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NUR 172 - Exam 2: Questions With Solutions (Rated A+)
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NUR 172 - Exam 2: Questions With Solutions (Rated A+)
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NUR 172 - Exam 2: Questions With Solutions (RatedA+)
Pt's @ risk for sepsis Right Ans - Immunocompromised
- Crohn's
- RA
- Chemo
- Steroids
S/S sepsis Right Ans - - Profuse sweating
- Fever
- Elevated WBC
- Change in mental status
- Low urine output
- Low BP (SBP < 100)
- High heart rate
- Elevated lactate lvls
Tx sepsis Right Ans - - Prompt recognition/reporting
- Blood cultures
- Remove CVAD & culture tip
- Remove peripheral IV, culture tip, start new IV in opposite extremity w/ new
equipment, solution, tubing
- Antibiotics
- IV fluids
- Vasopressors
- O2
- Monitor pt closely/transfer to ICU
Primary/continuous administration tubing is changed every Right Ans - 96
hrs or upon contamination
Secondary/IVPB/intermittent tubing & IV fluid bags are changed every
Right Ans - 24 hrs
Blood (Y) tubing is changed every Right Ans - 4 hrs
Bioform w/ Tegaderm must be changed every Right Ans - 7 days
, Bioform Right Ans - Blue to the sky
White gauze & Tegaderm must be changed every Right Ans - 48 hrs
Micro tubing drop factor Right Ans - 60 gtts/ml
Macro tubing drop factor Right Ans - 10-20 gtt/ml
IV bag label includes Right Ans - - Name
- Date
- Time
- Med
Tubing needed for glass bottles Right Ans - - Vented
- Cap must be open
Tubing drop factor is on the Right Ans - Package
Surgical asepsis is Right Ans - Sterile technique
Medical asepsis is Right Ans - Clean technique
Surgical asepsis: procedures Right Ans - - Foley cath
- PICC line
- Left/right jugular CVC
- Indwelling cath
Medical asepsis: procedures Right Ans - - Spiking
- IV insertion
PICC line can stay in up to Right Ans - 1 yr
SOP: LPN can do Right Ans - Any Age
- Change IV rate
- Change peripheral/CVC/arterial dressing
- Examine peripheral IV site for infiltration
- Verify solution being infused
- Discontinue peripheral IV device
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