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Lab Exam NUR 172/Questions With Answers
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Lab Exam NUR 172/Questions With Answersphelibitis - - inflammation of the vein form devices pain, edema warmth and redness, stop
and sart on another extremeity, wrap and raise in warm towel for 20 min
- When a client had a right mastectomy where do you want to start an IV? - - In the distal
area of the upper left extremity
- When inserting a needle for an IV site what angle do you insert it into the skin? - - 10-15
degrees
- The nurse is initiating a continuous intravenous (IV) infusion. Place in order the steps the
nurse will take
1. Carefully observe IV fluid move through the tubing until no air remains.
2. Close the roller clamp on the IV tubing.
3. Replace the end cap on the end of the IV tubing.
4. Spike the new bag of IV fluid and hang it on the IV pole.
5. Open the roller clamp on the IV tubing.
6. Squeeze the drop chamber and allow it to fill halfway. - - 2, 4, 6, 1, 5
- The nurse, who is monitoring the IV site of a client receiving peripheral venous fluid
therapy, checks for bleeding at the site. The nurse understands that bleeding at an IV site is
most likely to occur at which time? - - When the IV is discontinued
- The nurse knows that monitoring the infusion rate and IV site is a nursing responsibility.
When does the nurse routinely monitor client IVs? - - the beginning of the work shift
- While assessing a client receiving peripheral IV therapy as part of the treatment plan for
hypovolemia, the nurse suspects that the client is experiencing fluid overload based on
which finding? - - Shortness of breath
- While assessing the IV site of a client who has had abdominal surgery, the nurse suspects
infiltration. Which finding would help support the nurse's suspicions? - - Pallor
- When monitoring the peripheral access IV sites of various clients receiving IV therapy,
the nurse would assess closely for which finding as the most common complication related
to IV therapy? - - Phelibitis
- How does the nurse know what size IV to initiate? - - Location, age size of patient, quality
of veins, FVD (Fluid volume deficit)
- What does the gauge mean when discussing an IV catheter? - - Size of the needle in
diameter
, - What should you do when you have an IV saline lock that wont flush? - - Assess for kinks,
re-taping, check for bubbles
- What do you do when an IV site is red and inflamed? - - Take it out and call provider.
- What is a systemic manifestations of IV infection ? - - Infection
- What are signs of IV infiltration? - - Swelling, cold to touch, pallor, painful, redness
- IV fluid overload s/s - - Sob, restlessness, jugular distension
- A secondary line is hung where compared to the first line? - - HIGHER
- Volumetric pumps infuse fluids into the vein by what? - - Pressure
- What does PCA stand for ? - - patient controlled analgesia
- An IV initiated in a client's lower arm is called what type of line? - - Peripheral IV
- Isotonic solution - - A solution in which the concentration of solutes is essentially equal
to that of the cell which resides in the solution
- Hypotonic solution - - A solution in which the concentration of solutes is less than that of
the cell that resides in the solution
- Hypertonic solution - - A solution in which the concentration of solutes is greater than
that of the cell that resides in the solution
- Pink top tube - - Tests: TSR (Type and antibody screen) Cross-match
Laboratory: Blood Bank
- Blood cultures - - Used to detect bacteria or fungi in the blood, (2 different sites, 30
minutes apart)
- Gray top tube - - Fasting blood sugar, Glucose tolerance test, blood alcohol levels, lactic
acid measurement. Contains additives and anticoagulants.
- Gold top tube - - Stopper, Serum separator tubes, Bilirubin, Electrolytes, BMP, CMP
(Liver)
- Green/ Mint top - - Stopper (Herapin) STAT, Plasma, CMP, chemistry, ammonia,
electrolytes, ABG's, HGB-A1C, Lipase, Cardiac enzymes - Troponin
- Light blue top - - Stopper - Na citrate, PT, PTT, D-Dimer, Fibrinogen
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