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NUR 172 Final Exam Review/100 Questions with Verified answers
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NUR 172 Final Exam Review/100Questions with Verified answers
To reduce the risk of malpractice, if the patient was on 2 meds that cause
prolonged QT Intervals or if the patients were prescribed antibiotics that
prolonged QT Intervals - - You would notify the provider
- Sentinel Events are - - -Hospital inacquired infection,
-requires extra treatment, things that can lengthen the patient's stay in the
hospital, -can end the patien't's life or bring the patient close to death or
require surgery
- The LPN can - - Educate the patient and the family
- The LPN can administer - - IVPB of ant-infective/antibiotic
- LPN can flush central lines (CVC) - - if there is a needleless connector
attached.
- All sentinel events Are - - NOT Malpractice
- 4 elements of Malpractice - - Duty, breach of duty, injury and causation.
The nurse has a duty to care for the patient. The nurse did not care for the
patient. Actual harm (injury) happened to the patient. The breach of care
caused the injury.
- 3 things LPN CAN DO with Pediatric patient: - - -Remove peripherial IV
from patient
-Change IV rates on IV pump
-Can Change central line dressing
- LPN can start an IV on 19- year-old patient - - If the order is for IV stat
- Negligence and Malpractice - - ARE NOT the same thing.
- Informed consent - - A patient has a right to know only so much about the
physician. No personal information.
- LPN can hang 2nd bag of NS? - - with Multivitamins
- Medications orders LPN can carry out on adult patient: - - Can administer
IVBP antibiotics, can give subcutaneous injections and can give IM injections
- UAP can inform the nurse if they notice anything? - - Abnormal
, - LPN can hang? - - IVPB antibiotics (1st bag, 2nd bag, etc.)
- FVD Appropriate Interventions: - - -Administer IV fluids,
-administer a rectal antiemetic,
-hold patient's normal Lasix
-notify the physician and keep strict I's and O's with a patient
- S/S of FVD: - - Tinting of the skin, thirst and elevated kidney function test
(BUN) and Weak Peripheral pulses
- S/S of FVO due to CHF (heart failure patient): - - Tachycardia,
hypertension, weight gain over short period of time.
- Patient that is suffering from dehydration and is considered hypotensive: -
- You would not want to give the patient hypotonic solutions. Check vitals,
hold all hypotensive fluids and notify the physician.
- What is the most common cause of hypo magnesium? - - Alcoholism
- Normal Potassium Level is? - - 3.5-5
- Low calcium (hypocalcemia) can lead to? - - Seizures and laryngospasms
- Low sodium levels can cause? - - Seizures to occur
- Hypokalemia (low potassium) early signs can include? - - Muscle weakness
- Hyponatremia - - A patient can have seizures. Place seizure pads on the
bed rails.
- An elevated creatine level is going to be concerning (0.6-1.2) - - Is
abnormal and out of range.
- For the sodium level that is in the one teens - - Would need to be reported
immediately (135-145)
- Cipro - - Has a black box warning for tendon rupture. When given with a
steroid, that risk increases.
- Narotic overdose: - - The LPN can give Narcan (Naloxone) IM. Standard
dose 0.4mg
- Morphine: - - Evaluating that the medication in working correctly, look for
the patient's pain to decrease and that vitals are stable. Ensure RR and B/P
are within normal range.
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