Nur 172 Exam 2 Hondros UPDATED ACTUAL Questions and
CORRECT Answers
patient admitted with transmission-based precautions Gloves and Gown
what is the minimum PPI needed to be worn in this
room?
isotonic solution A solution in which the concentration of solutes is essentially equal to that of
the cell which resides in the solution
hypertonic solution A solution in which the concentration of solutes is greater than that of the cell
that resides in the solution
hypotonic solution A solution in which the concentration of solutes is less than that of the cell that
resides in the solution
Heparin antidote protamine sulfate
INR International Normalized Ratio - a calculation based on the PT used to monitor
patients using blood thinners. 2.0-3.0 is the range for people taking
warfarin:Coumadin
Causes of hematoma poor venipuncture technique, flow clamp left open, tourniquet left on to long,
cannula to large, digging into vein
Signs of hematoma Ecchymosis, immediate swelling at the site & discomfort, leakage of blood at
the insertion site- unable to advance cannula
Phlebitis inflammation of the inner lining of a vein
thrombophlebitis inflammation of a vein associated with a clot formation
, bacterial phlebitis is caused by Poor hand hygiene, lack of aseptic technique, failure to check equipment, or
recognize early signs of phlebitis
Often occurs during insertion
Phlebitis Scale 0 = No symptoms
1 = Erythema at access site with or without pain
2 = Pain at access site with erythema and/or edema
3 = Pain at access site with erythema and/or edema, streak formation, palpable
venous cord
4 = Pain at access site with erythema and/or edema, streak formation, palpable
venous cord >1 inch in length, and purulent drainage
erythema redness of the skin
Infiltration admission of a non-vesicant med or solution into the surrounding tissue
Extravasation admission of a vesicant into surrounding tissue
CVAD central vascular access device or indwelling line
treatment of thrombophlebitis complete bed rest
avoid massage
heat and elevation promote venous return
anticoagulant therapy
treatment of phlebitis remove catheter, warm compress, elevate extremity, apply analgesic or anti-
inflammatory PRN
active immunity immunity produced by exposure to an antigen, as a result of the immune
response
pt has a saline lock in place but it is not being used, call MD to verify it can be removed
what should be done?
which medication is most commonly used to clean an Activase- Alterplace
occlusion caused by a blood clot
Systemic complications of IV therapy Circulatory overload
Speed shock
Septicemia
Allergic reaction
Catheter embolism
Air embolism
BSI
what set would vancomyacin IVPB be given in secondary administration set
Circulatory overload is a concern for which patient Patients with elevated BUN and creatinine level
BUN 10-20 mg/dL
Creatinine 0.6-1.2 mg/dL
CORRECT Answers
patient admitted with transmission-based precautions Gloves and Gown
what is the minimum PPI needed to be worn in this
room?
isotonic solution A solution in which the concentration of solutes is essentially equal to that of
the cell which resides in the solution
hypertonic solution A solution in which the concentration of solutes is greater than that of the cell
that resides in the solution
hypotonic solution A solution in which the concentration of solutes is less than that of the cell that
resides in the solution
Heparin antidote protamine sulfate
INR International Normalized Ratio - a calculation based on the PT used to monitor
patients using blood thinners. 2.0-3.0 is the range for people taking
warfarin:Coumadin
Causes of hematoma poor venipuncture technique, flow clamp left open, tourniquet left on to long,
cannula to large, digging into vein
Signs of hematoma Ecchymosis, immediate swelling at the site & discomfort, leakage of blood at
the insertion site- unable to advance cannula
Phlebitis inflammation of the inner lining of a vein
thrombophlebitis inflammation of a vein associated with a clot formation
, bacterial phlebitis is caused by Poor hand hygiene, lack of aseptic technique, failure to check equipment, or
recognize early signs of phlebitis
Often occurs during insertion
Phlebitis Scale 0 = No symptoms
1 = Erythema at access site with or without pain
2 = Pain at access site with erythema and/or edema
3 = Pain at access site with erythema and/or edema, streak formation, palpable
venous cord
4 = Pain at access site with erythema and/or edema, streak formation, palpable
venous cord >1 inch in length, and purulent drainage
erythema redness of the skin
Infiltration admission of a non-vesicant med or solution into the surrounding tissue
Extravasation admission of a vesicant into surrounding tissue
CVAD central vascular access device or indwelling line
treatment of thrombophlebitis complete bed rest
avoid massage
heat and elevation promote venous return
anticoagulant therapy
treatment of phlebitis remove catheter, warm compress, elevate extremity, apply analgesic or anti-
inflammatory PRN
active immunity immunity produced by exposure to an antigen, as a result of the immune
response
pt has a saline lock in place but it is not being used, call MD to verify it can be removed
what should be done?
which medication is most commonly used to clean an Activase- Alterplace
occlusion caused by a blood clot
Systemic complications of IV therapy Circulatory overload
Speed shock
Septicemia
Allergic reaction
Catheter embolism
Air embolism
BSI
what set would vancomyacin IVPB be given in secondary administration set
Circulatory overload is a concern for which patient Patients with elevated BUN and creatinine level
BUN 10-20 mg/dL
Creatinine 0.6-1.2 mg/dL
