Intro to Basic Clinical Skills Exam Questions With 100% Correct Answers.

Intro to Basic Clinical Skills Exam Questions With 100% Correct Answers. What is a foley used for - answer-Monitor I/Os -Incapacitated pts -Bypass obstruction -Urinary retention MC -- BPH -Post-op What is a straight cath used for - answer-UA sample -Urinary retention -Post-op period after initial foley removal -Neurogenic bladder Three-way irrigation foley - answerHas drainage and irrigation eyelet -- good for after surgery Only catheter with an irrigation eyelet Robinson catheter - answerStraight catheter Coude catheter - answerUsed to bypass obstruction Foley catheter - answerSame as three-way irrigation foley but no irrigation component CI to catheterization - answer-Sustained pelvic trauma -- blood at urethral meatus Complications of catheters - answer-#1 is UTI -Obstruction so bad can't get catheter in (call urology) -False passages -Pt might pull out (traumatic bc balloon pops) Length of female and male urethra - answerFemale: 1.5-2 inches Male: 6-7 inches NGT indications - answer-Bowel decompression for obstruction -Sampling gastric contents (might be done in OD) -Removing gastric contents -Providing nutritional support -Prevention of reflux during surgery (to prevent aspiration pneumonia) Normal Foley size - answer16-18 F NGT CIs - answer-If pathway is obstructed -Trauma -Choanal atresia -Esophageal stricture -Zenker diverticulum -Recent esophageal or gastric surgery (like Whipple) NGT complications - answer-Nasal trauma -Incorrect placement (ie inserted into lungs) -Just can't get it in How to insert NGT - answer-Use lube -Go to 65 mark otherwise won't be in far enough -CXR to confirm placement CIs for venipuncture - answer-Areas of infection -Areas over burn, severe scars, injuries -Ipsilateral side of mastectomy -IV line on same side (use other side or go distal to it) -AV fistula (use other side) Venipuncture complications - answer-Infection of skin (cellulitis) or vein (phlebitis) -Thrombosis -laceration of vein -Hemorrhage