PICU/Onco Feb '23 Quiz

The team just ordered calcium gluconate bolus for your patient who has TPN infusing with these ingredients:

dextrose 70%, sterile water, sodium chloride, sodium acetate, potassium phosphate, potassium chloride, magnesium sulfate, heparin, vitamin k. Is it safe to start your calcium gluconate bolus?

• Yes, calcium gluconate is compatible with this TPN.

• No, retime calcium gluconate to coordinate with completion of TPN.

Your patient's serum calcium level is low and the team ordered a calcium gluconate bolus. What is an appropriate dose for your patient who is 4 months old and weighs 5 kg?

(Ok to check LexiComp)

• 150 mg - 550 mg per dose

• 200 mg - 600 mg per dose

• 250 mg - 625 mg per dose

• 300 mg - 650 mg per dose

What is the fastest rate you can run your calcium gluconate bolus in the ICU if your ordered dose is 600 mg, your patient is 5 kg, and has a central line?

(Not an emergency, concentration of dose is 100mg/mL) - Refer to Lexicomp

• 5 ml/h

• 6 ml/h

• 10 ml/h

• 20 ml/h

In which of these scenarios do you not need to wear gloves when handling a central line?

• Drawing labs

• Administering medications

• If your patient is on isolation

• You need to wear gloves in all of these scenarios

You have a cap change due for your patient today. The last time it was done was at 1000. Do you need to do the cap change by 1000?

• Yes, it needs to be done within the same time frame.

• No, do when it is best for patient care but on the same day.

When would you document dates for needle, dressing or cap changes for your central line?

• Only if you change the needle, dressing, or caps

• Once a shift

• Daily

If you do a pain screening on your patient and your patient answers no, when is the next time you repeat a pain screen?

• In an hour

• In four hours

• In 24 hours when patient is awake

For your patient who is ordered for Rituximab, which of the following statements is incorrect?

• You need a spiros at every connection

• You need blue ball tubing

• You should be administering premeds (Tylenol, Benadryl)

• You are checking VS every 30 minutes

For your patient receiving R-DA-EPOCH, which of the following statements is incorrect?

• You need to manually input volumes hourly, pump rate verify does not work.

• You need to check blood return before administration and with every bag change.

• You need blue ball tubing and spiros at every connection.

• The rate of infusion does not change with every bag change.

You are a nurse taking care of a patient connected to the monitor. What is nursing responsible for cleaning in this patient room?

• Respiratory Equipment, Monitors, Pumps, Bedside table

• Monitors, all pumps (feeding pumps, infusion pumps), bedside tables with patient belongings on it

• Bed rails, patient chairs, call bell

• Nursing is not responsible for cleaning