Exam (elaborations)
MGCCC NURSING -LEVEL 4 WRITTEN STUDY SKILLS
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MGCCC NURSING -LEVEL 4 WRITTENSTUDY SKILLS
Position for tube feedings? - Answer: Semi-Fowlers.
How frequently is tube placement checked during continuous NG feedings? -
Answer every 24 hours.
How frequently are feeding containers and tubing replaced for continuous NG
feeding? - Answer every 24 hours.
How do you check tube placement on a two-day-old NG tube? - ANSWER
Chest X-Ray
How do you measure where to install an NG tube? - Answer: nose, ear, xiphoid
process.
What is the margin size of a sterile field? - ANSWER 1"
How often are IV sites changed? - Answer: 96 hours.
How often is an IV site checked? - ANSWER for every patient exam and
medication supplied.
What gauge catheter is appropriate for an average-sized
adult? - Answer 22G.
Could you describe briefly how eye drops are administered? - ANSWER: Place
in supine posture, head back, draw eyelid down, press down on bony orbit to
expose conjunctival sac, look up, 1-2 cm above, deliver
Briefly describe how ear drops are applied and the distinction between child and
adult. - ANSWER Drops should be body temperature, on the side with the ear
, up, pinna up and back (adult), pinna down and back (kid), administer 1 cm
above the ear canal, remain side lying for a few minutes, and massage as
needed.
Identify the optimum subcutaneous injection sites: abdomen, arm, and back.
At what angle are subcutaneous injections administered? - ANSWER: 90
degrees
Do you massage insulin after delivery, and why? - ANSWER No, too fast
absorption.
Steps for Mixing NPH and Regular Insulin - ANSWER Pull up regular, pull up
NPH.
What is the preferred injection location for heparin? ANSWER: abdomen
What is the appropriate needle size for administering heparin to an average
adult? - ANSWER: 25 G 5/8 inch needle, 90-degree angle.
Is massage recommended after a heparin injection? - ANSWER No, too fast
absorption.
Is the air bubble from the Lovenox prefilled syringe removed prior to injection?
- Answer No.
Identify the site for IM injection. ANSWER: deltoid, vastus lateralis,
ventrolateral.
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