nurs 405a exam 2 Questions And Answers Rated 100% Correct
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Course
Nurs 405a
Institution
Nurs 405a
what is the use for a hypertonic solution (3% sodium chloride) - ️️Corrects
hyponatremia,
Pulls fluid into vascular space,
HIGH ALERT FLUID
what is does rind mean for iv medications - ️️Rate to administer over
Incompatibility (Y-site compatibility)
Normal dosage
Dilution
does the ne...
nurs 405a exam 2
what is the use for a hypertonic solution (3% sodium chloride) - ✔️✔️Corrects
hyponatremia,
Pulls fluid into vascular space,
HIGH ALERT FLUID
what is does rind mean for iv medications - ✔️✔️Rate to administer over
Incompatibility (Y-site compatibility)
Normal dosage
Dilution
does the needle stay in the patients veins when they get an iv - ✔️✔️no
what is osmosis - ✔️✔️Water moves across membrane from lesser concentration of
solutes to greater concentration
What is osmolarity? - ✔️✔️Concentration of solutes in fluid
what are the different types of osmolarity - ✔️✔️isotonic, hypotonic, hypertonic
what does a isotonic solute concentration equal - ✔️✔️the same as plasma
what does a hypotonic solute concentration equal - ✔️✔️less then the plasma
what does a hypertonic solute concentration equal - ✔️✔️greater then the plasma
what are the two fluids that make up total body fluid - ✔️✔️intra-cellular fluid and extra-
cellular fluid
what falls underneath the extra cellular fluid category - ✔️✔️vascular and interstitial
what is an example of a isotonic solution - ✔️✔️0.9% sodium chloride (normal saline)
and lactated ringers
what is an example of a hypotonic solution - ✔️✔️0.45% NaCl (1/2 normal saline)
what does a hypotonic solution do - ✔️✔️causes cells to swell (rehydrates the cell)
what patient should we avoid giving hypotonic solutions to - ✔️✔️neuro patients
,what is the purpose of iv therapy - ✔️✔️Replace Fluid & Electrolyte, give meds and
blood products
what is an example of a hypertonic solution - ✔️✔️D5/0.9% Sodium Chloride (5%
dextrose with Normal Saline) or 3% sodium chloride
what should we ensure before administering iv push medication - ✔️✔️patency of
catheter
true or false we should flush pre and post med administration - ✔️✔️true (agency
policy)
What are the 6 rights of medication administration? - ✔️✔️Right patient,
medication, dose
time, route, and documentation
what is a complication of iv therapy with when giving hypertonic and isotonic solutions -
✔️✔️fluid overload
what are some other complications of iv therapy - ✔️✔️air embolism, line sepsis,
infiltration, extravasation, phlebitis, and thrombophlebitis
what is an air embolism - ✔️✔️When a large air bubble blocks blood flow from the right
ventricle into the pulmonary artery.
what can cause an air embolism - ✔️✔️air in the iv line
what is phlebitis - ✔️✔️inflammation of a vein
What is extravasation? - ✔️✔️leakage of agents into tissues around IV site.
What is thrombophlebitis? - ✔️✔️Inflammation of a vein with formation of a clot
what patients are at highest risk for fluid volume overload - ✔️✔️pt receiving hypertonic
solutions
How would you assess for this complication of fluid volume overload? - ✔️✔️check and
listen for Crackles, edema, effort of breathing
what would we do if the patient is going into fluid volume overload due to receiving a
hypertonic solution - ✔️✔️stop the infusion, then possibly give a diuretic
, how do we prevent air embolisms - ✔️✔️Prime tubing,
Air detection in IV pumps, and Maintain intact ports
what are some s/s of an air embolism - ✔️✔️Dyspnea, hypotension, cyanosis, change
in LOC, JVD (jugular vein distention)
what are some interventions that can be done for an air embolism - ✔️✔️Immediately
clamp line, then place pt on Left side in Trendelenburg position, give o2
What is the left side Trendelenburg position? - ✔️✔️head of bed is lower then the foot
of the bed
what is the goal when putting the pt in the left trendelenburg position - ✔️✔️prevent the
air from getting to the Right side of the heart
how can we prevention line sepsis - ✔️✔️Aseptic Technique, Change solutions Q 24
hours, "Scrub the hub", and Change tubing per hospital policy
what are some s/s of line sepsis - ✔️✔️Fever, chills, increased WBC count
what are the interventions that should be done for line sepsis - ✔️✔️D/C line and send
catheter tip for culture, Blood cultures, IV antibiotics, and Assess for s/s of sepsis
what medications should we not give through a peripheral line - ✔️✔️Extremely
hypertonic, extreme pH, Vasoconstrictors, and Irritants
what should we do if the iv site has infiltrated or extravated - ✔️✔️d/c the iv cath
what does vesicant mean - ✔️✔️chemicals that cause tissue damage on direct contact
what should we do if and iv infiltrated/extrvated but it is not vesicant - ✔️✔️Apply warm
compress to infiltration site and elevate extremity
true or false one Cannot re-start an iv that is distal (away from the body) to infiltration -
✔️✔️true
what should we asses for when a patients iv has extravated - ✔️✔️Assess
Neurovascular status of limb
what are the different kind of phlebitis - ✔️✔️chemical, bacterial, and mechanical
what is chemical phlebitis - ✔️✔️Inflammation of the vein associated with chemical
irritation
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