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Hondros Nur 172 Final Exam: Questions & A+ Solutions
Hondros Nur 172 Final Exam: Questions & A+ Solutions
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Hondros Nur 172 Final Exam: Questions & A+ SolutionsSteps/concerns D/C a PIV Right Ans - apply pressure AFTER d/c & there is
still potential for infection
How to prioritize what pt to see first Right Ans - ABC(airway, breathing,
circulation)-Chest Pain TRUMPS everything
scope of practice Right Ans - no blood(only monitor)
no under 18 year old
you can hang 1st bag of iso, hyper, hypo solutions
1st bag antibiotics
2nd bag of electrolytes/vitamins
PCA/blood-only monitor and stop(in needed)
IV complications/interventions Right Ans - hematoma-ice & elevate
phlebitis-warmth-get rid of iv
even tho iv is OUT it can still get phlebitis
I&O w/recommendations of what pt needs (more or less fluid) Right Ans -
if out is more then in, recom. to increase fluids
Albumin administration & your assessment Right Ans - 5%-iso
20-25%-hyper
watch for fluid overload, listen to lungs, pulmonary edema, and HTN
AHTR (acute hemolytic transfusion reaction) Right Ans - wrong blood
s/s-fever, tachycardia, chills, chest pain, hypo-tension, back/flank pain, BRICK
COLORED URINE
ISO, HYPER, HYPO solutions Right Ans - see notes
Dextrose-why we admin & side effects Right Ans - Provides energy
irritating to veins
Hypenatremia-s/s & interventions Right Ans - low sodium
SEIZURE PRECAUTION
, IV solution infusion timing--what to do? Speed up or slow down? Right Ans
- sit pt up, get vitals, slow iv down to keep open rate
Initiating a PIV--steps Right Ans - release tourniquet after insertion,
chlorehexidine, transp. dressing, chevron to prevent pistoning
When to label blood tubes after drawing them Right Ans - After you draw,
before leaving room
Whats the purpose of albumin? What are the risk? Right Ans - Natural
plasma protein
volume expander
20-25%-->watch for FVO
DKA-how does it present & interventions Right Ans - deep breaths
no rebreather
PNC--what is it? What to teach the pt? Right Ans - Peripheral Nerve Cath
lidocaine numbs the area
pt education-DONT SQUEEZE THE PUMP
Who to take orders from Right Ans - Advanced practice nurse
Licensed nurse practitioner
M.D.
R.N.
Pain medication--what assessment findings would concern you after admin?
What findings would you expect to see? Right Ans - Concern-Respiratory
depression
Expect - level in vital signs
ABG Right Ans - ph-7.35-7.45
co2=45-35
HCo3-22-26
math Right Ans - see notes
What do you do if pt has IVF running & exhibits s/s of FVE? Right Ans -
Slow infusion down
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