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
A patient receiving a blood transfusion develops sudden chills, fever, and back pain 15 minutes into the infusion. What is the priority action?
Answer: Stop the transfusion, keep the IV line open with normal saline, and notify the provider
Signs of an acute hemolytic reaction require immediately stopping the transfusion while maintaining IV access with normal saline and notifying the provider.
Which finding indicates that a patient's chest tube is functioning correctly?
Answer: Intermittent bubbling in the water-seal chamber with respirations
Tidaling — intermittent fluctuation in the water-seal chamber that corresponds with respirations — indicates a patent, properly functioning chest tube.
What is the correct hand placement for two-handed bag-valve-mask ventilation?
Answer: One hand forms a C-E clamp on the mask while the other squeezes the bag; a second provider squeezes the bag
Two-person BVM technique has one rescuer maintain a C-E clamp seal on the mask while the second rescuer compresses the bag, improving mask seal and tidal volume.
A nurse is removing sutures from a healing wound. Which assessment finding would contraindicate suture removal?
Answer: Signs of wound dehiscence or incomplete healing
Dehiscence or evidence of inadequate healing indicates the wound cannot yet support itself without sutures, and removal should be delayed.
When performing a 12-lead ECG, where is the V1 electrode placed?
Answer: 4th intercostal space, right sternal border
V1 is placed at the 4th intercostal space on the right sternal border, serving as the reference point for the remaining precordial leads.
A patient's IV site is swollen, cool, and pale with a slowed infusion rate. These findings indicate:
Answer: Infiltration
Infiltration occurs when IV fluid leaks into surrounding tissue, causing swelling, pallor, and coolness at the site with a slowed or stopped infusion.
Which is the correct method to measure the length for nasogastric tube insertion?
Answer: Nose to ear to xiphoid process
The NEX measurement (Nose–Ear–Xiphoid process) estimates the length needed to place the tube tip in the stomach.