Nur 172 Final Exam: Questions With Correct Solutions
The following S/S would indicate:
tachycardia, hypotension, weak thready pulse, tenting, dry mucous
membranes, BUN over 100, Hgb and hematocrit elevated, decreased urine
specific gravity, and less than 30ml/hr urine output Right Ans - Fluid
Volume Deficit
What could cause FVD Right Ans - major fluid loss, diarrhea, vomiting,
hemorrhage, NPO, not enough intake
The following are S/S of:
tachycardia, tachypnea, hypertension, bounding pulse, edema, weight gain,
JVD, crackles, dyspnea, imbalanced I&O Right Ans - Fluid Volume Excess
Causes of FVE Right Ans - CHF, Renal disease/failure, liver failure, excess
fluid intake, SIADH, Corticosteroids
Earliest sign of hemorrhage Right Ans - Thirst
Tx for FVD Right Ans - fluid replacement either oral or IV, blood if
necessary, frequent assessment of vitals
Tx for FVE Right Ans - fluid and sodium restriction, diuretics, daily weight,
elevate HOB, slow or stop IV, O2 if needed
Sodium Right Ans - 135-145
Potassium Right Ans - 3.5-5.0
Calcium Right Ans - 8.5-10.5
Magnesium Right Ans - 1.5-2.5
S/S of hypokalemia Right Ans - muscle weakness, paralysis, cardiac
dysrhythmia
S/S of hypocalcemia Right Ans - Trousseau's sign, Chvostek's sign, seizures,
laryngospasm
, If potassium level is 6 what IV solution should you not use Right Ans - LR
What will happen if you give Potassium IV to rapidly Right Ans - heart will
stop
Pt with Hypertension needs IV what type of solution would you avoid giving
Right Ans - Hypertonic
Pt with any of the following: ICP, stroke, trauma, burns, or surgery you should
avoid which type of IV solution Right Ans - hypotonic
Pt in renal failure or has CHF which IV solution should you avoid Right Ans
- hypertonic
D5 1/2, D5NS, D5LR are what type of solution Right Ans - hypertonic
NS, LR, D5W are what type of solution Right Ans - isotonic
.45NS, 2.5D5W, .33NS Right Ans - hypotonic
what type of IV solution do you use for fluid and electrolyte replacement?
Right Ans - isotonic
Pt with FVE, edema, crackles, dyspnea you should avoid using which IV fluid
Right Ans - hypotonic
microdrip tubing delivers how many gtt/ml Right Ans - 60
why are stopcocks an issue? Right Ans - high infection rate
drip chamber is used for what Right Ans - to visualize drip factor
piggy back solutions is to hang above or below primary Right Ans - above
Which grade of Phlebitis do you call Dr to report Right Ans - 1st stage
redness with or without pain
The following S/S would indicate:
tachycardia, hypotension, weak thready pulse, tenting, dry mucous
membranes, BUN over 100, Hgb and hematocrit elevated, decreased urine
specific gravity, and less than 30ml/hr urine output Right Ans - Fluid
Volume Deficit
What could cause FVD Right Ans - major fluid loss, diarrhea, vomiting,
hemorrhage, NPO, not enough intake
The following are S/S of:
tachycardia, tachypnea, hypertension, bounding pulse, edema, weight gain,
JVD, crackles, dyspnea, imbalanced I&O Right Ans - Fluid Volume Excess
Causes of FVE Right Ans - CHF, Renal disease/failure, liver failure, excess
fluid intake, SIADH, Corticosteroids
Earliest sign of hemorrhage Right Ans - Thirst
Tx for FVD Right Ans - fluid replacement either oral or IV, blood if
necessary, frequent assessment of vitals
Tx for FVE Right Ans - fluid and sodium restriction, diuretics, daily weight,
elevate HOB, slow or stop IV, O2 if needed
Sodium Right Ans - 135-145
Potassium Right Ans - 3.5-5.0
Calcium Right Ans - 8.5-10.5
Magnesium Right Ans - 1.5-2.5
S/S of hypokalemia Right Ans - muscle weakness, paralysis, cardiac
dysrhythmia
S/S of hypocalcemia Right Ans - Trousseau's sign, Chvostek's sign, seizures,
laryngospasm
, If potassium level is 6 what IV solution should you not use Right Ans - LR
What will happen if you give Potassium IV to rapidly Right Ans - heart will
stop
Pt with Hypertension needs IV what type of solution would you avoid giving
Right Ans - Hypertonic
Pt with any of the following: ICP, stroke, trauma, burns, or surgery you should
avoid which type of IV solution Right Ans - hypotonic
Pt in renal failure or has CHF which IV solution should you avoid Right Ans
- hypertonic
D5 1/2, D5NS, D5LR are what type of solution Right Ans - hypertonic
NS, LR, D5W are what type of solution Right Ans - isotonic
.45NS, 2.5D5W, .33NS Right Ans - hypotonic
what type of IV solution do you use for fluid and electrolyte replacement?
Right Ans - isotonic
Pt with FVE, edema, crackles, dyspnea you should avoid using which IV fluid
Right Ans - hypotonic
microdrip tubing delivers how many gtt/ml Right Ans - 60
why are stopcocks an issue? Right Ans - high infection rate
drip chamber is used for what Right Ans - to visualize drip factor
piggy back solutions is to hang above or below primary Right Ans - above
Which grade of Phlebitis do you call Dr to report Right Ans - 1st stage
redness with or without pain
