Practice Lab II - Test 2 (Weeks 8-11)
Tracheostomy can be described as? - ANS-An artificial Airway, created surgically and
may or may not be short/long term
What are the 5 main questions patients should ask you about their medication? -
ANS-Changes
continue
Proper use
Monitor
Follow up
Phlebitis? - ANS-inflammation of a vein
A proton pump inhibitor deprescribing should be attempted at least once every: - ANS-1
year
How many Canadians over the age of 65 take at least 5 different prescription
medications? - ANS-66%
What does every Nurse need to have before dispensing any medication? -
ANS-competence
Safety
Authority
What are the 8 rights of drug administration? - ANS-Right patient
Right medication
Right Dose
Right Route
Right time/Date
Right Frequency
,Right Reason
Right Site
*And then document*
When do the 3 checks happen when giving meds? - ANS-Check 1 - check 8 rights w/
MAR after locating the medication
Check 2 - Check 8 rights when pouring/ preparing
Check 3 - check 8 rights prior to administration
Saline Lock? - ANS-an intravenous catheter inserted into a vein and left in place for the
intermittent administration of medication through its port or as an open line for
emergency situations and intermittently flushed with normal saline solution to maintain
patency
Potential complications of saline locks? - ANS-Incorrect flow rate ca result in:
- hypervolemia
- Hypovolemia
- Inadeguate med administration
Health Teaching for IV's? - ANS-Avoid sudden twisting or turning
Avoid stretching of placing tension on the iv or tubing
Notify nurse if there is a change in flow rate/ stops/ blood in tubing/ discomfort/ swelling
10 rights of drug administration include; - ANS-Right Drug
Right Patient
Right Dose
Right Route
Right Time/ Date & frequency
, Right Documentation
Right History & Assessment
Right Drug approach & right to refuse
Right Drug-Drug interaction & evaluation
Right Education & information
What site should the nurse choose for an IV site? - ANS-The most distal site in the
non-dominant arm.
A pt. was admitted w/ dehydration which solution would the nurse expect to infuse? -
ANS-A hypotonic solution (.045% Sodium chloride) is used to rehydrate cells
(intercellular).
Isotonic solutions are usually given to correct which problem? - ANS-Fluid volume
deficit
This solution is carefully given to renal + cardiac patients b/c it pulls fluid into the
vascular space. - ANS-Hypertonic solution
This solution should never be given by IV push b/c it may be fatal, which solution is
this? - ANS-Potassium chloride
This solution is administered to rehydrate cells, which solution is this? - ANS-Hypotonic
solution
How many does with an ET should someone be considered a possible candidate for a
trach? - ANS-10- 14 days
A 40 year old getting ready for preop, which catheter would you use to infuse w/? -
ANS-16- or 18- gauge large enough to allow bolus IV fluid at a rapid rate or to be used
for blood transfusion if necessary.
The necessary equipment needed for IV therapy include; - ANS-- appropriate catheter
for venipuncture
- IV start kit
Tracheostomy can be described as? - ANS-An artificial Airway, created surgically and
may or may not be short/long term
What are the 5 main questions patients should ask you about their medication? -
ANS-Changes
continue
Proper use
Monitor
Follow up
Phlebitis? - ANS-inflammation of a vein
A proton pump inhibitor deprescribing should be attempted at least once every: - ANS-1
year
How many Canadians over the age of 65 take at least 5 different prescription
medications? - ANS-66%
What does every Nurse need to have before dispensing any medication? -
ANS-competence
Safety
Authority
What are the 8 rights of drug administration? - ANS-Right patient
Right medication
Right Dose
Right Route
Right time/Date
Right Frequency
,Right Reason
Right Site
*And then document*
When do the 3 checks happen when giving meds? - ANS-Check 1 - check 8 rights w/
MAR after locating the medication
Check 2 - Check 8 rights when pouring/ preparing
Check 3 - check 8 rights prior to administration
Saline Lock? - ANS-an intravenous catheter inserted into a vein and left in place for the
intermittent administration of medication through its port or as an open line for
emergency situations and intermittently flushed with normal saline solution to maintain
patency
Potential complications of saline locks? - ANS-Incorrect flow rate ca result in:
- hypervolemia
- Hypovolemia
- Inadeguate med administration
Health Teaching for IV's? - ANS-Avoid sudden twisting or turning
Avoid stretching of placing tension on the iv or tubing
Notify nurse if there is a change in flow rate/ stops/ blood in tubing/ discomfort/ swelling
10 rights of drug administration include; - ANS-Right Drug
Right Patient
Right Dose
Right Route
Right Time/ Date & frequency
, Right Documentation
Right History & Assessment
Right Drug approach & right to refuse
Right Drug-Drug interaction & evaluation
Right Education & information
What site should the nurse choose for an IV site? - ANS-The most distal site in the
non-dominant arm.
A pt. was admitted w/ dehydration which solution would the nurse expect to infuse? -
ANS-A hypotonic solution (.045% Sodium chloride) is used to rehydrate cells
(intercellular).
Isotonic solutions are usually given to correct which problem? - ANS-Fluid volume
deficit
This solution is carefully given to renal + cardiac patients b/c it pulls fluid into the
vascular space. - ANS-Hypertonic solution
This solution should never be given by IV push b/c it may be fatal, which solution is
this? - ANS-Potassium chloride
This solution is administered to rehydrate cells, which solution is this? - ANS-Hypotonic
solution
How many does with an ET should someone be considered a possible candidate for a
trach? - ANS-10- 14 days
A 40 year old getting ready for preop, which catheter would you use to infuse w/? -
ANS-16- or 18- gauge large enough to allow bolus IV fluid at a rapid rate or to be used
for blood transfusion if necessary.
The necessary equipment needed for IV therapy include; - ANS-- appropriate catheter
for venipuncture
- IV start kit
