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Nursing 113 Final Exam/263 Questions and Answers
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Nursing 113 Final Exam/263 Questions and Answers
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Nursing 113 Final Exam/263 Questionsand Answers
How many IV attempts should one make before getting someone else to do it? - -2 -How often should you change small med bag tubing? - -every 24 hours -How often should you change normal IV tubing? - -every 96 hours -What shouldn't you put on an IV site? - -ointment or excessive tape -How often are IV filters changed? - -every 24 hours -How much higher should a secondary piggyback be from the primary bag? -
-atleast 6 inches -______ bag of lipid per every ____________ bags of TPN> - -1; 4 to 5 -What is possible after central line insertion? - -pneumothorax, site infections -What is the brown part of a central line? - -distal port -What is the blue/white part of a central line? - -proximal/medial port -Which is larger (8F or 14F)? - -8F -What is a PICC Line? - -threads through vein to lead into SVC -How is a PICC Line confirmed? - -Xray -What can you not draw blood from? - -A central line which TPN is infusing into -What should you do if an IV becomes infiltrated? - -stop infusion and treat per order -How do you treat chemical phlebitis? - -warm compresses, pain meds, anti-
inflammatory meds -If patient is complaining of pain and IV site is red and puffy, what should you do? - -take IV out -What is the normal size of an IV cath? - -20 -What can blood not go through? - -anything smaller than a 22 gauge -What can you give through the leg? - -anything that can be given through a vein -How long should you remain with a patient after giving them blood? - -15-
30 minutes -What should you do if a patient suffers from speed shock? - -turn them on their left side -What should you give for Malignant hyperthermia? - -cold IV fluid, ice packs
under groin -What happens when a person overdoses on an anesthetic? - -metabolism and excretion of drugs are slowed -Why would a person get a headache after an epidural? - -spinal fluid leakage -What should NOT be affected by regional anesthetics? - -resps., heart, gag reflex -What are some complications of regional anesthetics? - -edema, inflammation, abscess -What should you monitor after giving moderate sedation? - -airway, LOC< oxygen saturation, vital signs -How oftenly should you asses vitals on PACU? - -every 15 minutes -How can you prevent a patient from aspirating if they're unconscious? - -
turn them on their side -What is sanguineous drainage? - -bloody -What is serosanguineous drainage? - -pink -What is serous drainage? - -clear -What is dehiscence? - -separation of outer wound edges -What is evisceration? - -total separation of all wound layers, protrusion of internal organs through open wound, feels like 'popping' -What puts a person at risk for Evisceration? - -diabetes, cancer, elderly, obese -What is a Penrose drain? - -drains onto gauze, pin on end -What is a Hemovac drain? - -decompress to create suction -What is a Jackson-Pratt drain? - -have to decompress to suction -How should you exercise with PVD? - -until pain is felt, rest, and then repeat -What position is best for PVD? - -dependent position -What are causes of aneurysms? - -increased age, atherosclerotic changes, uncontrolled HTN, genetics, male, tobacco use -What are s+s of Thoracic aneurysms? - -back/chest pain, varies, dyspnea, coughing, hoarse voice, no voice, stridor, dysphagia, dilated veins of chest/neck/arms, swelling, cyanosis, uneven pupils -What are s+s of Abdominal Aortic aneurysms? - -pain in abdomen/back/plank/constant gnawing, 'heartbeat' in abdomen, bruit, feels like a mass, cyanosis -What should you not do to a Abdominal Aortic Aneurysm and why? - -
palpate and it could rupture -What are the signs of an Emergent rupture? - -change in LOC, severe back/abd. pain, decreased BP, oliguria, loss of pulses further away from rupture, decreased HCT. -What type of diet should a patient with Arterial Disease go on? - -low carb diet -What is a DVT? - -clot in deep veins -What is a PE? - -clot in lungs -What are clinical manifestations of a DVT? - -pain, edema, redness, hard vessel, effected extremity may feel warmer/heavier/tender, superficial veins may appear prominent -What is NOT an effective way of diagnosing a DVT? - -Homan's sign (dorsiflexion)
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