Which of the following IV solutions are Isotonic?
a. Normal Saline
b. D5W
c. D2.5/W
d. Lactated Ringer's
e. D5 and 1/4 Normal Saline Right Ans - a. Normal Saline
b. D5W
d. Lactated Ringer's
e. D5 and 1/4 Normal Saline
Select all that apply
An LPN Can do the following:
a. administer IVPB containing antibiotic through a venous line(central,
peripheral, or PICC)
b. administer medication by a direct intravenous route
c. stop infusion of blood when complication arises
d. change tubing to arterial line
e. inject heparin to flush an intermittent infusion device Right Ans - a.
administer IVPB containing antibiotic through a venous line(central,
peripheral, or PICC)
c. stop infusion of blood when complication arises
e. inject heparin to flush an intermittent infusion device
Macrodrip tubing rate? Right Ans - 10,15,20 gtt/ml
Microdrip tubing rate? Right Ans - 60 gtt/ml
When should standard administration sets tubing be changed? Right Ans -
every 96 hours or immediately upon the 7th day
When should intermittent administration sets tubing be changed? Right
Ans - every 24 hours if it has been disconnected
Why does INS prefer we do not use stopcocks? Right Ans - High risk of
contamination
, What med would you administer to prevent and treat DVT, MI, stroke,
Pulmonary embolism? Right Ans - Warfarin(coumadin)
Antidote for Warfarin (Coumadin) Right Ans - Vit. K
Nursing interventions for warfarin(coumadin) Right Ans - monitor pt for
Bleeding, purple toe syndrome, routine PT/INR, CBC
Warfarin (Coumadin) can cause agranulocytosis, what would you look for in
CBC lab results to determine this? Right Ans - low WBC
Lorazepam (Ativan) is used for anxiety, sedation for procedures, status
epilepticus(seizures that are constant) and CIWA. What should you monitor?
Right Ans - breathing(apnea)
tachycardia, ECG changes(cardiac arrest)
True or False you should never administer Ativan with another CNS
depressant? Right Ans - TRUE
Ativan (lorazepam) can be given PO, IM, IV infusion and how else? Right
Ans - IV push (which an LPN can NOT do)
What schedule is Ativan? Right Ans - schedule IV because it may be habit
forming!
How can LPN administer Heparin? Right Ans - SQ in abdomen
Routes for Heparin include IV flush, IV push, IV drip and SQ injection (in
abdomen), which route should it never be given? Right Ans - IM
intramuscular
What are you going to monitor in a pt on Heparin? Right Ans - monitor for
bleeding
routine PTT lab draws
True or False CVC dressing change is a sterile technique? Right Ans - True
When flushing a central or PICC line you should clean port with alcohol swab
for how long? Right Ans - at least 15 seconds
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