PROCTORED 4 LATEST VERSIONS (VERSION 1,2,3
AND 4) ACTUAL EXAMS EACH EXAM CONTAINS
160 QUESTIONS AND CORRECT DETAILED
ANSWERS
Terms in this set (166)
What are specific - avoiding tourniquets, using BP cuff to visualize.
considerations for adult - no slapping
clients, clients who are - hold their hand below the heart.
taking anticoagulants, and - avoid using the back of the hand
clients who have fragile - avoid rigorous friction while cleaning site.
veins?
An IV that is pale, has local Infiltration
swelling, decreased skin
temperature around the
site, damp dressing and
slowed infusion is what
complication?
- Stop the infusion and remove catheter
- elevate extremity
- encourage ROM
What is the treatment for
- apply a cold or warm compress depending on the
infiltrated IV?
solution infiltrated.
- check with the provider to determine whether they still
need IV therapy.
An IV is painful, burning, Extravasation (infiltration of vesicant)
red and swelling what
complication is occurring?
, - Stop the infusion and notify the provider
- follow facility protocol. (withdrawing the vesicant
what is the treatment for
solution from the IV access and infusing an antidote
extravasation?
through catheter before removal.
- repeated treatment for infiltration.
A pt receiving IV solutions Fluid overload
begins appearing with
distended neck veins,
hypertension, tachycardia,
SOB, crackles in lungs, and
edema what complication is
occurring?
- Slow IV rate or stop.
- raise HOB
What is the treatment for
- monitor VS & O2
fluid overload?
- Adjust the rate after correcting fluid.
- anticipate administering diuretics
A pt with an IV appears Phlebitis/thrombophlebitis
edematous, erythema,
throbbing, burning, or pain
at the site, increased skin
temperature, red line, and
slowed infusion
are s/s of what IV
complication?
- promptly d/c the infusion and remove the catheter.
- elevate extremity
what treatments are there
- apply a cold compress to minimize flow of blood, then
for
warm to increase circulation.
phlebitis/thrombophlebitis?
- restart if needed.
- obtain a specimen for culture at site.
, - Rotate sites at least every 72 hours according to facility
policy.
What are some ways to - Monitory IV sites using phlebitis scale
prevent thrombophlebitis? - avoid lower extremities
- use hand hygiene
- use surgical aseptic technique.
what type of medication Central nervous system stimulation
would put a patient at risk
for seizures and
precautions should be
taken.
what type of medication Central nervous system depression
would require a patient to
do not drive, operate heavy
machinery, or participate in
other activities can be
dangerous.
what type of medications Anticholinergic drugs
will require clients to
increase fluids for their dry
mouth, wear sunglasses for
photophobia, maintaining
urinary habits, and avoid
overheating.
What type of medications Cardiovascular medications
would make clients monitor
for indications of orthostatic
hypotension
(lightheadedness,
dizziness).