NUR 172 FINAL EXAM 2022/2023
NUR 172 FINAL EXAM 2022/2023
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
,NUR 172 FINAL EXAM 2022/2023
• 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
, NUR 172 FINAL EXAM 2022/2023
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,
NUR 172 FINAL EXAM 2022/2023
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
,NUR 172 FINAL EXAM 2022/2023
• 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
, NUR 172 FINAL EXAM 2022/2023
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,
