NUR 125 Final Exam Questions and Solutions

When should you flush an IV with normal saline? Every 8 hours to ensure patency IV Insertion location Non dominant hand, start low and work your way up, not below current infusion, avoid antecubital area Fluid overload S/S Edema, hypertension, bounding pulse, crackles, weight gain Phlebitis S/S inflammation of a vein —redness, swelling, warmth Infiltration S/S Leakage of fluid —cool, pallor, swelling, pain, burning Isotonic fluids Concentration is the same as body fluids, D5W sodium, Ringer, Lactated Ringer, 0.9% sodium chloride. Fluid loss resulting from diarrhea & vomiting, waiting for blood products, and fluid loss during surgery Hypertonic fluids Concentration is higher than 300 mEq/L, concentrated in dextrose in water 20%, 30%, 40%, 50%, 70%- sodium chloride solution 3%, 5%, lower cerebral edema Hypotonic fluids Concentration is less than 280 mEq/L, 0.45% sodium chloride- use to replace hypotonic fluid losses, maintenance solution TNM tumor-node-metastasis Risk factors for cellular regulation Advancing age, smoking, multiple sex partners, sun exposure, high fat and low fiber diet, increased alcohol intake What is the main sign of colon cancer? Blood in stool complications of leukemia Infection, bleeding, anemia —patient should be on neutropenic precautions Breast cancer S/S Dimpling of the skin of the breast, discharge from the nipple, thickening of breast tissue, dry rash in the areola Lymphedema interventions Elevate arm & encourage exercises and ADLs with affected arm