NUR 336 FINAL EXAM QUESTIONS
AND CORRECT ANSWERS (VERIFIED
ANSWERS); A GRADE
An ileostomy puts a client at risk for what? - correct answer-
fluid and electrolyte imbalances
Assessment of PIV & possible complications - correct
answer- -Inspect: redness, swelling, streaking, or drainage
-Palpate: area around site and along vein for any pain, firmness,
swelling, or blanching, note skin temperature
-Educate client to report changes at site
-PIV usually replaced every 72 to 96 hours
-Populations at risk for infection: pediatrics, clients receiving
hypertonic, acidic, irritating fluids, or clients who have fragile
veins
-Phlebitis: characterized by pain, increased skin temp, and
redness along vein
-Infiltration: characterized by edema, pallor, decreased skin
temp around site, pain
-Extravasation: pain, stinging, burning, swelling, redness at site
,Basics to preparing a sterile field - correct answer- On
clean and dry surface, inspect integrity and expiration date
Open first flap away from you, maintain 1 inch borders
Drop items in 6 inches above sterile field
Describe assisting another member with sterile gowning -
correct answer- -Lift gown from inside just below
neckline
-Keep hands on outside cuff of neck and shoulder areas,
assistant opens gown for surgical team member to insert arms
-Insert hands to seam of inside cuff
-Non Sterile assistant reaches inside gown at shoulder level and
pulls gown over shoulders and secures ties (also assists with
wraparound)
Describe independent surgical gowning - correct answer-
-Sterile gown on sterile field (folded inside out)
-Lift gown from inside just below neckline
-Step back from field, letting gown unfold away from body
-Work arms into sleeves holding hands and arms up
-Insert hands to seam of inside cuff
, -Assistant or circulating nurse reaches inside gown at shoulder
level and pulls gown over shoulders and secures ties (also assists
with wraparound)
Describe primary tubing and its components - correct
answer- -Available with either micro- or macrodrip tubing
and may have inline filters, stopcocks, access ports, and shut off
clamps
-Components: spike, drip chamber, roller clamp, syringe tip,
locking collar, medication ports
-Distal end: male adapter that is connected to hub of IV catheter
Describe secondary tubing - correct answer- Short piece
of plastic tubing that connects to primary IV tubing for
administering medication
Describe skin complications from ostomies - correct answer-
May be itchy, burning, or painful
Describe some indications for an ostomy - correct answer-
-Congenital abnormalities
-Bladder, colon, and rectal cancer
-IBD, Crohn's, UC
AND CORRECT ANSWERS (VERIFIED
ANSWERS); A GRADE
An ileostomy puts a client at risk for what? - correct answer-
fluid and electrolyte imbalances
Assessment of PIV & possible complications - correct
answer- -Inspect: redness, swelling, streaking, or drainage
-Palpate: area around site and along vein for any pain, firmness,
swelling, or blanching, note skin temperature
-Educate client to report changes at site
-PIV usually replaced every 72 to 96 hours
-Populations at risk for infection: pediatrics, clients receiving
hypertonic, acidic, irritating fluids, or clients who have fragile
veins
-Phlebitis: characterized by pain, increased skin temp, and
redness along vein
-Infiltration: characterized by edema, pallor, decreased skin
temp around site, pain
-Extravasation: pain, stinging, burning, swelling, redness at site
,Basics to preparing a sterile field - correct answer- On
clean and dry surface, inspect integrity and expiration date
Open first flap away from you, maintain 1 inch borders
Drop items in 6 inches above sterile field
Describe assisting another member with sterile gowning -
correct answer- -Lift gown from inside just below
neckline
-Keep hands on outside cuff of neck and shoulder areas,
assistant opens gown for surgical team member to insert arms
-Insert hands to seam of inside cuff
-Non Sterile assistant reaches inside gown at shoulder level and
pulls gown over shoulders and secures ties (also assists with
wraparound)
Describe independent surgical gowning - correct answer-
-Sterile gown on sterile field (folded inside out)
-Lift gown from inside just below neckline
-Step back from field, letting gown unfold away from body
-Work arms into sleeves holding hands and arms up
-Insert hands to seam of inside cuff
, -Assistant or circulating nurse reaches inside gown at shoulder
level and pulls gown over shoulders and secures ties (also assists
with wraparound)
Describe primary tubing and its components - correct
answer- -Available with either micro- or macrodrip tubing
and may have inline filters, stopcocks, access ports, and shut off
clamps
-Components: spike, drip chamber, roller clamp, syringe tip,
locking collar, medication ports
-Distal end: male adapter that is connected to hub of IV catheter
Describe secondary tubing - correct answer- Short piece
of plastic tubing that connects to primary IV tubing for
administering medication
Describe skin complications from ostomies - correct answer-
May be itchy, burning, or painful
Describe some indications for an ostomy - correct answer-
-Congenital abnormalities
-Bladder, colon, and rectal cancer
-IBD, Crohn's, UC
