NUR172
NurFINAL EXAM
172 final exam -periodddddd.
QUESTIONS AND ANSWERS
What are the steps and concerns when D/C a
PIV?
Apply pressure after you remove needle,
cath.
Always worry about infection, monitor for
infection (phlebitis), ect…
How do you prioritize what patient to see first?
A (airway) b (breathing) c (circulatory)
Chest pain before asthma patient
Know your scope of practice
Cannot hang blood
Hang 1st bag of iso, hypo and hypertonic,
regular IV solution.
Can hang 2nd bag of electrolytes and
vitamins
Any 1st bag of antibiotics
No more than 3 inches
Antecub and below
, Pca and blood you cannot initiate but you
can monitor S/S and stop both after 15
mins. The first 15 is the RN that monitor
them.
For kids you can do everything but put a IV
in them such as suppository, injections, give
meds, draw blood, take specimen.
IV complications and interventions
Hematoma= (bruise) pressure-ice-elevate
Infiltration=remove(d/c) IV-elevate
Extravasation=call pharmacy for antidote-
do not elevate-leave IV in
Phlebitis=red, warm, redline-remove IV-use
warmth-still monitor patient for phlebitis.
I&O with recommendation of what the patient
needs (more or less)
If output is more than input, you might
recommend to the doctor that they need
, more fluid. (increase fluid) due to
dehydration.
If input, is greater than output, give diuretic
Albumin administration and your assessment
3 percentages of albumin ( 5%
(isotonic)20% and 25% (hypertonic)
It’s a volume expander
Assessment is fluid overload (FVE)so for
you have to listen to lungs, short of breath,
pulmonary edema, hypertension, crackles
in lungs
AHTR
Acute hemolytic transfusion reaction
s/s are: fever-tachycardia-chest pain-
back/flank pain-hypotension-chills-
dark/brick urine
isotonic, hypotonic, hypertonic solutions
Isotonic= goes in vascular fluids and stays
there. So lactate ringers (L/R), 0.9 solutions,
NurFINAL EXAM
172 final exam -periodddddd.
QUESTIONS AND ANSWERS
What are the steps and concerns when D/C a
PIV?
Apply pressure after you remove needle,
cath.
Always worry about infection, monitor for
infection (phlebitis), ect…
How do you prioritize what patient to see first?
A (airway) b (breathing) c (circulatory)
Chest pain before asthma patient
Know your scope of practice
Cannot hang blood
Hang 1st bag of iso, hypo and hypertonic,
regular IV solution.
Can hang 2nd bag of electrolytes and
vitamins
Any 1st bag of antibiotics
No more than 3 inches
Antecub and below
, Pca and blood you cannot initiate but you
can monitor S/S and stop both after 15
mins. The first 15 is the RN that monitor
them.
For kids you can do everything but put a IV
in them such as suppository, injections, give
meds, draw blood, take specimen.
IV complications and interventions
Hematoma= (bruise) pressure-ice-elevate
Infiltration=remove(d/c) IV-elevate
Extravasation=call pharmacy for antidote-
do not elevate-leave IV in
Phlebitis=red, warm, redline-remove IV-use
warmth-still monitor patient for phlebitis.
I&O with recommendation of what the patient
needs (more or less)
If output is more than input, you might
recommend to the doctor that they need
, more fluid. (increase fluid) due to
dehydration.
If input, is greater than output, give diuretic
Albumin administration and your assessment
3 percentages of albumin ( 5%
(isotonic)20% and 25% (hypertonic)
It’s a volume expander
Assessment is fluid overload (FVE)so for
you have to listen to lungs, short of breath,
pulmonary edema, hypertension, crackles
in lungs
AHTR
Acute hemolytic transfusion reaction
s/s are: fever-tachycardia-chest pain-
back/flank pain-hypotension-chills-
dark/brick urine
isotonic, hypotonic, hypertonic solutions
Isotonic= goes in vascular fluids and stays
there. So lactate ringers (L/R), 0.9 solutions,
