HONDROS NUR 172 EXAM BRAND NEW
ACTUAL EXAM WITH ANSWERS.
Grade 3 infiltration - correct answer -skin blanched, translucent,
edema >6 inches in any direction around IV site, skin cool to
touch, mild to moderate pain, possible numbness
Signs of extravasation - correct answer -pain, stinging, burning,
swelling, redness at site, blister- bump at injection site
A nurse has difficulty withdrawing blood from a central tunneled
catheter but is able to infuse fluids through the line. The nurse
should anticipate that this difficulty is most likely due to - correct
answer -formation of a fibrin sheath
Sepsis treatment - correct answer -In patients with mild or
moderate symptoms who have high-risk factors the CVAD is
removed, two sets of blood cultures are recommended, and
antibiotic therapy is initiated.
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During initial venipuncture the nurse has difficulty advancing the
cannual into clients vein, observes eccmoysis over insterion area,
the area is raised and hard, what can be concluded? - correct
answer -hematoma has formed
Hematoma precautions when giving these meds - correct answer
-warfarin aspirin dalteparin
Treatment of Hematoma - correct answer -removal of catheter,
direct pressure on site with gauze, elevate extremity, apply ice to
affected area
Multi-channel pump - correct answer -used to infuse more than 1
medication at a time
Pt iv site is red, edematous, and has a palpable cord, which grad
of phlebitis is this? - correct answer -Grade 3
Pt has type 1 DM. Present to the ER with N&V. Blood sugar is
550 and they have ketones in the urine. What is the ABG
disgnosis - correct answer -Metabolic Acidosis
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Pt is suspected to have an air embolus, what actions will the
nurse take? - correct answer -- apply % oxygen per non re-
rebreather mask
- turn on left side
- trendelenburg position
- call rapid response team
What symptoms may indicate sepsis - correct answer -- WBC
18,000
- Oral temp 103F
- Vigorous chills
What will the nurse educate patient on when taking Rifampin for
active TB diagnosis? - correct answer -- Pt will be taking 3
medications to fight this disease, 1 will not kill bacteria
- Rifampin should be taken on an empty stomach
- May cause N&V&D
- Med will be take for 6-9 months