NU 311 FINAL EXAM QUESTIONS
AND ANSWERS (LATEST)
Which vaccination is recommended for health care providers to
reduce the risk of disease from exposure to bloodborne pathogens?
A. Hepatitis B
B. Influenza
C. Pertussis
D. Tetanus - ANSWERS-A. Hep B
Rationale: Hepatitis B is transmitted through direct and indirect
contact with blood- and serum-derived fluids. Pertussis has a
respiratory transmission through droplets. Tetanus typically enters the
body through a wound contaminated with soil or feces, and influenza
has a respiratory transmission.
Primary and secondary continuous administration sets used to
administer solutions other than lipid, blood, or blood products should
be changed no more often than every 96 hours
A. True
B> False - ANSWERS-A. true
The commonly used OTN catheter includes - ANSWERS-1. a metal
sylet to pierce the skin
,2. a catheter made of silicon, polyurethane, ploy chloride, teflon that
remains in vein
Recommendations for short peripheral catheter selection -
ANSWERS-14, 16, 18 gauge: used in trauma, surgery, rapid blood
transfusions, rapid fluid replacement
20 gauge: continuous or intermittent infusions in adults, blood
transfusions
22-24gauge: continuous or intermittent infusions in adults,
neonates,elderly; admision of blood or blood product in adults,
children, elderly
principles for selecting a vein - ANSWERS--use most distal site
-nondominant arm if possible
-select large, soft, spongy/bouncy vein
-Avoid: areas with pain, infection, or wound
-Avoid: arm with paralysis (previous CVA), mastectomy, or dialysis
graft
-Avoid flexion sites: antecubital and wrist
,-Avoid: bruised areas, hardened veins, or areas with viable venous
valves
principles for fostering venous distention - ANSWERS--stoke vein
from distal to proximal
-apply warmth to vasodilate
-place extremity in dependent position
IV check off - ANSWERS--review check off-
when preparing an IV, why do you prime the saline lock? -
ANSWERS-to remove air so it doesnt enter the patient
How far above the select in site should you apply the tourniquet? -
ANSWERS-4-6 inches above site
What should be done after applying tourniquet - ANSWERS-ASSESS
RADIAL PULSE!!!
while performing the venipuncture, what should you remember to do?
- ANSWERS--anchor the vein w/o touching cleansed site
-inserts ONC with bevel up at 10-30 degree angle directly parallel to
the vein
, After venipuncture when you observe for blood return, how far do
you advance the needle? - ANSWERS-1/8-1/4 inch
When advancing catheter to the hub, what should you make sure you
dont do? - ANSWERS-advance needle/stylet with it
when should you release the tourniquet? - ANSWERS--after
advancing the catheter and before attaching the saline lock
After aspirating for blood return and flushing the line, what are you
observing the vein for? - ANSWERS-swelling
how to apply the transparent dressing - ANSWERS-up to the hub
(leave connection below the insertion site uncovered)
How do you label the edge of the dressin? - ANSWERS-on a piece of
tape with your initials, gauge, time
What do you document after insertion of a saline lock? - ANSWERS-
site of insertion; size, type, legnth of catheter; number of attempts; If
IV fluids are running
What do you teach the pt about an IV? - ANSWERS--s/s of phlebitis,
inflammation, infiltration
AND ANSWERS (LATEST)
Which vaccination is recommended for health care providers to
reduce the risk of disease from exposure to bloodborne pathogens?
A. Hepatitis B
B. Influenza
C. Pertussis
D. Tetanus - ANSWERS-A. Hep B
Rationale: Hepatitis B is transmitted through direct and indirect
contact with blood- and serum-derived fluids. Pertussis has a
respiratory transmission through droplets. Tetanus typically enters the
body through a wound contaminated with soil or feces, and influenza
has a respiratory transmission.
Primary and secondary continuous administration sets used to
administer solutions other than lipid, blood, or blood products should
be changed no more often than every 96 hours
A. True
B> False - ANSWERS-A. true
The commonly used OTN catheter includes - ANSWERS-1. a metal
sylet to pierce the skin
,2. a catheter made of silicon, polyurethane, ploy chloride, teflon that
remains in vein
Recommendations for short peripheral catheter selection -
ANSWERS-14, 16, 18 gauge: used in trauma, surgery, rapid blood
transfusions, rapid fluid replacement
20 gauge: continuous or intermittent infusions in adults, blood
transfusions
22-24gauge: continuous or intermittent infusions in adults,
neonates,elderly; admision of blood or blood product in adults,
children, elderly
principles for selecting a vein - ANSWERS--use most distal site
-nondominant arm if possible
-select large, soft, spongy/bouncy vein
-Avoid: areas with pain, infection, or wound
-Avoid: arm with paralysis (previous CVA), mastectomy, or dialysis
graft
-Avoid flexion sites: antecubital and wrist
,-Avoid: bruised areas, hardened veins, or areas with viable venous
valves
principles for fostering venous distention - ANSWERS--stoke vein
from distal to proximal
-apply warmth to vasodilate
-place extremity in dependent position
IV check off - ANSWERS--review check off-
when preparing an IV, why do you prime the saline lock? -
ANSWERS-to remove air so it doesnt enter the patient
How far above the select in site should you apply the tourniquet? -
ANSWERS-4-6 inches above site
What should be done after applying tourniquet - ANSWERS-ASSESS
RADIAL PULSE!!!
while performing the venipuncture, what should you remember to do?
- ANSWERS--anchor the vein w/o touching cleansed site
-inserts ONC with bevel up at 10-30 degree angle directly parallel to
the vein
, After venipuncture when you observe for blood return, how far do
you advance the needle? - ANSWERS-1/8-1/4 inch
When advancing catheter to the hub, what should you make sure you
dont do? - ANSWERS-advance needle/stylet with it
when should you release the tourniquet? - ANSWERS--after
advancing the catheter and before attaching the saline lock
After aspirating for blood return and flushing the line, what are you
observing the vein for? - ANSWERS-swelling
how to apply the transparent dressing - ANSWERS-up to the hub
(leave connection below the insertion site uncovered)
How do you label the edge of the dressin? - ANSWERS-on a piece of
tape with your initials, gauge, time
What do you document after insertion of a saline lock? - ANSWERS-
site of insertion; size, type, legnth of catheter; number of attempts; If
IV fluids are running
What do you teach the pt about an IV? - ANSWERS--s/s of phlebitis,
inflammation, infiltration
