Complete Guide with Questions and Verified
Answers | 100% Correct
Always be concerned with the decreased urine output (less than 75 mL within 3
hours) - ANSWER Normal output is 30 mL per hour
What do you document about an IV? - ANSWER IV site, the IV size,
description of the site, call light in reach, how patient responded and fluid infused
You have a patient who received a bolus of 500 mL/hr and now they are short of
breath, what would your nursing intervention be? - ANSWER Raise the
head of the bed, notify the physician
Which labs would be the most concerning, that you would report right away? -
ANSWER BUN of 40
Potassium of 4.9
Creatinine of 4.1
You have an IV of NS going at 50 mL/hr for 8 hours and the patient drank several
glasses of water during the shift, the patient only received 100 mL of the IV fluid,
what would you do? - ANSWER Report I's and O's to the doctor
,What replacement fluid would you give to a patient who has come into the hospital
for
burns? - ANSWER Lactated Ringers
What patient would you give IV fluids to? - ANSWER - DKA = regular
insulin (LPNs cannot administer)
- Vomiting and Diarrhea
- NPO **ALWAYS PRIORITY**
You have a patient who has lung disease receiving NS at 150 mL/hr and they are
short of breath with a pulse oximeter of 90%, what would you do? -
ANSWER Slow down IV to KVO (keep veins open)
0.45% of NS going 100 mL/hr, the alarm is ringing because the bag is empty and
the patient's pulse is 110, respiratory rate of 22 and the blood pressure is 80/40, and
the O2 sat is 95. What would you do? - ANSWER DO NOT
ADMINISTER ANY MORE HYPOTONIC SOLUTION, RECOMMEND
HYPERTONIC
What does isotonic solutions do to the body? - ANSWER It will not
cause fluid shift when infused
A 17 year old comes into the ER needing an IV started, what would we do? -
ANSWER LPN's cannot do anything IV wise for a patient younger than 18,
contact the RN
A 19 year old patient needs gentamicin, what would you do? - ANSWER
You can administer to patient
, You are working with an RN, and she is teaching you about IV insertion, what are
you allowed to do? - ANSWER The LPN can place IV catheter in the
forearm, antecubital space and hand. NOT THE BICEP.
Can LPN's hang the 2nd, 3rd, 4th bag of NS with multivitamins? - ANSWER
yes
Can LPNs hang NS for adults? - ANSWER yes they can
Can LPNs hang the second bag of IV antibiotic, not the first? - ANSWER
No, you can hang the first bag of antibiotics for the adult
Can LPNs hang IV antibiotics of vancomycin for an adult? - ANSWER
yes LPNs can
0.9% NaCl needs to infuse over 7 hours, you have 100 mL, the drop factor is 15
drops per minute, what would you set the pump at? (if it's a pump always mL/hr) -
ANSWER 100/7 = 14 mL/hr
1.5 liters of NS, infused over 14 hours, the drop factor is 20 drops/mL, what is the
mL per hour? - ANSWER 1500/14 = 107 mL/hr