What should you do in the event of IV infiltration?
- discontinue and remove IV
- elevate and apply compresses
- document
The healthcare provider prescribes and IV fluid bolus for a client who was admitted two
hours ago to the ICU because of adrenal crisis. The client is confused and uncooperative.
The nurse has attempted two times to obtain IV access without success. Which
intervention should the nurse implement first?
, Ask another nurse to attempt insertion of IV
A patient receiving TPN suddenly develops hypokalemia, shallow respirations, confusion
and weakness. What might be occurring?
Key word: TPN--> refeeding syndrome
Port-a-cath
a catheter with a port intended for long term IV use that tunnels
subcutaneously for quick access
- requires diluted heparin flushing
Hypopituitarism
, condition of diminished hormone secretion from the anterior pituitary gland
- low TSH, ACTH, LH, FSH
Cross contamination vs. auto-contamination
- cross contamination involves transfer of microbes from person to person
while auto contamination is transfer of microbes from one site of the body to
another
- to prevent cross--> wash hands, isolation
- to prevent auto--> apply new sterile gloves per dressing, dress each wound
separately, debride
A client in the ED is being evaluated for chest pain that is localized at the sternal border
and intensifies with palpation. The nurse expects the HCP to prescribe which therapy
first?
Give this one a try later!
Ibuprofen (Advil)
- the findings indicate that there is costochondritis, not an MI or ACS
Sites in which IV insertion is incompatible:
Give this one a try later!
, - weak, traumatized or paralyzed extremities
- edema
- fistula
- mastectomy
- infection
The nurse suspects that a client with ESKD has developed uremic syndrome. What did
the nurse assess to support this clinical determination?
Give this one a try later!
pericardial friction rub; increased bleeding; hepatic encephalopathy, asterixis,
peripheral neuroapthy
PAWP
Give this one a try later!
- reflects the left atrial left ventricular EDVs
- normal: 8-10
- elevated could mean LVF
- lowers with dehydration
A male client with an implanted cardioverter/defibrillator reports to the home health
nurse that he feels dizzy when the device discharges. What intervention is most
important for the nurse to implement?
- discontinue and remove IV
- elevate and apply compresses
- document
The healthcare provider prescribes and IV fluid bolus for a client who was admitted two
hours ago to the ICU because of adrenal crisis. The client is confused and uncooperative.
The nurse has attempted two times to obtain IV access without success. Which
intervention should the nurse implement first?
, Ask another nurse to attempt insertion of IV
A patient receiving TPN suddenly develops hypokalemia, shallow respirations, confusion
and weakness. What might be occurring?
Key word: TPN--> refeeding syndrome
Port-a-cath
a catheter with a port intended for long term IV use that tunnels
subcutaneously for quick access
- requires diluted heparin flushing
Hypopituitarism
, condition of diminished hormone secretion from the anterior pituitary gland
- low TSH, ACTH, LH, FSH
Cross contamination vs. auto-contamination
- cross contamination involves transfer of microbes from person to person
while auto contamination is transfer of microbes from one site of the body to
another
- to prevent cross--> wash hands, isolation
- to prevent auto--> apply new sterile gloves per dressing, dress each wound
separately, debride
A client in the ED is being evaluated for chest pain that is localized at the sternal border
and intensifies with palpation. The nurse expects the HCP to prescribe which therapy
first?
Give this one a try later!
Ibuprofen (Advil)
- the findings indicate that there is costochondritis, not an MI or ACS
Sites in which IV insertion is incompatible:
Give this one a try later!
, - weak, traumatized or paralyzed extremities
- edema
- fistula
- mastectomy
- infection
The nurse suspects that a client with ESKD has developed uremic syndrome. What did
the nurse assess to support this clinical determination?
Give this one a try later!
pericardial friction rub; increased bleeding; hepatic encephalopathy, asterixis,
peripheral neuroapthy
PAWP
Give this one a try later!
- reflects the left atrial left ventricular EDVs
- normal: 8-10
- elevated could mean LVF
- lowers with dehydration
A male client with an implanted cardioverter/defibrillator reports to the home health
nurse that he feels dizzy when the device discharges. What intervention is most
important for the nurse to implement?
