NUR 172 Hondros Final Exam; Questions with Complete Solutions
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Course
NURS 172
Institution
NURS 172
NUR 172 Hondros Final Exam; Questions with
Complete Solutions
What are the steps and concerns when you D/C a PIV? Correct Answer-No
pressure at the site of injection until after the catheter is removed. Concerns for
complications such as phlebitis can still occur even after the IV has been ...
NUR 172 Hondros Final Exam; Questions with
Complete Solutions
What are the steps and concerns when you D/C a PIV? Correct Answer-No
pressure at the site of injection until after the catheter is removed. Concerns for
complications such as phlebitis can still occur even after the IV has been
removed. Make sure to monitor site.
How do you Prioritize which patient to see first? Correct Answer-Airway
Breathing
Circulation
(ABC's)
and Critical thinking
If you have a patient who has been diagnosed with asthma, and is currently
having an asthma attack, and a patient who is having chest pain who would you
see first? Correct Answer-Chest pain patient should be seen first
LPN's Scope of practice r/t IV therapy Correct Answer--Can hang first, and
continue to hang bags of Isotonic, Hypertonic, Hypotonic solutions
-Can hang first, and continue to hang bags of antibiotics
-Can hang the 2nd bag of Vitamins/Electrolytes
-Can stop and monitor for s/s of infections with Blood/PCA
-Can place an IV antecubital or below
-Needle cannot be greater then 3 inches in length
-Patient must be an adult older than 18 years of age
What can an LPN do for a Pediatric patient? Correct Answer--Check vitals
, NUR 172 Hondros Final Exam; Questions with
Complete Solutions
-Get cultures
-Can give IM injections
-Can give suppositories
-Can give oral meds
-Can stop the IV if complications occur
-Can assess/monitor the patient
IV Complications Correct Answer--Hematoma
-Infiltration
-Extravasation
-Phlebitis
Hematoma (What it looks like and Interventions) Correct Answer-Bruise
around IV site
D/C the IV, place ice on area, apply pressure
Infiltration (What is looks like and Interventions) Correct Answer-Lump
D/C IV, and elevate extremity
Extravasation (What it looks like and Interventions) Correct Answer-Lump,
Could also have/get tissue damage
Leave IV in, Give antidote, then D/C IV
**DO NOT ELEVATE EXTREMITY
, NUR 172 Hondros Final Exam; Questions with
Complete Solutions
Phlebitis (What it looks like and Interventions) Correct Answer-Red, Warm,
Red line, Palpable cord (vein feels like a tendon)
D/C IV, apply a warm compress
At what stage of phlebitis is the palpable cord felt? Correct Answer-Stage 3
I&O with recommendations of what the patient needs (more or less fluid)
Correct Answer--If the output is greater than the input recommend
increasing the fluids
-If input is greater than output recommend a diuretic
Albumin administration and your assessment Correct Answer--5% = Isotonic
-20-25% = Hypertonic
-Watch for fluid volume overload
-Assess Lungs- Listening for any fluid buildup
-Assess B/P- (HTN)
Acute Hemolytic Transfusion Reaction (AHTR) Correct Answer-ABO
Incompatibility- The RBC's burst/lyse, which creates the brick red urine.
Caused by getting the wrong type of blood
S/S: Fever, Tachycardia, Chest pain, Back/flank pain, Flushed, Hypotension,
Chills, Dark brick colored urine
Isotonic Solutions Correct Answer--0.9% NS- Given for Traumas
-LR- Given for Burns
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