NUR 172 Exam 2 (Hondros) Questions With Answers 2023/2024 (100% Correct)

NUR 172 Exam 2 (Hondros) Questions With Answers 2023/2024 (100% Correct). patient admitted with transmission-based precautions what is the minimum PPI needed to be worn in this room? - ANSWER Gloves and Gown isotonic solution - ANSWER A solution in which the concentration of solutes is essentially equal to that of the cell which resides in the solution hypertonic solution - ANSWER A solution in which the concentration of solutes is greater than that of the cell that resides in the solution hypotonic solution - ANSWER A solution in which the concentration of solutes is less than that of the cell that resides in the solution Heparin antidote - ANSWER protamine sulfate INR - ANSWER International Normalized Ratio - a calculation based on the PT used to monitor patients using blood thinners. 2.0-3.0 is the range for people taking warfarin:Coumadin Causes of hematoma - ANSWER poor venipuncture technique, flow clamp left open, tourniquet left on to long, cannula to large, digging into vein Signs of hematoma - ANSWER Ecchymosis, immediate swelling at the site & discomfort, leakage of blood at the insertion site- unable to advance cannula Phlebitis - ANSWER inflammation of the inner lining of a vein thrombophlebitis - ANSWER inflammation of a vein associated with a clot formation bacterial phlebitis is caused by - ANSWER Poor hand hygiene, lack of aseptic technique, failure to check equipment, or recognize early signs of phlebitis Often occurs during insertion Phlebitis Scale - ANSWER 0 = No symptoms 1 = Erythema at access site with or without pain 2 = Pain at access site with erythema and/or edema 3 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord 4 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord Nur 172 Exam 2 (Hondros) Questions With Answers 2023/2024 (100% Correct) >1 inch in length, and purulent drainage erythema - ANSWER redness of the skin Infiltration - ANSWER admission of a non-vesicant med or solution into the surrounding tissue Extravasation - ANSWER admission of a vesicant into surrounding tissue CVAD - ANSWER central vascular access device or indwelling line treatment of thrombophlebitis - ANSWER complete bed rest avoid massage heat and elevation promote venous return anticoagulant therapy treatment of phlebitis - ANSWER remove catheter, warm compress, elevate extremity, apply analgesic or anti-inflammatory PRN active immunity - ANSWER immunity produced by exposure to an antigen, as a result of the immune response pt has a saline lock in place but it is not being used, what should be done? - ANSWER call MD to verify it can be removed which medication is most commonly used to clean an occlusion caused by a blood clot - ANSWER Activase- Alterplace Systemic complications of IV therapy - ANSWER Circulatory overload Speed shock Septicemia Allergic reaction Catheter embolism Air embolism BSI what set would vancomyacin IVPB be given in - ANSWER secondary administration set Circulatory overload is a concern for which patient - ANSWER Patients with elevated BUN and creatinine level BUN - ANSWER 10-20 mg/dL Creatinine - ANSWER 0.6-1.2 mg/dL what are the LPN duties when assisting with blood transfusion - ANSWER monitor pt during transfusion X-ray shows tip of PICC is in the jugular vein - ANSWER let RN know of x-ray reading where should broken IV pumps be stored? - ANSWER Return pump to bio-med engineering dept Is it okay to use a sharpie on a plastic IV bag? - ANSWER no, it will seep through Who can insert PICC lines? - ANSWER Specially trained nurses Skin is cool, taunt, edemic, what type of complication may have occurred? - ANSWER Infiltration What steps should be take if BSI is suspected - ANSWER Notify MD What statement about lorazepam would indicate the nurse needs further teaching? - ANSWER Used for nausea Iv was hung by gravity but the tubing was not primed, what action is take by the nurse? - ANSWER place pt in trendelenburg and left side