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NUR172 Final Exam – Questions & Detailed Answers
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NUR172 Final Exam – Questions & Detailed AnswersWhen giving IV for fluids, how long should you clean the port (or hub)?
Right Ans - At least 15 Seconds
What is important to remember when using IV Stopcocks? Right Ans -
Make sure to use only compatible fluids
When you have IV piggyback antibiotic, and you already have IV fluids
running, what tubing would you use? Right Ans - use secondary IV tubing
(30-36")
Benefits for using IV pump for patient Right Ans - Patient can move around
easily, give multiple meds at once (using multi-channels), alarms when
finished
PICC line (peripherally inserted central cath) Is a sterile procedure (even
dressing changes). What else do you need to know about PICC lines? Right
Ans - Always ends up in superior vena cava, placed by RN who is specially
trained, ALWAYS verified by X-Ray and read by a Dr. prior to use, can be used
for 1 year.
If PICC line dressing is wet: Right Ans - Gather supplies and change the
sterile dressing with a new one. Dressing should be sterile & occlusive
(completely sealed)
Why do we use a Biopatch- circular patch that encloses the PICC line (blue
side up-blue to the sky)? Right Ans - This helps dressing from having to be
changed so often.
Infiltration Right Ans - Site is cool, taut, edema is present
Vanco infusing- you suspect leaking into tissue. What is the first thing you
should do? Right Ans - Stop the infusion
If you suspect bloodstream infusion, list the steps you should take. Right
Ans - Report S&S to Dr., anticipate culture, save IV cath, antibiotics, fluids, and
give O2.
,What do you do if you have a patient and you suspect an air embolism?
Right Ans - Turn patient on left lateral Trendelenburg until you can get MD.
Why is an IV a source of infection? Right Ans - It is an open wound in skin,
goes directly into bloodstream.
Is insertion is sterile? Right Ans - No, it's Aseptic
Name the diagnosis for cough, dyspnea, restlessness, and crackles. Right
Ans - Pulmonary edema
What would you do if you suspect a patient has infiltration? Right Ans -
going to chart assessment of site, include date and time, notify MD, what
treatment ordered, what you did for it (what MD ordered), how patient
tolerated.
Name the diagnosis for red, raised veins Right Ans - Phlebitis
What PPE would you wear for a patient with MERSA? Right Ans - gown and
gloves
If you are sending someone home with PICC line, what is important to educate
them about? Right Ans - Teach them to report S&S of infection- redness,
swelling, fever.
Name this diagnosis with: patient has blood-tinged sputum and pounding
pulse Right Ans - Pulmonary Edema
What determines the size of the IV cath? Right Ans - Length of time patient
has IV, condition of veins, type of solutions ordered
How often do you change primary tubing? Secondary? Right Ans - Primary-
96 Hours
Secondary-24 Hours
What can happen if you use an IV cath that is too large or if you have a patient
with fragile skin? Right Ans - Can cause a hematoma
, What is the best way to prevent an occlusion? Right Ans - Flush the line as
much as possible
Name this diagnosis based off these symptoms: hypotension, tachycardia,
change in mental status, increased lactate levels Right Ans - Septicemia
What is the benefits of using plastic container Right Ans - Easy to use,
store, puncture
further teaching- graduation is not easy to read
If you find a patient with IV site redness, swelling, etc., what would you do
first? Right Ans - Take it out
What PPE should we use for a patient with TB? Right Ans - Patient must be
in neg pressure room, wear mask(N95) and gloves, airborne and droplet
precautions.
Patient has redness, swelling, and exudate coming out of the IV site, would you
leave the cath in? Right Ans - No! Remove old dressing, replace dressing,
call MD
What would you do if a patient has a saline locked in place and not in use?
Right Ans - Call the MD to see about removal
Can LPN's give multivitamins? Right Ans - Yes, we can- second bag or more
This device allows for tip of male lure, simple or complex, can be classified
based on function, allows for venous access without removing connector (IS
NOT ALLOWED FOR SCRUB ACCESSING Right Ans - Needleless connector
What actions do you take to prevent infiltration or extravasation? Right
Ans - Do not place IV over joint, patient teaching/instructing patient to
immediately report pain, swelling, or burning at IV site.
Caring for elderly patient with hx of CHF, hip replacement. What would be
true about some of the risks associated with her due to complications of her
IV? Right Ans - Lowered immune system, hematomas for fragile veins,
more risk for infiltration due to fragile veins.
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