NURS 3370 TEST 1 EXAM QUESTIONS AND ANSWERS
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
GRADED A++
when do you give packed RBCs
low hemoglobin and hematocrit, symptomatic (dizzy, low BP when stand, high HR) and
hgb under 9
when do you give platelets
low platelets
when do you give fresh frozen plasma
when there is a clotting problem, to expand volume
when do you give albumin
to expand or maintain vascular volume
what do you use when mixing medicines
laminar flow hood to decrease risk of bacteria
what medicine can never be given IV push
potassium chloride bc it will stop heart (lethal)
IV bolus
can be hung in a piggyback and needs to be given over a period of time longer than 5
min
IV push
,medication pushed over 5 min or less
which bag hangs higher?
secondary set hangs higher
best time to changes IV tubing
when you are changing the bag
how often do you change TPN tubing
q24 hr bc of dextrose concentration
what size needle is needed for blood products
18 gauge
what IV fluid is compatible with blood
normal saline
with an estimated blood loss of 1000 mL the nurse can anticipate what will be
necessary
blood transfusion
how many nurses does it take to verify a blood product at the bedside
2
one nurse at the bedside
must be an RN
how fast do you give platelets
rapidly bc they are fragile
nursing interventions for transfusion reaction
STOP THE TRANSFUSION, start new line of IV fluids with existing IV site (don't
d/c IV until other IV site is accessed)
, febrile reaction symptoms
fever, sudden onset of chills, headache
hemolytic reaction symptoms and nursing interventions
anxiety, inc HR and RR, back pain, low BP, blood in urine
why is it not recommended to have a basal rate or continuous rate of demerol?
patient can build up metabolites and have seizures
basal dose (PCA)
usually based on weight, is an hourly rate patient receives whether they push the button
or not
PCA dose
what the patient receives when they push the button
why are benadryl and tylenol given pre transfusion
prevent allergic reaction
how fast do you give plasma
slowly bc it is viscous
when you need to give meds, fluids, and blood
blood in one line, meds and fluids in another
if there is an extension set
aspirate as much blood as possible
what can't you do when you have a PCA
smoke, receive other narcotics
can you use a pump for RBCs
yes they do not harm RBCs
WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE
GRADED A++
when do you give packed RBCs
low hemoglobin and hematocrit, symptomatic (dizzy, low BP when stand, high HR) and
hgb under 9
when do you give platelets
low platelets
when do you give fresh frozen plasma
when there is a clotting problem, to expand volume
when do you give albumin
to expand or maintain vascular volume
what do you use when mixing medicines
laminar flow hood to decrease risk of bacteria
what medicine can never be given IV push
potassium chloride bc it will stop heart (lethal)
IV bolus
can be hung in a piggyback and needs to be given over a period of time longer than 5
min
IV push
,medication pushed over 5 min or less
which bag hangs higher?
secondary set hangs higher
best time to changes IV tubing
when you are changing the bag
how often do you change TPN tubing
q24 hr bc of dextrose concentration
what size needle is needed for blood products
18 gauge
what IV fluid is compatible with blood
normal saline
with an estimated blood loss of 1000 mL the nurse can anticipate what will be
necessary
blood transfusion
how many nurses does it take to verify a blood product at the bedside
2
one nurse at the bedside
must be an RN
how fast do you give platelets
rapidly bc they are fragile
nursing interventions for transfusion reaction
STOP THE TRANSFUSION, start new line of IV fluids with existing IV site (don't
d/c IV until other IV site is accessed)
, febrile reaction symptoms
fever, sudden onset of chills, headache
hemolytic reaction symptoms and nursing interventions
anxiety, inc HR and RR, back pain, low BP, blood in urine
why is it not recommended to have a basal rate or continuous rate of demerol?
patient can build up metabolites and have seizures
basal dose (PCA)
usually based on weight, is an hourly rate patient receives whether they push the button
or not
PCA dose
what the patient receives when they push the button
why are benadryl and tylenol given pre transfusion
prevent allergic reaction
how fast do you give plasma
slowly bc it is viscous
when you need to give meds, fluids, and blood
blood in one line, meds and fluids in another
if there is an extension set
aspirate as much blood as possible
what can't you do when you have a PCA
smoke, receive other narcotics
can you use a pump for RBCs
yes they do not harm RBCs
