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IV Pre test Question And Correct Answers
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IV Pre test Question And Correct Answers
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IV Pre test Question And CorrectAnswers
According to the FL law, what is the difference between "under the direction" of a RN, or
"under direct supervision" of a RN? CORRECT ANSWERS UNDER THE DIRECTION- means that the RN has DELEGATED the IV therapy functions to a qualified LPN. The RN does NOT have to be on the premisis
UNDER DIRECT SUPERVISION- means the RN is ON the premisis and is physically available
Acute hemolytic transfusion CORRECT ANSWERS incompatibility with donors RBCs and recipients antibodies Red cell membranes ruptured causing the release of hemoglobin
Define "Standards" of nursing CORRECT ANSWERS The established "Norm" in which something can be judged
Facility standards are developed based on the ANA (American Nurse's Association), CDC, INS (Infusion Nurses Society), OSHA, and state nurse practice acts standards
Define "The Nurse Practice Act" CORRECT ANSWERS Defines the practice of RNs, LPN;s and vocational nursed in each state
Define physical drug compatibility? CORRECT ANSWERS Physical, chemical and therapeutic incompatibility
Physical - Physical change (cloudiness, haziness, gas bubbles)
Chemical- integrity or potency change Therapeutic- undesirable affects occurs when 2 or more drugs are given
Describe 3 S/S of infiltration? CORRECT ANSWERS Cold
swelling
blanching
Describe 4 ways to dilate a peripheral vein? CORRECT ANSWERS Apply warm, moist heat for about 10 min
Make sure the arm is below the heart
open and close fist
Apply tourniquet or b/p cuff, tight enough to impede flow Describe how to "back prime" secondary IV tubing? CORRECT ANSWERS Hold the secondary bag below the primary bag until the drip chamber is approx 1/2 full
Describe S/S of fluid overload? 7 CORRECT ANSWERS increased B/p
Tachycardia, bounding pulse
distended neck veins
edema/moist skin
SOB
Describe the flushing protocols for the following: The pt has a triple lumen subclavian catheter and is recieving the following therapies: Hydration, TPN, weekly blood drawls, all through a separate lumen CORRECT ANSWERS Flush the lumen for the before blood drawls and after
Flush TPN lumen when bag gets changed_
Do not need to flush the hydration one
Describe the two types of TPN? CORRECT ANSWERS Partial Parental Nurtrition (PPN)- used for a limited period (1-3 wks)
contains 10% ro less of dextrose, amino acids, electrolytes, lipids, vitamins, and trace elements
Total Parental Nutrition (TPN)- used for longer than 2 wks and when the GI tract is unavailable
Diffusion CORRECT ANSWERS The movement of SOLUTE across a semi-permeable membrane from a area of a Higher concentration to Lower concentration
Explain the WHO ladder (3) CORRECT ANSWERS MILD to MODERATE PAIN- non opioids should be given (NSaids, Acetaminophen, adjuvant drugs (anti-depressants, steroids))
INCREASING or PERSISTANT PAIN- opioid such as hydrocodone or codeine should be added to a NSAID, acetaminophen, aspirin (Opioids are administered in fixed dose combinations)
MODERATE to SEVERE PAIN- increasing the dose or with more potent opioids (morphine or hydrophone)
Explain tolerance to opioids? CORRECT ANSWERS Many pt w chronic pain may become Physically dependent or tolerant to the dose of the opioid in long term therapy, the dose will just have to keep being adjusted, there is no analgesic ceiling to opiods NOT THE SAME AS ADDICTION
Homeostasis CORRECT ANSWERS balance or to stabilize
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