NUR 172 Hondros Final-ca Exam Questions and Answers 100% Pass

NUR 172 Hondros Final-ca Exam Questions and Answers 100% Pass Can an LPN start an IV on a 4 year old child? - Correct Answer ️️ -No - must be 18 or older Can an LPN initiate chemotherapy treatment to a 65 year old patient? - Correct Answer ️️ -No - LPN cannot initiate chemotherapy or antineoplastic agents Can an LPN initiate IVPB of antibiotic on a 16 year old patient who has been diagnosed with a staph infection? - Correct Answer ️️ -No - must be 18 or older Can an LPN initiate NS on a 21 year old patient? - Correct Answer ️️ -Yes When can an LPN administer solutions that contain vitamins or electrolytes? - Correct Answer ️️ -After an RN initiates first solution Can an LPN administer D2W per a central line? - Correct Answer ️️ -No - not in specified list of solutions allowed to give Can an LPN inject heparin or NS to flush an intermittent infusion device or hep lock? - Correct Answer ️️ -Yes - in scope of practice Can an LPN place a venous catheter that is 4.5 inches long in hand, forearm, or antecubital space? - Correct Answer ️️ -No - catheter cannot be longer than 3 inches Can an LPN change tubing on a central line if solution is TPN? - Correct Answer ️️ -No - TPN not in scope of practice, may change tubing if solution in scope of practice Can an LPN stop a PCA pump or an infusion of blood component when complication arises? - Correct Answer ️️ -Yes What is beneficience? - Correct Answer ️️ -doing good for patients What is veracity? - Correct Answer ️️ -truthfulness What is justice? - Correct Answer ️️ -obligation to be fair to all people What is nonmaleficence? - Correct Answer ️️ -doing no harm to patients What is fidelity? - Correct Answer ️️ -obligation to be faithful What is autonomy? - Correct Answer ️️ -right to self-determination; independence What is a peripheral nerve catheter? - Correct Answer ️️ -A form a pain relief at surgery site; small plastic catheter placed under the skin where nerves provide feeling to the area where surgery will be performed What would you teach your patient about the peripheral nerve catheter? - Correct Answer ️️ -Can remove bandages and catheter after return of sensation (12 hours), must keep dressing over catheter clean and dry, avoid hot/cold objects and keep extremity close to body, s/s of infection If the patient notices the dressing of the peripheral nerve catheter coming off before sensation returns, what should you instruct them to do? - Correct Answer ️️ -Reinforce with tape, DO NOT remove the dressing True or False: the patient should not take a shower or tub bath while the catheter is in place. - Correct Answer ️️ -True - patient should do a sponge bath instead What are the goals of IV therapy? - Correct Answer ️️ -Maintenance, replacement, restoration of homeostasis Maintenance therapy - Correct Answer ️️ -provides nutrients that meet the daily needs of a patient for water, electrolytes, and dextrose Replacement therapy - Correct Answer ️️ -necessary to take care of fluid, electrolyte, or blood product deficits of patients in acute distress Restoration - Correct Answer ️️ -when maintenance and replacement therapy don't meet the needs of the patient, fluid and electrolyte management is accomplished through this What is the preferred antiseptic agent recommended by INS? - Correct Answer ️️ - Chlorhexidine How long should the needless connector be scrubbed for? - Correct Answer ️️ -15 seconds Why is the saline lock (formerly: hep-lock) primed before it is attached to the hub of the catheter during IV insertion? - Correct Answer ️️ -to avoid air embolism What is hematoma? - Correct Answer ️️ -Infiltration of blood into tissues at ventipuncture site S/S of hematoma - Correct Answer ️️ -discoloration of skin, swelling and discomfort, inability to advance cannula into vein, resistance to pressure during flushing Prevention of hematoma - Correct Answer ️️ -use indirect method for starting a PIV Treatment of hematoma - Correct Answer ️️ -removal of catheter, direct pressure on site with gauze, elevate extremity, apply ice to affected area What is thrombosis? - Correct Answer ️️ -catheter related obstruction S/S of thrombosis - Correct Answer ️️ -fever, malaise, slowed or stopped infusion rate, inability to flush catheter Treatment for thrombosis - Correct Answer ️️ -Remove IV, notify MD - NEVER flush cannula to remove occlusion What is inflitration? - Correct Answer ️️ -Inadvertent administration of nonvesicant solution to surrounding tissues S/S of infiltration - Correct Answer ️️ -swollen, cool, taut, pale skin Interventions for infiltration - Correct Answer ️️ -stop infusion, remove IV catheter What is phlebitis? - Correct Answer ️️ -Inflammation of delicate inner lining of the vein S/S of phlebitis - Correct Answer ️️ -site is red, warm to touch, localized swelling, palpable cord, painful, sluggish infusion rate Treatment for phlebitis - Correct Answer ️️ -discontinue IV, warm or cold compress to affected site, restart infusion in opposite extremity using new admin set What is extravasation? - Correct Answer ️️ -The inadvertent administration of vesicant solution to surrounding tissue Patient becomes at risk for extravasation with which hypert