NUR 120 Final Exam study guide questio
nn nn nn nn nn nn
ns with correct answers verified 100% lat
nn nn nn nn nn nn
est
PICCnnLinennCare/Managementnn-nncorrectnnanswers-CentralnnVenousnnAccessnnDevice
Insertednnintonnannperipheralnnveinnn(basilic,nnmediannncubital,nnbrachial,nnornncephalic)
Usuallynnannspeciallynntrainednnnursenninserts
Xraynnisnnusednntonnverifynnplacement
DOnnNOTnnTAKEnnBPnnORnnBLOODnnDRAWSnnFROMnnAFFECTEDnnEXTREMITY
PICCnnLinennUsesnn-nncorrectnnanswers-IVnnantibiotics
ParenteralnnTherapy
Chemo
Medications
BloodnnComponents
PICCnnLinennMaintenancenn-nncorrectnnanswers-Checknnhospitalnnpolicynnfornnspecificnnguidelines
Changenndressingnn24nnhrsnnafternninsertion,nnwhennnsoiled/loose,nneverynn7nndays
UsennSterilennTechnique
Wearnnmasknn(nursennandnnpt.)
ParenteralnnNutritionnn-nncorrectnnanswers-methodnnofnnprovidingnnnutrientsnntonnthennbodynnbynnannnIVnnroute
Nutrientsnnarenncomplexnncontainingnnproteins,nncarbohydrates,nnfats,nnelectrolytes,nnvitamins,nntracennminera
ls,nnandnnsterilennwaternninnnonenncontainer
GoalsnnofnnPNnn-nncorrectnnanswers-Improvennnutritionalnnstatus
Establishnnannpositivennnitrogennnbalance
Maintainnnmusclennmass
Promotennweightnnmaintenancennornngain
Enhancennhealingnnprocess
IndicationsnnfornnPNnn-nncorrectnnanswers-
Inabilitynntonningestnnadequatennoralnnfoodnnornnfluidsnnwithinnnann7nntonn10nndaynntimeframe
,Insufficientnnoralnnornnenteralnnintake
Impairednnabilitynntonningestnnornnabsorbnnfoodnnorallynnornnenterally
Patientnnunwillingnnornnunablenntonningestnnadequatennnutrientsnnorallynnornninternally
Prolongednnpreopnnandnnpostopnnnutritionalnnneeds
AdministrationnnofnnPNnn-nncorrectnnanswers-PeripherallynnInsertednnCentralnnCathetersnn(PICC)nn-
nnIntermediatenntermnn(severalnndaysnntonnmonths)nnIVnntherapynninnnhospital,nnlong-
termnncare,nnornnhomennsetting
Bolusnnfeedingsnn-nndividednnintonn3nntonn4nnfeedingsnndaily
Gravitynnfeedingsnn-
nnraisingnnornnloweringnnthennsyringennabovennthennabdominalnnwallnnregulatesnnthennspeednnofnndeliverynn(asnnpa
tientnntolerates)
Adminnnovernn30nnminutesnnornnlongernnwithnnflownnratennregulatednnwithnnannclamp
NursingnnInterventionsnnfornnPNnn-nncorrectnnanswers-HOBnn30nntonn45nndegrees
Changenntubesnnandnnfeedingnncontainersnneverynn24nnhours
Checknngastricnnresidualnnvolumennbeforenneverynnfeedingnnornneverynn4nnhoursnnandnnreturnnnthennaspiratenntonn
thennstomach
ComplicationsnnofnnPNnn-nncorrectnnanswers-Pneumothorax
Airnnembolism
Clottednncatheternnline
Catheternndisplacementnnandnncontamination
Sepsis
Hyperglycemia
Fluidnnoverload
Reboundnnhypoglycemia
Tracheostomynn-nncorrectnnanswers-
annsurgicalnnprocedurenninnnwhichnnannnopeningnnisnnmadennintonnthenntrachea;nnusednntonnbypassnnannnuppernnai
rwaynnobstruction
Trachealnnstenosisnnmaynndevelopnnafternnthenntubennisnnremoved
Patient'snnneednntonntrynnandnncoughnnsecretionsnnupnnonnntheirnnownnnpriornntonnsuctioningnn-
nnitnncannncausennreboundnneffectnnifnntoonnmuchnnsuctioningnnisnnused
Ifnnpatientnnpullsnntrachnnoutnn-nnpicknnitnnupnnandnnimmediatelynnputnnitnnbacknnin
Obturatornnhelpsnntonnopennnthenntrach
,EarlynnComplicationsnnofnnTracheostomynn-nncorrectnnanswers-Tubenndislodgement
Accidentalnndecannulation
Bleeding
Pneumothorax
Airnnembolism
Aspiration
SQnnornnmediastinalnnemphysema
Recurrentnnlaryngealnnnervenndamage
Posteriornntrachealnnwallnnpenetration
LongnnTermnnComplicationsnnofnnTracheostomynn-nncorrectnnanswers-
Airwaynnobstructionnnfromnnaccumulationnnofnnsecretionsnnornnprotrusionnnofnnthenncuffnnovernnthennopeningnno
fnnthenntube
Infection
Rupturennofnnthenninnominatennartery
Dysphagia
Tracheoesophagealnnfistula
Trachealnndilation
Trachealnnischemia
Necrosis
NursingnnInterventionsnnfornnTracheostomynn-nncorrectnnanswers-Enhancenngasnnexchange
Promotenneffectivennairwaynnclearance
Preventnntraumannandnninfection
Promotennoptimalnnlevelnnofnnmobility
Promotennoptimalnncommunicationnnandnncopingnnability
Assessnnlungnnsoundsnneverynn2nntonn4nnhours
BloodnnTransfusionsnn-nncorrectnnanswers-Runnnbloodnnslowlynnfornnfirstnn15nnminutes
Staynnwithnnclientnn15-30nnminutes
Rechecknnvitalnnsignsnn15nnminutesnnafternntransfusionnnstarted
TakennvitalnnsignsnneverynnhournnUNTILnnCOMPLETED,nnthennnhourlynnfornn3nnhours
, Asknnclientnntonnreportnnanynnsignsnnandnnsymptomsnnofnnreaction:nnitching,nnfever,nnlownnbacknnpain,nnflanknnpai
nnnovernnthennkidneys,nnshortnessnnofnnbreath
Consentnnformnnisnnneedednnandnnisnnobtainednnbynnthenndoctor
Usennnothingnnabovennann22gnnneedle
Transfusion:nnAllergicnnReactionnn-nncorrectnnanswers-
hives,nnitching,nnanaphylaxisnn(STOPnnbloodnnrestartnn0.9%)
Transfusion:nnFebrilennReactionnn-nncorrectnnanswers-
fever,nnchills,nnheadache,nnmalaisenn(STOPnnblood,nnrestartnn0.9%)
Transfusion:nnBacterialnnReactionnn-nncorrectnnanswers-
fever,nnhypertension,nndry/flushednnskin,nnabdominalnnpainnn(STOPnnblood,nnobtainnnculture,nngivennantibiotics,
nnIVnnfluids,nnvasopressors,nnsteroids)
Transfusion:nnHemolyticnnReactionnn-nncorrectnnanswers-
Immediatennonset,nnfacialnnflushing,nnfever,nnchills,nnheadache,nnlownnbacknnpain,nnshock.(nnSTOPnnthennblood,nnr
estartnn0.9%nnNaCI,nnnotifynnPC,nnhavennbenadryl,nnandnnoxygennnready)
Transfusion:nnCirculatorynnOverloadnn-nncorrectnnanswers-
Dyspnea,nnDrynnCough,nnPulmonarynnEdema,nnCracklesnn(monitornnclientsnnatnnhighnnrisk,nnslownnornndiscontinu
ennblood)
ReasonsnntonnReturnnnBloodnntonnBanknn-nncorrectnnanswers-Incorrectnnbloodnntype
IncorrectnnPtnnname
IncorrectnnBarcode
PossiblennContamination
DamagenntonnthennBag
Notnnusednnwithinnn30nnminutesnnofnnacquiringnnfromnnbank
BloodnnGroupsnnandnnCompatibilitynn-nncorrectnnanswers-TypennOnn-nnGives-nnO,nnA,nnB,nnABnnReceivesnn-
nnOnn(Universalnndonor)
TypennAnn-nnGivesnn-nnA,nnABnnReceivesnn-nnO,nnA
TypennBnn-nnGivesnn-nnB,nnABnnReceivesnn-nnO,nnB
TypennABnn-nnGivesnn-nnABnnReceivesnn-nnO,nnA,nnB,nnAB
RemembernnJehovah'snnwitnessesnncannotnngetnnplasmannornnbloodnn-nngivennliquidnnironnnandnnpushnnsaline
PackednnRednnCellsnn-nncorrectnnanswers-
usednntonntreatnnanemia,nnCRF,nnCancer,nnGInnbleeding,nnTrauma,nnSurgicalnnbleedingnnandnnCVnnfailure.nnGivenno
vernn2nnhours(Squeezennbagnntonnmixnncellsnneverynn20-30nnminutes)