Exam (elaborations)
NURS 400 Questions and Answers Latest Update
- Course
- NURS 400
- Institution
- University Of Washington
NURS 400 Questions and Answers Latest Update
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Solution 2024/2025Pepper
NURS 400 Questions and Answers Latest
Update
What are disadvantages of IV medication therapy? ANS✔✔ -Circulatory fluid
overload is possible if the infusion is large or too rapid
-Immediate absorption leaves little time to correct errors
-Infiltration
-IVF administration can irate the lining of the vein
-Failure to maintain surgical asepsis can lead to local or systemic infection
Advantages of IV medication therapy ANS✔✔ ▪ Immediate action
▪ Precise Amount
▪ Constant therapeutic blood levels
▪ Allows use larger volume of fluid for meds
▪ Allow use of irritating meds (ex. Chemo)
1 mg = ? mcg ANS✔✔ 1,000 mcg
1 oz = ? mL ANS✔✔ 30 mL
1 tsp = ? mL ANS✔✔ 5 mL
1 kg = ? lbs ANS✔✔ 2.2 lbs
, Solution 2024/2025
Pepper
Complications of IV Fluid Therapy ANS✔✔ o Infiltration
o Extravasation
Normal value of sodium ANS✔✔ 136-145
Normal value of chloride ANS✔✔ 98-106
Normal value of Bicarbonate ANS✔✔ 22-38
Normal value of Calcium ANS✔✔ 9 - 10.5
Normal value of Potassium ANS✔✔ 3.5 - 5
Normal value of Phosphorus ANS✔✔ 3 - 4.5
Normal value of Magnesium ANS✔✔ 1.8 - 2.6
Manifestations of FVE ANS✔✔ Cardiovascular Changes
● ↑ pulse (bounding pulse)
● Elevated BP
● Distended neck veins
● Elevated central venous pressure
● Weight gain
Respiratory Changes
, Solution 2024/2025
Pepper
● ↑ RR
● Shallow respirations
● Shortness of breath
● Moist crackles present on auscultation
Skin and Mucous Membrane Changes
● Pitting Edema
● Skin pale and cool
Neuromuscular Changes
● AMS
● Headache
Kidney
● Low specific gravity
● Decreased BUN level (indicates artificial dilution)
Manifestations of FVD in INFANTS? ANS✔✔ Dehydration
▪ Dry mouth + Tongue
▪ Lack of tears when crying
▪ No wet diapers for 3 hrs.
▪ Sunken eyes and cheeks
▪ Sunken fontanels
▪ Listlessness
▪ Irritability
Manifestations of FVD ANS✔✔ Cardiovascular changes
, Solution 2024/2025
Pepper
● HR increase
● Weak pulses
● BP decreases
● Orthostatic
● Flat veins
Respiratory changes
● Increased RR
Skin Changes
● Poor skin turgor
● Dry/scaly skin
● Dry mucous membranes
Neurologic Changes
● low-grade fever
Kidney Changes
● High specific gravity (usually <1.030)
● Dark amber urine
● Strong odor urine
● Weight loss
Interventions for FVD - stable and unstable patient ANS✔✔ o Push fluids and
manage symptoms
o IVF for those who are moderate to severe deficit or those who cannot take
anything orally
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