Exam (elaborations)
Nur 172 Exam 2: Questions & Accurate Solutions
Nur 172 Exam 2: Questions & Accurate Solutions
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Nur 172 Exam 2: Questions & Accurate SolutionsUncompensated Right Ans - pH is abnormal and either CO2 or HCO2 is
normal
compensated Right Ans - pH is normal and both CO2 and HCO3 is abnormal
partially compensated Right Ans - pH, CO2 and HCO3 are all abnormal
warfarin (coumadin) Right Ans - anticoagulant
used to prevent and treat DVT, MI, stroke and pulmonary edema
what lab do we monitor for warfarin and what is the therapeutic range?
Right Ans - PT/INR
2-3
what is the black box warning for warfarin? Right Ans - bleeding
what can coumadin cause? Right Ans - purple toe syndrome and
agraphylocytesis (low WBC in blood)
what is the antidote for coumadin? Right Ans - vitamin K
heparin Right Ans - anticoagulant used to prevent/treat DVT, MI, DVT,
embolization with atrial fibrillation
*make sure patient avoids use of electrical razor, soft toothbrush use*
*also used to keep venous devices open and dialysis ports*
which lab do we monitor for heparin and what is the therapeutic range?
Right Ans - PTT
25-35
what is the antidote for Heparin? Right Ans - protamine sulfate
what do we watch for with someone taking heparin? Right Ans - abnormal
bleeding->hemorrhage
what is HIT? Right Ans - heparin induced thrombocytopenia (low platelets)
,lorazepam (ativan) Right Ans - benzodiazepine used for anxiety, insomnia,
sedation for procedures, status epilepticus and CIWA
*schedule 4 drug*
what drug schedule is lorazapam? Right Ans - schedule 4- addiction
forming
what is CIWA? Right Ans - Clinical Institute Withdrawal Assessment for
Alcohol
*scoring tool for alochol*
lorazepam black box warning Right Ans - don't administer this medication
with other CNS depressants, avoid use of heavy machinery
lorazepam common side effects Right Ans - dizziness
confusion
orthostatic hypotension
blurred vision
what are serious side effects of lorazepam? Right Ans - ECG changes,
tachycardia, cardiac arrest, apnea
diazepam (valum) Right Ans - benzodiazepine
can be given rectally for seizures in addition to PO, IV,IM
what are serious side effects of diazepam? Right Ans - respiratory
depression
what can diazepam cause? Right Ans - phlebitis or thrombosis at the iv site
which can occur frequently
augmentin Right Ans - (PO) broad spectrum ineffective
amoxicillin/clavulanate
what are serious side effects of augmentin? Right Ans - CDAD, seizures and
bone marrow depression
*monitor platelets*
, what is a stopcock? Right Ans - a device that controls the flow of a solution
with manual manipulation of the valve
why does the INS prefer we do not use a stopcock? Right Ans - they
increase the risk of infection
how much solution does macro tubing deliver? Right Ans - 10-20gtts/mL
how much solution does micro tubing deliver? Right Ans - 60gtts/mL
What is a backcheck valve? Right Ans - device that functions to prevent
retrograde flow of the fluid
what is a elastomeric pump? Right Ans - a balloon that uses positive
pressure to deliver medication when the tubing is unclamped
what is a multichannel pump? Right Ans - a pump that delivers multiple
solutions simultaneously from bags, bottles, or syringes
what is a stylet? Right Ans - a needle found inside a catheter used for vein
penetration and is removed after insertion
what are the pros and cons of glass containers? Right Ans - pros: good
visualization of contents
measurements are easy to read
no plasticizers
cons: easily broken in transport
participate matter due to coring
difficulty with disposal
*GLASS CONTAINERS REQUIRE THE VENT TO BE OPENED FOR
ADMINISTRATION
glass containers require what for adminstration? Right Ans - the vent to be
opended
what are the pros and cons of plastic containers? Right Ans - PROS: closed
system
flexible
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