NUR 172 Hondros Final-ca
Can an LPN start an IV on a 4-year-old child? - answer No - must be 18 or older
Can an LPN initiate chemotherapy treatment to a 65-year-old patient? - answer No -
LPN cannot initiate chemotherapy or antineoplastic agents
Can an LPN initiate IVPB of antibiotic on a 16-year-old patient who has been diagnosed
with a staph infection? - answer No - must be 18 or older
Can an LPN initiate NS on a 21-year-old patient? - answer Yes
When can an LPN administer solutions that contain vitamins or electrolytes? - answer
After an RN initiates first solution
Can an LPN administer D2W per a central line? - answer No - not in specified list of
solutions allowed to give
Can an LPN inject heparin or NS to flush an intermittent infusion device or hep lock? -
answer Yes - in scope of practice
Can an LPN place a venous catheter that is 4.5 inches long in hand, forearm, or
antecubital space? - answerNo - catheter cannot be longer than 3 inches
Can an LPN change tubing on a central line if solution is TPN? - answerNo - TPN not in
scope of practice, may change tubing if solution in scope of practice
Can an LPN stop a PCA pump or an infusion of blood component when complication
arises? - answerYes
What is beneficience? - answerdoing good for patients
What is veracity? - answertruthfulness
What is justice? - answerobligation to be fair to all people
What is nonmaleficence? - answerdoing no harm to patients
What is fidelity? - answerobligation to be faithful
What is autonomy? - answerright to self-determination; independence
, What is a peripheral nerve catheter? - answerA form a pain relief at surgery site; small
plastic catheter placed under the skin where nerves provide feeling to the area where
surgery will be performed
What would you teach your patient about the peripheral nerve catheter? - answerCan
remove bandages and catheter after return of sensation (12 hours), must keep dressing
over catheter clean and dry, avoid hot/cold objects and keep extremity close to body,
s/s of infection
If the patient notices the dressing of the peripheral nerve catheter coming off before
sensation returns, what should you instruct them to do? - answerReinforce with tape,
DO NOT remove the dressing
True or False: the patient should not take a shower or tub bath while the catheter is in
place. - answerTrue - patient should do a sponge bath instead
What are the goals of IV therapy? - answerMaintenance, replacement, restoration of
homeostasis
Maintenance therapy - answerprovides nutrients that meet the daily needs of a patient
for water, electrolytes, and dextrose
Replacement therapy - answernecessary to take care of fluid, electrolyte, or blood
product deficits of patients in acute distress
Restoration - answerwhen maintenance and replacement therapy don't meet the needs
of the patient, fluid and electrolyte management is accomplished through this
What is the preferred antiseptic agent recommended by INS? - answerChlorhexidine
How long should the needless connector be scrubbed for? - answer15 seconds
Why is the saline lock (formerly: hep-lock) primed before it is attached to the hub of the
catheter during IV insertion? - answerto avoid air embolism
What is hematoma? - answerInfiltration of blood into tissues at ventipuncture site
S/S of hematoma - answerdiscoloration of skin, swelling and discomfort, inability to
advance cannula into vein, resistance to pressure during flushing
Prevention of hematoma - answeruse indirect method for starting a PIV
Treatment of hematoma - answerremoval of catheter, direct pressure on site with
gauze, elevate extremity, apply ice to affected area
What is thrombosis? - answercatheter related obstruction
Can an LPN start an IV on a 4-year-old child? - answer No - must be 18 or older
Can an LPN initiate chemotherapy treatment to a 65-year-old patient? - answer No -
LPN cannot initiate chemotherapy or antineoplastic agents
Can an LPN initiate IVPB of antibiotic on a 16-year-old patient who has been diagnosed
with a staph infection? - answer No - must be 18 or older
Can an LPN initiate NS on a 21-year-old patient? - answer Yes
When can an LPN administer solutions that contain vitamins or electrolytes? - answer
After an RN initiates first solution
Can an LPN administer D2W per a central line? - answer No - not in specified list of
solutions allowed to give
Can an LPN inject heparin or NS to flush an intermittent infusion device or hep lock? -
answer Yes - in scope of practice
Can an LPN place a venous catheter that is 4.5 inches long in hand, forearm, or
antecubital space? - answerNo - catheter cannot be longer than 3 inches
Can an LPN change tubing on a central line if solution is TPN? - answerNo - TPN not in
scope of practice, may change tubing if solution in scope of practice
Can an LPN stop a PCA pump or an infusion of blood component when complication
arises? - answerYes
What is beneficience? - answerdoing good for patients
What is veracity? - answertruthfulness
What is justice? - answerobligation to be fair to all people
What is nonmaleficence? - answerdoing no harm to patients
What is fidelity? - answerobligation to be faithful
What is autonomy? - answerright to self-determination; independence
, What is a peripheral nerve catheter? - answerA form a pain relief at surgery site; small
plastic catheter placed under the skin where nerves provide feeling to the area where
surgery will be performed
What would you teach your patient about the peripheral nerve catheter? - answerCan
remove bandages and catheter after return of sensation (12 hours), must keep dressing
over catheter clean and dry, avoid hot/cold objects and keep extremity close to body,
s/s of infection
If the patient notices the dressing of the peripheral nerve catheter coming off before
sensation returns, what should you instruct them to do? - answerReinforce with tape,
DO NOT remove the dressing
True or False: the patient should not take a shower or tub bath while the catheter is in
place. - answerTrue - patient should do a sponge bath instead
What are the goals of IV therapy? - answerMaintenance, replacement, restoration of
homeostasis
Maintenance therapy - answerprovides nutrients that meet the daily needs of a patient
for water, electrolytes, and dextrose
Replacement therapy - answernecessary to take care of fluid, electrolyte, or blood
product deficits of patients in acute distress
Restoration - answerwhen maintenance and replacement therapy don't meet the needs
of the patient, fluid and electrolyte management is accomplished through this
What is the preferred antiseptic agent recommended by INS? - answerChlorhexidine
How long should the needless connector be scrubbed for? - answer15 seconds
Why is the saline lock (formerly: hep-lock) primed before it is attached to the hub of the
catheter during IV insertion? - answerto avoid air embolism
What is hematoma? - answerInfiltration of blood into tissues at ventipuncture site
S/S of hematoma - answerdiscoloration of skin, swelling and discomfort, inability to
advance cannula into vein, resistance to pressure during flushing
Prevention of hematoma - answeruse indirect method for starting a PIV
Treatment of hematoma - answerremoval of catheter, direct pressure on site with
gauze, elevate extremity, apply ice to affected area
What is thrombosis? - answercatheter related obstruction
