Clinical Skills and Procedures Flashcards
7 cards from real TRIVIUM practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Clinical Skills and Procedures flashcards as text
When performing a sterile dressing change, what is the correct order of steps?
Answer: Open supplies using sterile technique, don sterile gloves, then clean the wound
Sterile supplies must be opened and the sterile field established before donning sterile gloves to maintain asepsis throughout the procedure.
A patient's oxygen saturation drops to 88% on room air. What is the nurse's priority action?
Answer: Apply supplemental oxygen and reassess
Applying supplemental oxygen to correct hypoxia is the immediate priority before further assessment or physician notification.
Which technique is used to confirm correct placement of a nasogastric tube before use?
Answer: Confirm by X-ray and check pH of aspirate
X-ray confirmation combined with pH testing of gastric aspirate (pH ≤5.5) is the gold standard for verifying NG tube placement.
When inserting a urinary catheter in a female patient, the nurse accidentally contaminates the catheter tip. What should be done?
Answer: Obtain a new sterile catheter and restart the procedure
Any contamination of the catheter requires replacing it with a new sterile one to prevent urinary tract infection.
A nurse is preparing to administer a subcutaneous injection of insulin. Which site rotation principle applies?
Answer: Rotate within one anatomical region to promote consistent absorption
Rotating within one anatomical region (e.g., the abdomen) ensures consistent insulin absorption rates compared to rotating between regions.
Which action best prevents air embolism when discontinuing a central venous catheter?
Answer: Have the patient perform Valsalva maneuver or hold breath during removal
Valsalva maneuver increases intrathoracic pressure, closing the venous lumen and preventing air from entering the bloodstream during CVC removal.
When suctioning a tracheostomy, how long should each suction pass last?
Answer: No more than 10–15 seconds
Each suction pass should not exceed 10–15 seconds to minimize hypoxia and mucosal trauma.