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NUR 172 Hondros Final Exam: Questions With Answers
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NUR 172 Hondros Final Exam: Questions With AnswersWhat are the steps and concerns when you D/C a PIV? Right Ans - No
pressure at the site of injection until after the catheter is removed. Concerns
for complications such as phlebitis can still occur even after the IV has been
removed. Make sure to monitor site.
How do you Prioritize which patient to see first? Right Ans - Airway
Breathing
Circulation
(ABC's)
and Critical thinking
If you have a patient who has been diagnosed with asthma, and is currently
having an asthma attack, and a patient who is having chest pain who would
you see first? Right Ans - Chest pain patient should be seen first
LPN's Scope of practice r/t IV therapy Right Ans - -Can hang first, and
continue to hang bags of Isotonic, Hypertonic, Hypotonic solutions
-Can hang first, and continue to hang bags of antibiotics
-Can hang the 2nd bag of Vitamins/Electrolytes
-Can stop and monitor for s/s of infections with Blood/PCA
-Can place an IV antecubital or below
-Needle cannot be greater then 3 inches in length
-Patient must be an adult older than 18 years of age
What can an LPN do for a Pediatric patient? Right Ans - -Check vitals
-Get cultures
-Can give IM injections
-Can give suppositories
-Can give oral meds
-Can stop the IV if complications occur
-Can assess/monitor the patient
IV Complications Right Ans - -Hematoma
-Infiltration
-Extravasation
-Phlebitis
, Hematoma (What it looks like and Interventions) Right Ans - Bruise
around IV site
D/C the IV, place ice on area, apply pressure
Infiltration (What is looks like and Interventions) Right Ans - Lump
D/C IV, and elevate extremity
Extravasation (What it looks like and Interventions) Right Ans - Lump,
Could also have/get tissue damage
Leave IV in, Give antidote, then D/C IV
**DO NOT ELEVATE EXTREMITY
Phlebitis (What it looks like and Interventions) Right Ans - Red, Warm, Red
line, Palpable cord (vein feels like a tendon)
D/C IV, apply a warm compress
At what stage of phlebitis is the palpable cord felt? Right Ans - Stage 3
I&O with recommendations of what the patient needs (more or less fluid)
Right Ans - -If the output is greater than the input recommend increasing the
fluids
-If input is greater than output recommend a diuretic
Albumin administration and your assessment Right Ans - -5% = Isotonic
-20-25% = Hypertonic
-Watch for fluid volume overload
-Assess Lungs- Listening for any fluid buildup
-Assess B/P- (HTN)
Acute Hemolytic Transfusion Reaction (AHTR) Right Ans - ABO
Incompatibility- The RBC's burst/lyse, which creates the brick red urine.
Caused by getting the wrong type of blood
S/S: Fever, Tachycardia, Chest pain, Back/flank pain, Flushed, Hypotension,
Chills, Dark brick colored urine
Isotonic Solutions Right Ans - -0.9% NS- Given for Traumas
-LR- Given for Burns
-D5W
-Increases the BP
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