Nur 172 Exam 2 Hondros With Correct Answers
patient admitted with transmission-based precautions what is the minimum PPI needed to be
worn in this room? - ANSWER Gloves and Gown
isotonic solution - ANSWER A solution in which the concentration of solutes is essentially
equal to that of the cell which resides in the solution
hypertonic solution - ANSWER A solution in which the concentration of solutes is greater than
that of the cell that resides in the solution
hypotonic solution - ANSWER A solution in which the concentration of solutes is less than
that of the cell that resides in the solution
Heparin antidote - ANSWER protamine sulfate
INR - ANSWER International Normalized Ratio - a calculation based on the PT used to
monitor patients using blood thinners. 2.0-3.0 is the range for people taking
warfarin:Coumadin
Causes of hematoma - ANSWER poor venipuncture technique, flow clamp left open,
tourniquet left on to long, cannula to large, digging into vein
Signs of hematoma - ANSWER Ecchymosis, immediate swelling at the site & discomfort,
leakage of blood at the insertion site- unable to advance cannula
Phlebitis - ANSWER inflammation of the inner lining of a vein
thrombophlebitis - ANSWER inflammation of a vein associated with a clot formation
bacterial phlebitis is caused by - ANSWER Poor hand hygiene, lack of aseptic technique,
failure to check equipment, or recognize early signs of phlebitis
Often occurs during insertion
Phlebitis Scale - ANSWER 0 = No symptoms
1 = Erythema at access site with or without pain
2 = Pain at access site with erythema and/or edema
3 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord
4 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord
, >1 inch in length, and purulent drainage
erythema - ANSWER redness of the skin
Infiltration - ANSWER admission of a non-vesicant med or solution into the surrounding
tissue
Extravasation - ANSWER admission of a vesicant into surrounding tissue
CVAD - ANSWER central vascular access device or indwelling line
treatment of thrombophlebitis - ANSWER complete bed rest
avoid massage
heat and elevation promote venous return
anticoagulant therapy
treatment of phlebitis - ANSWER remove catheter, warm compress, elevate extremity, apply
analgesic or anti-inflammatory PRN
active immunity - ANSWER immunity produced by exposure to an antigen, as a result of the
immune response
pt has a saline lock in place but it is not being used, what should be done? - ANSWER call MD
to verify it can be removed
which medication is most commonly used to clean an occlusion caused by a blood clot -
ANSWER Activase- Alterplace
Systemic complications of IV therapy - ANSWER Circulatory overload
Speed shock
Septicemia
Allergic reaction
Catheter embolism
Air embolism
BSI
what set would vancomyacin IVPB be given in - ANSWER secondary administration set
Circulatory overload is a concern for which patient - ANSWER Patients with elevated BUN and
patient admitted with transmission-based precautions what is the minimum PPI needed to be
worn in this room? - ANSWER Gloves and Gown
isotonic solution - ANSWER A solution in which the concentration of solutes is essentially
equal to that of the cell which resides in the solution
hypertonic solution - ANSWER A solution in which the concentration of solutes is greater than
that of the cell that resides in the solution
hypotonic solution - ANSWER A solution in which the concentration of solutes is less than
that of the cell that resides in the solution
Heparin antidote - ANSWER protamine sulfate
INR - ANSWER International Normalized Ratio - a calculation based on the PT used to
monitor patients using blood thinners. 2.0-3.0 is the range for people taking
warfarin:Coumadin
Causes of hematoma - ANSWER poor venipuncture technique, flow clamp left open,
tourniquet left on to long, cannula to large, digging into vein
Signs of hematoma - ANSWER Ecchymosis, immediate swelling at the site & discomfort,
leakage of blood at the insertion site- unable to advance cannula
Phlebitis - ANSWER inflammation of the inner lining of a vein
thrombophlebitis - ANSWER inflammation of a vein associated with a clot formation
bacterial phlebitis is caused by - ANSWER Poor hand hygiene, lack of aseptic technique,
failure to check equipment, or recognize early signs of phlebitis
Often occurs during insertion
Phlebitis Scale - ANSWER 0 = No symptoms
1 = Erythema at access site with or without pain
2 = Pain at access site with erythema and/or edema
3 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord
4 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord
, >1 inch in length, and purulent drainage
erythema - ANSWER redness of the skin
Infiltration - ANSWER admission of a non-vesicant med or solution into the surrounding
tissue
Extravasation - ANSWER admission of a vesicant into surrounding tissue
CVAD - ANSWER central vascular access device or indwelling line
treatment of thrombophlebitis - ANSWER complete bed rest
avoid massage
heat and elevation promote venous return
anticoagulant therapy
treatment of phlebitis - ANSWER remove catheter, warm compress, elevate extremity, apply
analgesic or anti-inflammatory PRN
active immunity - ANSWER immunity produced by exposure to an antigen, as a result of the
immune response
pt has a saline lock in place but it is not being used, what should be done? - ANSWER call MD
to verify it can be removed
which medication is most commonly used to clean an occlusion caused by a blood clot -
ANSWER Activase- Alterplace
Systemic complications of IV therapy - ANSWER Circulatory overload
Speed shock
Septicemia
Allergic reaction
Catheter embolism
Air embolism
BSI
what set would vancomyacin IVPB be given in - ANSWER secondary administration set
Circulatory overload is a concern for which patient - ANSWER Patients with elevated BUN and
