An experienced nurse is reviwing with a new nurse about discontinuing an IV
the new nurse needs more education when he makes which statement
Right Ans - Inflammation of the vein is not a concern aften an iv is removed
An Lpn is working on a med surge unit floor several patients need an iv
inserted which patient will the lpn insert an iv in first Right Ans - a 19 year
old patient with severe diarrhea , a bun of 50, pulse of 110 and he is lethargic
can you start an iv with an 18 guage needle in the right forarm Right Ans -
yes
which problem will the lpn emmediatly remove the iv catheter Right Ans -
inflammation of the vein
a patient has an iv with albumin 25% infusing what will the lpn's care of this
patient include Right Ans - monitor for crackles and hypertension
s/s of hymolytic transfusion reaction Right Ans - fever , tachycardia, chest
pain, back pain, low bp
which statement made by the nurse indicates a need for further teaching
Right Ans - administering an iv with dextrose gives the patient carbohydrates
and lipids
the insertion should be scrubbed with chlorexhidine and alcohol for 30
seconds prior to iv insertion and allowed to air dry Right Ans - true
which indication that the nurse needs further review with performing
phlebotomy Right Ans - The nurse lables the tube at the nurses station
a rn is teaching lpn about albumin transfusions which statement by the pn
indicates further teaching is needed Right Ans - when transfussing albumin
there is a high risk of transmitting hepatitis
a 25 year old with type 1 diabetes is in the ER with blood sugar of 550 and
ketones in the urine no complaint of nausea at this time the potassium level is
, 5.8 the nurse would question which order Right Ans - apply a non breather
oxygen mask at 15 liters/min
which statement made by the patient about the peripheral nerve catheter care
would indicate further teaching is needed Right Ans - if my pain level
increases i should just squeeze the ball of pain medicine
a patient has an iv of 100ml/d5/ns infusing at 100ml/hr the lpn is teaching a
student nurse about this solution which statement indicates nurse needs more
teaching Right Ans - this solution can cause cells to swell d5/ns hypertonic
soultion
which action taken by the lpn according to the ohio board of nursing Right
Ans - the nurse places a 18g, 2 inch oer the needle catheter into the hand of an
18 year old male
A nurse is explaining to the student nurse about iv insertion the student is re
stating what he has learned which statement indicates the nurse needs to
reteach some information Right Ans - the tournaquet must be removed
after the iv is flushed
a patient is recieving morphine 2mg iv for a pain level of 5/10 one hour ago
which patient assessment is the lpn most concerned Right Ans -
bp/130/70 resp rate 9 pulse 90%
the lpn recieves abg report on a 25 year old with two days of vommiting
which action will the lpn take Right Ans - start an iv of normal saline at
125ml.hr order
determine abg: ph 7.36 pc02 49 hco3 30 po2 75 Right Ans - respiratory
acidosis with full compisation
a patient has an infusion of d5/ns at 125ml/hr and the pump is alarming sue
to an empty bag. the patients vital signs are temp 98.0 pulse 112 resp 28 bp
180/96 pulse 90% what is the correct action by the nurse Right Ans -
notify the physician of the vitals and ask for the iv solution to be discontinued
whch symptoms causes infiltration Right Ans - cool ,pale, edematous ,at the
iv site
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