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Nur 172 Exam 2: Questions And Answers (Solved)
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Nur 172 Exam 2: Questions And Answers (Solved)Pt has 1000ml LR order to run at 200ml/hr when will it be finished? Right
Ans - 5 hours
Pt has 1L Normal Saline to run for 5 hours with drip factor of 15 gtt/ml what
is gtt/min Right Ans - 50gtt/min
three reasons to administer IV fluids? Right Ans - Maintain, Replace, Dilute
Pt taking Coumadin had lab draw done, INR is 10 what would you do?
Right Ans - hold med
Primary prevention of infection is what? Right Ans - Handwashing for 10-
20 seconds
PICC lines go into what? Right Ans - Superior Vena Cava
Why are PICC lines used? Right Ans - Long term antibiotic and use of
vesicant because they are irritants to vein
What is Extravastion? Right Ans - vesicant leaking into surrounding tissue
Your pt arm at IV site is warm red and swollen what do you suspect is wrong?
Right Ans - Phlebitis
Your pt arm at IV site is warm red and swollen what do you to? Right Ans -
remove IV catheter, apply warm compress, elevate limb, oral analgesics or
anti-inflammatories for edema, determine etiology
Pt on 150ml/hr is presenting tachycardia, JVD, crackles, dyspnea, what is your
interventions? Right Ans - elevate HOB, slow or stop infusion, apply oxygen
if needed
Pt education on Ativan? Right Ans - it may be habit forming
IV line already connected to pt is full of air what do you do? Right Ans - call
rapid response, 911, or code blue, administer 100% Oxygen, place pt on left
side in Trendelenburg position, monitor vital signs
, how can you tell gentamycin is working? Right Ans - wbc normal no s/s of
infection
3 types of Transmission Based Precautions Right Ans - Airborne, Contact
and Droplet
What type of precaution is used for TB, and what are the guidelines? Right
Ans - Airborne, private negative pressure room, N95 or HEPA mask
Pt comes to ER with BS of 520 and positive ketones what are you going to do?
Right Ans - start IV with normal saline, NO dextrose, check BS Q30min,
monitor vital signs
What do you do for a Hematoma at IV site? Right Ans - apply direct light
pressure with sterile gauze, elevate and apply ice
what do you do in a dressing change of PICC line to prevent infection?
Right Ans - use aseptic/sterile technique, you and pt wear mask, use
chloraprep, use 70% alcohol to clean 15-30seconds before flushing, use
stabilization device, use biopatch
Pt with chronic cardiac issues, PE, they are in circulatory overload, what s/s
would you see? Right Ans - JVD, swelling, weight gain, blood tinged sputum
What is Rifampin used for? Right Ans - TB
Central Line Bundle Elements Right Ans - hand hygiene, maximal sterile
barrier, pt covered head to toe, mask, chloraprep, avoid femoral site and
review daily for necessity
Pt has red streak and palpable cord what would this indicate? Right Ans -
Phlebitis Grade 3
Identify pt correctly, prevent infection, prevent mistakes in surgery, identify
pt safety risks, use meds, alarms and equipment safely are all part of what?
Right Ans - Standards of Practice
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