Nur 172 Exam 2 with Verified Answers 2024/2025

Nur 172 Exam 2 with Verified Answers Pt's @ risk for sepsis Immunocompromised - Crohn's - RA - Chemo - Steroids S/S sepsis - Profuse sweating - Fever - Elevated WBC - Change in mental status - Low urine output - Low BP (SBP 100) - High heart rate - Elevated lactate lvls Tx sepsis - Prompt recognition/reporting - Blood cultures - Remove CVAD & culture tip - Remove peripheral IV, culture tip, start new IV in opposite extremity w/ new equipment, solution, tubing - Antibiotics - IV fluids - Vasopressors - O2 - Monitor pt closely/transfer to ICU Primary/continuous administration tubing is changed every 96 hrs or upon contamination Secondary/IVPB/intermittent tubing & IV fluid bags are changed every 24 hrs Blood (Y) tubing is changed every4 hrs Bioform w/ Tegaderm must be changed every 7 days Bioform Blue to the sky White gauze & Tegaderm must be changed every 48 hrs Micro tubing drop factor 60 gtts/ml Macro tubing drop factor 10-20 gtt/ml IV bag label includes - Name - Date - Time - Med Tubing needed for glass bottles - Vented - Cap must be open Tubing drop factor is on the Package Surgical asepsis is Sterile technique Medical asepsis is Clean technique Surgical asepsis: procedures