Nur 172 Exam 2 QUESTIONS AND
CORRECT ANSWERS
Patient admitted with transmission-based precautions what is the minimum PPI needed to be
worn in this room? - CORRECT ANSWER Gloves and Gown
Isotonic solution - CORRECT ANSWER A solution in which the concentration of
solutes is essentially equal to that of the cell which resides in the solution
Hypertonic solution - CORRECT ANSWER A solution in which the concentration of
solutes is greater than that of the cell that resides in the solution
Hypotonic solution - CORRECT ANSWER A solution in which the concentration of
solutes is less than that of the cell that resides in the solution
Heparin antidote - CORRECT ANSWER protamine sulfate
INR - CORRECT 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
Causes of hematoma - CORRECT ANSWER poor venipuncture technique, flow clamp
left open, tourniquet left on to long, cannula to large, digging into vein
Signs of hematoma - CORRECT ANSWER Ecchymosis, immediate swelling at the site
& discomfort, leakage of blood at the insertion site- unable to advance cannula
Phlebitis - CORRECT ANSWER inflammation of the inner lining of a vein
Thrombophlebitis - CORRECT ANSWER inflammation of a vein associated with a
clot formation
, Bacterial phlebitis is caused by - CORRECT ANSWER Poor hand hygiene, lack of
aseptic technique, failure to check equipment, or recognize early signs of phlebitis
Often occurs during insertion
Phlebitis Scale - CORRECT ANSWER 0 = No symptoms
1 = Erythema at access site with or without pain
2 = Pain at access site with erythema and/or edema
3 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord
4 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord
>1 inch in length, and purulent drainage
Erythema - CORRECT ANSWER redness of the skin
Infiltration - CORRECT ANSWER admission of a non-vesicant med or solution into
the surrounding tissue
Extravasation - CORRECT ANSWER admission of a vesicant into surrounding tissue
CVAD - CORRECT ANSWER central vascular access device or indwelling line
Treatment of thrombophlebitis - CORRECT ANSWER complete bed rest
Avoid massage
Heat and elevation promote venous return
Anticoagulant therapy
Treatment of phlebitis - CORRECT ANSWER remove catheter, warm compress,
elevate extremity, apply analgesic or anti-inflammatory PRN
CORRECT ANSWERS
Patient admitted with transmission-based precautions what is the minimum PPI needed to be
worn in this room? - CORRECT ANSWER Gloves and Gown
Isotonic solution - CORRECT ANSWER A solution in which the concentration of
solutes is essentially equal to that of the cell which resides in the solution
Hypertonic solution - CORRECT ANSWER A solution in which the concentration of
solutes is greater than that of the cell that resides in the solution
Hypotonic solution - CORRECT ANSWER A solution in which the concentration of
solutes is less than that of the cell that resides in the solution
Heparin antidote - CORRECT ANSWER protamine sulfate
INR - CORRECT 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
Causes of hematoma - CORRECT ANSWER poor venipuncture technique, flow clamp
left open, tourniquet left on to long, cannula to large, digging into vein
Signs of hematoma - CORRECT ANSWER Ecchymosis, immediate swelling at the site
& discomfort, leakage of blood at the insertion site- unable to advance cannula
Phlebitis - CORRECT ANSWER inflammation of the inner lining of a vein
Thrombophlebitis - CORRECT ANSWER inflammation of a vein associated with a
clot formation
, Bacterial phlebitis is caused by - CORRECT ANSWER Poor hand hygiene, lack of
aseptic technique, failure to check equipment, or recognize early signs of phlebitis
Often occurs during insertion
Phlebitis Scale - CORRECT ANSWER 0 = No symptoms
1 = Erythema at access site with or without pain
2 = Pain at access site with erythema and/or edema
3 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord
4 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord
>1 inch in length, and purulent drainage
Erythema - CORRECT ANSWER redness of the skin
Infiltration - CORRECT ANSWER admission of a non-vesicant med or solution into
the surrounding tissue
Extravasation - CORRECT ANSWER admission of a vesicant into surrounding tissue
CVAD - CORRECT ANSWER central vascular access device or indwelling line
Treatment of thrombophlebitis - CORRECT ANSWER complete bed rest
Avoid massage
Heat and elevation promote venous return
Anticoagulant therapy
Treatment of phlebitis - CORRECT ANSWER remove catheter, warm compress,
elevate extremity, apply analgesic or anti-inflammatory PRN
