NUR 172. Exam 2
Which type of IV equip, puts the patient at a higher risk of BSI? - answer A stopcock
How often should you change a primary tubing? - answer Every 96 hours
How often should you change a secondary tubing? - answer Every 24 hours
How often should you change a blood tubing? - answer Every 4 hours
The nurse is assessing a patient peripheral IV site and finds the site has redness, is
warm, has swelling, and the infusion has slowed. What action should the nurse take? -
answer Remove the IV
The nurse enters the room to assess the patient’s peripheral IV site and finds the skin is
cool, taut (tight), and has edema all around the IV site. Vancomycin is infusing, the
patient would be experiencing what complication? - answer Extravasation
The patient has an IV at 150mL/hr. The nurse notes the patient has SOB, RR 28, Pox
88%, and crackles in the lung bases. What should the nurse do first? - answer Stop the
IV
A patient has the following ABGs: pH 7.43 PCO2: 28 HCO3: 18
What will the nurse interpret the results as and is there compensation happening? -
answerResp. Alkalosis, full compensation
An LPN is caring for an elderly patient with chronic cardiac issues who is receiving IV
fluids. What symptom might indicate that the patient may be experiencing pulmonary
edema as a result of circulatory overload? - answerBloody sputum
The nurse enters the room to assess the patients peripheral IV site. She finds the skin is
cool at the site, skin is taunt, and there is edema around the IV site. The nurse knows
that the patient is experiencing which complication? - answerInflitration
What is the appropriate use of a 3-way stopcock to aid in administration of IV infusion? -
answerWhen 2 fluids need to be infused into 1 IV site
What side effect of INH do you need to watch for? - answerPeripheral neuropathy
What is the medication Rifampin used for? - answerMeningitis and TB
What type of precaution (PPE) should be used for TB? - answerAirborne
, What devices help reduce the risk of infection for IV's? - answerStabilization devices
- NS
- LR
- D5LR
- 1/2 NS
- 1/4 NS
- 1/3 NS
- Antibiotics
- IVPB (ONLY if it contains an antibiotic ONLY)
- Any solutions with vitamins/electrolytes (But the RN must hang the first bag!!!!) -
answerThings that an LPN can hang
Warfarin test= - answerPT/INR
Heparin test= - answerPTT
Antidote for Coumadin= - answerVit K
Antidote for Heparin= - answerProtamine sulfate
- Anxiety
- Seizures
- Sedative
- Insomnia
- Alcohol withdrawal
- Muscle spasms
Medicine= - answerLorazepam
What is the intervention for circulatory overload? - answerElevate the head of the bed
What type of precaution (PPE) should be used for MRSA? - answerContact
During initial venipuncture, a nurse has difficulty advancing the cannula into a client's
vein and observes ecchymosis over and around the insertion area. The area is also
raised and hard. Based on this information, what should the nurse conclude? - answerA
hematoma has formed
What can an LPN hang the second bag of? - answerElectrolytes/vitamins
What type of antiseptic is used for a PICC? - answerChloraprep
What type of antiseptic is used for a CVC? - answerChlorohexidine
Bicarb is controlled with what organ? - answerKidney
Which type of IV equip, puts the patient at a higher risk of BSI? - answer A stopcock
How often should you change a primary tubing? - answer Every 96 hours
How often should you change a secondary tubing? - answer Every 24 hours
How often should you change a blood tubing? - answer Every 4 hours
The nurse is assessing a patient peripheral IV site and finds the site has redness, is
warm, has swelling, and the infusion has slowed. What action should the nurse take? -
answer Remove the IV
The nurse enters the room to assess the patient’s peripheral IV site and finds the skin is
cool, taut (tight), and has edema all around the IV site. Vancomycin is infusing, the
patient would be experiencing what complication? - answer Extravasation
The patient has an IV at 150mL/hr. The nurse notes the patient has SOB, RR 28, Pox
88%, and crackles in the lung bases. What should the nurse do first? - answer Stop the
IV
A patient has the following ABGs: pH 7.43 PCO2: 28 HCO3: 18
What will the nurse interpret the results as and is there compensation happening? -
answerResp. Alkalosis, full compensation
An LPN is caring for an elderly patient with chronic cardiac issues who is receiving IV
fluids. What symptom might indicate that the patient may be experiencing pulmonary
edema as a result of circulatory overload? - answerBloody sputum
The nurse enters the room to assess the patients peripheral IV site. She finds the skin is
cool at the site, skin is taunt, and there is edema around the IV site. The nurse knows
that the patient is experiencing which complication? - answerInflitration
What is the appropriate use of a 3-way stopcock to aid in administration of IV infusion? -
answerWhen 2 fluids need to be infused into 1 IV site
What side effect of INH do you need to watch for? - answerPeripheral neuropathy
What is the medication Rifampin used for? - answerMeningitis and TB
What type of precaution (PPE) should be used for TB? - answerAirborne
, What devices help reduce the risk of infection for IV's? - answerStabilization devices
- NS
- LR
- D5LR
- 1/2 NS
- 1/4 NS
- 1/3 NS
- Antibiotics
- IVPB (ONLY if it contains an antibiotic ONLY)
- Any solutions with vitamins/electrolytes (But the RN must hang the first bag!!!!) -
answerThings that an LPN can hang
Warfarin test= - answerPT/INR
Heparin test= - answerPTT
Antidote for Coumadin= - answerVit K
Antidote for Heparin= - answerProtamine sulfate
- Anxiety
- Seizures
- Sedative
- Insomnia
- Alcohol withdrawal
- Muscle spasms
Medicine= - answerLorazepam
What is the intervention for circulatory overload? - answerElevate the head of the bed
What type of precaution (PPE) should be used for MRSA? - answerContact
During initial venipuncture, a nurse has difficulty advancing the cannula into a client's
vein and observes ecchymosis over and around the insertion area. The area is also
raised and hard. Based on this information, what should the nurse conclude? - answerA
hematoma has formed
What can an LPN hang the second bag of? - answerElectrolytes/vitamins
What type of antiseptic is used for a PICC? - answerChloraprep
What type of antiseptic is used for a CVC? - answerChlorohexidine
Bicarb is controlled with what organ? - answerKidney
