Nur 172 Exam 2 Hondros
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 - answerEcchymosis, immediate swelling at the site & discomfort,
leakage of blood at the insertion site- unable to advance cannula
Phlebitis - answerinflammation of the inner lining of a vein
thrombophlebitis - answerinflammation of a vein associated with a clot formation
bacterial phlebitis is caused by - answerPoor hand hygiene, lack of aseptic technique,
failure to check equipment, or recognize early signs of phlebitis
Often occurs during insertion
Phlebitis Scale - answer0 = 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 - answerredness of the skin
, Infiltration - answeradmission of a non-vesicant med or solution into the surrounding
tissue
Extravasation - answeradmission of a vesicant into surrounding tissue
CVAD - answercentral vascular access device or indwelling line
treatment of thrombophlebitis - answercomplete bed rest
avoid massage
heat and elevation promote venous return
anticoagulant therapy
treatment of phlebitis - answerremove catheter, warm compress, elevate extremity,
apply analgesic or anti-inflammatory PRN
active immunity - answerimmunity 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? - answercall
MD to verify it can be removed
which medication is most commonly used to clean an occlusion caused by a blood clot -
answerActivase- Alterplace
Systemic complications of IV therapy - answerCirculatory overload
Speed shock
Septicemia
Allergic reaction
Catheter embolism
Air embolism
BSI
what set would vancomyacin IVPB be given in - answersecondary administration set
Circulatory overload is a concern for which patient - answerPatients with elevated BUN
and creatinine level
BUN - answer10-20 mg/dL
Creatinine - answer0.6-1.2 mg/dL
what are the LPN duties when assisting with blood transfusion - answermonitor pt
during transfusion
X-ray shows tip of PICC is in the jugular vein - answerlet RN know of x-ray reading
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 - answerEcchymosis, immediate swelling at the site & discomfort,
leakage of blood at the insertion site- unable to advance cannula
Phlebitis - answerinflammation of the inner lining of a vein
thrombophlebitis - answerinflammation of a vein associated with a clot formation
bacterial phlebitis is caused by - answerPoor hand hygiene, lack of aseptic technique,
failure to check equipment, or recognize early signs of phlebitis
Often occurs during insertion
Phlebitis Scale - answer0 = 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 - answerredness of the skin
, Infiltration - answeradmission of a non-vesicant med or solution into the surrounding
tissue
Extravasation - answeradmission of a vesicant into surrounding tissue
CVAD - answercentral vascular access device or indwelling line
treatment of thrombophlebitis - answercomplete bed rest
avoid massage
heat and elevation promote venous return
anticoagulant therapy
treatment of phlebitis - answerremove catheter, warm compress, elevate extremity,
apply analgesic or anti-inflammatory PRN
active immunity - answerimmunity 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? - answercall
MD to verify it can be removed
which medication is most commonly used to clean an occlusion caused by a blood clot -
answerActivase- Alterplace
Systemic complications of IV therapy - answerCirculatory overload
Speed shock
Septicemia
Allergic reaction
Catheter embolism
Air embolism
BSI
what set would vancomyacin IVPB be given in - answersecondary administration set
Circulatory overload is a concern for which patient - answerPatients with elevated BUN
and creatinine level
BUN - answer10-20 mg/dL
Creatinine - answer0.6-1.2 mg/dL
what are the LPN duties when assisting with blood transfusion - answermonitor pt
during transfusion
X-ray shows tip of PICC is in the jugular vein - answerlet RN know of x-ray reading
