Verified Questions & Detailed Rationales
The nurse is caring for a patient receiving IV Vancomycin and the IV pump
keeps alarming "nonfunctional", then pump clears and is reset. What
action should the LPN take? - VERIFIED ANSWER - remove the pump from
service and return it to the biomedical engineering department
A nurse is caring for a patient who is receiving an isotonic solution in a
plastic container. What statement by the LPN indicated the need for
further teaching? - VERIFIED ANSWER - a plastic container is not easily
punctured
The nurse is assessing the patient peripheral IV site and notices that the
site has redness, is warm to the touch, is swollen, and the infusion rate
has slowed. What is the first action that the nurse would take? - VERIFIED
ANSWER - remove the IV catheter
The nurse enters the room to assess the patients peripheral IV site. She
finds that the skin is cool at the site, skin is taunt, and there is edema
around the IV site. The nurse knows the patient is experiencing which
complication? - VERIFIED ANSWER - infiltration
,The nurse is working with a new LPN and it is suspected that the patient
has a BSI. Which action by the new LPN regarding a BSI would indicate a
need for further teaching? - VERIFIED ANSWER - remove the IV catheter
and discard it in the biohazard bag
The nursing is working with the new LPN. What statement by the new LPN
regarding blood circulatory overload would indicate a need for further
teaching? - VERIFIED ANSWER - circulatory overload is not a concern for a
patient with an elevated BUN and creatinine level
The nurse knows that local complications are which of the following? -
VERIFIED ANSWER - - Phlebitis
- Hematoma
- extravasation
Which statement by the LPN indicates a further need for teaching? -
VERIFIED ANSWER - a sharpie marker may be used to write the date and
time of infusion directly on a flexible plastic container
,A patient has just received a new PICC line. What statement made by the
LPN, who is taking to another nurse about PICC lines, indicates a need for
further teaching? - VERIFIED ANSWER - any RN can insert a PICC line if
ordered
A patient is to receive Vancomycin IVPB and the patient already has an IV
infusing of NS 100mL/hr. What administration set would the nurse choose
for the Vancomycin IVPB? - VERIFIED ANSWER - secondary administration
set
The patient receives education on an ambulatory IV pump. What comment
would show that the patient needs further teaching? - VERIFIED ANSWER -
I do not have to worry about plugging this pump in
Select the appropriate use of a 3-way stopcock to aid in administration of
IV infusion? - VERIFIED ANSWER - used when two compatible fluids are to
be infused into one IV site
What are the reasons that you as a nurse are concerned with preventing
healthcare acquired infections? - VERIFIED ANSWER - - healthcare
institutions are often not reimbursed for hospital acquired infections
- can be life threatening
- there is a NPSG concerning infection prevention
, What actions will the nurse take to prevent infiltration/extravasation? -
VERIFIED ANSWER - - instruct the patient to immediately report pain,
burning, or swelling at the IV site
- do not attempt a peripheral IV more that two times per nurse
- do not place a peripheral IV over a joint
How does Chloroprep dry? - VERIFIED ANSWER - air dry- DO NOT FAN OR
BLOW DRY
If a patient had jugular vein distention, difficulty breathing, 3-lb weight
gain in 24 hours, and generalized edema, what nursing interventions
would you carry out in the state of Ohio as an LPN? - VERIFIED ANSWER - -
daily weights
- restrict oral intake
- position patient in semi-fowlers
- check lunch sounds for crackles
What action would show an understanding by the LPN of a sterile
technique? - VERIFIED ANSWER - - the LPN only touches sterile objects to
other sterile objects