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NUR 172 EXAM/39 QUESTIONS AND ANSWERS A+ GRADED
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NUR 172: IV Therapy Exam 1/353 Q’s and A’sA+ Graded
Infuse 250 mL Vanco 500 mg 0.9% NS Over 1.5 hrs (DF = 15 gtts/mL).
Calculate gtts/min. - - 1 hr x 250 mL x 15 gtts
------------------------
60 min x 1.5 hr x 1 mL
3750 gtts
----------- = 41.66 = 42
90 minterm-213
*Round Answers to Nearest Whole Number for All gtts/min Questions
- Magnesium - - 1.5 - 2.5 mEq/L
- Calcium (Ca+) - - 8.5 - 10 mg/dL
- Phosphorus (PO4) - - 3.0 - 4.5 mg/dL
- Potassium (K+) - - 3.5 - 5.0 mEq/L
- Sodium (Na+) - - 135 - 145 mEq/Lterm-213
- Blood Urea Nitrogen (BUN) - - 10 - 20 mg/dL
- Creatinine - - 0.6 - 1.2 mg/dL
- White Blood Cell (WBC) - - 5,000 - 10,000 cells/mcL
- Urine Specific Gravity - - 1.001 - 1.035
- Negligent Conduct of a Professional Person - - Malpractice
- The 4 Elements of Malpractice - - 1. Duty
2. Breach of Duty
3. Harm
4. Causation
- Not Acting in a Reasonable or Prudent Manner - - Negligence
- Laws That Affect the Legal Rights of Private Persons or Corporations - -
Civil Law
, - Offense Against the General Public; Affects Welfare of Society as a Whole -
- Criminal Law
- Legally Responsible for Damages; Answerable - - Liable
- Is Malpractice Civil or Criminal? - - Malpractice typically falls under civil
liability; however, negligence that is severe enough can be criminal.
- Autonomy - - Self-Determination
- Beneficience - - Do Only Good
- Nonmalificence - - Do No Harm
- Veracity - - Truthfulness
- Fidelity - - Loyalty, Faithfulness
- Justice - - Fairness For All
- Assault - - Attempt or Threat
- Battery - - Action; Harm
- What is Another Term for Antibiotic? - - Anti-Infective
- What are Other Terms for "Piggy-Back"? - - Secondary
Intermittent
- Infuse 1000 mL 0.9% NS Over 12 hrs (DF = 15 gtts/mL). Calculate mL/hr. -
- 1000 mL
--------- = 83.33 mL/hr
12 hr
Answer: 83 mL/hr (Always use whole number unless directed otherwise)
Drop Factor (DF) is Only Needed if Calculating Drops/Minute
- INS - - Infusion Nurses Society
- Standard of Care Focuses on: - - The Patient
- Standard of Nursing Practice Focuses on: - - The Nurse
- The Nursing Process - - ADPIE
A = Assessment
, D = Nursing Diagnosis
P = Planning
I = Implementation
E = Evaluation
- Scope of Practice: Writes the Patient Care Plan - - RN
- Hospital National Safety Goals - - 1. Identify Patients Correctly
2. Improve Staff Communication
3. Use Medicines Safely
4. Use Alarms Safely
5. Prevent Infection
6. Identify Patient Safety Risks
7. Prevent Mistakes in Surgery
- Risk Management - - Process That Centers on Identification, Analysis,
Treatment, & Evaluation of Real & Potential Hazards
- Strategies for Risk Management May Include: - - * Informed Consent
* Analysis of Unusual Occurrence Reports
* Root Cause Analysis of Sentinel Events
* Comprehensive & Thorough Documentation
* Safe Infusion Medication Administration
- Informed Consent Generally Includes - - * Benefits of the Procedure
* Risks of the Procedure
* Alternative Procedures term-305& Associated Risks/Benefits of Those
* Qualifications of the Provider
------------------------------------------------------------
There Should Always be Adequate Opportunity for the Patient to Ask
Questions & Convey Any Concerns
- Unusual Occurrence Reports - - Nonjudgmental, Factual Reports of the
Problem & Its Consequences; These Occurrences are Often Under-Reported
- Malpractice: Duty - - Nurse Had a Duty to Care for the Patient
- Malpractice: Breach of Duty - - Nurse Did Not Care for the Patient
- Malpractice: Injury - - Actual Harm Happened to the Patient
- Malpractice: Causation - - Breach of Care Actually Caused the Injury
- Reduce Risk of Malpractice - - * Clinical Competency
* Assess & Monitor
* Prevent Infections
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