration

What are the adverse effects of a Soapsuds enema?

Possible irritation and damage to the mucosa due to the soap used in the solution.

p.8
Ostomy Management

What is the drainage characteristic of a descending colostomy?

A descending colostomy produces increasingly solid fecal drainage.

p.5
Oxygenation

What is the purpose of Oxygenation?

To treat or prevent symptoms of hypoxia, reduce the workload of the respiratory system, and decrease the heart's effort in pumping blood.

p.7
Tracheostomy Care

What is a TRACHEOSTOMY?

A surgical incision in the trachea just below the larynx for clients who need long-term airway support.

p.7
Ostomy Management

What is HARTMAN’S POUCH?

A type of ostomy where only one stoma is created, with the non-functional end of the bowel stitched or stapled shut and left inside, usually with the goal to reconnect.

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