Nur 172 Hondros 2 Combined Exam Questions With Revised Correct Detailed Answers
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Course
Hondros Nur 172
Institution
Hondros Nur 172
Nur 172 Hondros 2
Combined Exam Questions
With Revised
Correct Detailed Answers
1) What is a bio patch used? - ANSWER
changed as often
2) Grade 3 infiltration - ANSWER
to prevent dressing from being
skin blanched, translucent, edema >6
inches in any direction around I...
Nur 172 Hondros 2
Combined Exam Questions
With Revised
Correct Detailed Answers
1) What is a bio patch used? - ANSWER to prevent dressing from being
changed as often
2) Grade 3 infiltration - ANSWER skin blanched, translucent, edema >6
inches in any direction around IV site, skin cool to touch, mild to moderate
pain, possible numbness
3) Signs of extravasation - ANSWER pain, stinging, burning, swelling,
redness at site, blister- bump at injection site
4) A nurse has difficulty withdrawing blood from a central tunneled catheter
but is able to infuse fluids through the line. The nurse should anticipate that
this difficulty is most likely due to - ANSWER formation of a fibrin
sheath
5) Sepsis treatment - ANSWER In patients with mild or moderate
symptoms who have high-risk factors the CVAD is removed, two sets of
blood cultures are recommended, and antibiotic therapy is initiated.
, 6) During initial venipuncture the nurse has difficulty advancing the cannual
into clients vein, observes eccmoysis over insterion area, the area is raised
and hard, what can be concluded? - ANSWER hematoma has formed
7) Hematoma precautions when giving these meds - ANSWER warfarin
aspirin dalteparin
8) Treatment of Hematoma - ANSWER removal of catheter, direct
pressure on site with gauze, elevate extremity, apply ice to affected area
9) Multi-channel pump - ANSWER used to infuse more than 1 medication
at a time
10) Pt iv site is red, edematous, and has a palpable cord, which grad of phlebitis is
this? - ANSWER Grade 3
11) Pt has type 1 DM. Present to the ER with N&V. Blood sugar is 550 and they
have ketones in the urine. What is the ABG disgnosis - ANSWER Metabolic
Acidosis
12) Pt is suspected to have an air embolus, what actions will the nurse take? -
ANSWER - apply % oxygen per non re-rebreather mask
- turn on left side
- trendelenburg position
- call rapid response team
13) What symptoms may indicate sepsis - ANSWER - WBC 18,000
,- Oral temp 103F
- Vigorous chills
14) What will the nurse educate patient on when taking Rifampin for active TB
diagnosis? - ANSWER - Pt will be taking 3 medications to fight this disease, 1
will not kill bacteria
- Rifampin should be taken on an empty stomach
- May cause N&V&D
- Med will be take for 6-9 months
15) How is Respiratory Acidosis treated? - ANSWER cough, deep breath, IS
use, pursed lip breathing for COPD
16) How is metabolic Acidosis treated? - ANSWER Insulin to treat DKA, treat
diarrhea which can be an underlying cause
17) How is Respiratory Alkalosis treated? - ANSWER Non re-breather mask,
breath into a paper bag
18) How is Metabolic Alkalosis treated? - ANSWER Slow down any GI
suctioning, treat underlying cause-vomiting
19) What is an antidote for dopamine- a vassopressor? - ANSWER
Phentolamine
, 20) 20) Patient admitted with transmission-based precautions what is the
minimum PPI needed to be worn in this room? - ANSWER Gloves and Gown
21) Isotonic solution - ANSWER A solution in which the concentration of
solutes is essentially equal to that of the cell which resides in the solution
22) Hypertonic solution - ANSWER A solution in which the concentration of
solutes is greater than that of the cell that resides in the solution
23) Hypotonic solution - ANSWER A solution in which the concentration of
solutes is less than that of the cell that resides in the solution
24) Heparin antidote - ANSWER protamine sulfate
25) INR - ANSWER International Normalized Ratio - a calculation based on
the PT used to monitor patients using blood thinners. 2.0-3.0 is the range for
people taking warfarin:Coumadin
26) Causes of hematoma - ANSWER poor venipuncture technique, flow clamp
left open, tourniquet left on to long, cannula to large, digging into vein
27) Signs of hematoma - ANSWER Ecchymosis, immediate swelling at the site
& discomfort, leakage of blood at the insertion site- unable to advance cannula
28) Phlebitis - ANSWER inflammation of the inner lining of a vein
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