NURS 3515 Lab Exam With
Complete Solution
What are the advantages of continuous IV infusions? - ANSWER 1. Reduces
the risk for rapid dose infusion.
2. Once piggyback solution is infused, it immediately begins to infuse the
primary line.
What are the disadvantages of continuous IV infusions? - ANSWER 1. Patient
must have a patent IV line at all times.
2. Medications may not be compatible with the IV solutions.
3. Increased risk for infection.
4. Risk for incorrect drip rate.
List the supplies that are needed to set up a continuous IV infusion: -
ANSWER 1. Antiseptic swabs
2. IV pole
3. MAR
4. Medication prepared in an infusion bag
5. Saline flushes
6. Volutrol if using that method
Where should the piggyback infusion be hung in relation to the primary
infusion? - ANSWER Hanging above the primary infusion.
,Where is the piggyback solution connected? - ANSWER Connected to the
upper Y-port of the primary infusion line.
What is the purpose of parenteral nutrition? - ANSWER Parenteral nutrition is
able to provide nutrients to patients who are unable to digest food (either an
issue with the mouth or the digestive system).
What should the nurse assess when treating a patient requiring PN? -
ANSWER 1. Assess the indications of malnutrition.
2. Assess vital signs every 4 hours.
3. Weigh the patient at least 3 times per week.
4. Assess levels of serum albumin, transferrin, total protein, and triglycerides.
5. Assess electrolyte balance and vital organ function.
6. Monitor intake and output every 8 hours.
7. Check blood sugars every 6 hours.
What are some reasons why a person would need parenteral nutrition? -
ANSWER 1. Paralytic ileus
2. Small-bowel resection, surgery
3. GI bleeding
4. Trauma
5. Severe malabsorption
6. Bowel rest
7. IBD, severe diarrhea
, 8. Malnutrition
What lab values should be assessed with a patient receiving PN? - ANSWER
Glucose, zinc, copper, potassium, magnesium, and phosphorus.
What are some of the risks associated with PN? - ANSWER 1. Pneumothorax
2. Air embolism
3. Localized infection
4. Sepsis
5. Hypo/hyperglycemia
How can complications be prevented for a patient receiving PN? - ANSWER 1.
Ensure that all catheter connections are secure.
2. Provide catheter care using aseptic technique.
3. Perform dressing changes every 5 to 7 days.
If the patient is receiving 2:1 nutrition, what should you assess for in the bag?
- ANSWER Particulate matter.
If the patient is receiving 3:1 nutrition, what should you assess for in the bag?
- ANSWER Fat separating into layers.
How often should the administration sets be changed when administering
PN? - ANSWER Every 96 hours.
How often should the administration sets be changed when administering
lipids? - ANSWER Every 24 hours.
What is the automatic stop order for PN? - ANSWER Three months.
Complete Solution
What are the advantages of continuous IV infusions? - ANSWER 1. Reduces
the risk for rapid dose infusion.
2. Once piggyback solution is infused, it immediately begins to infuse the
primary line.
What are the disadvantages of continuous IV infusions? - ANSWER 1. Patient
must have a patent IV line at all times.
2. Medications may not be compatible with the IV solutions.
3. Increased risk for infection.
4. Risk for incorrect drip rate.
List the supplies that are needed to set up a continuous IV infusion: -
ANSWER 1. Antiseptic swabs
2. IV pole
3. MAR
4. Medication prepared in an infusion bag
5. Saline flushes
6. Volutrol if using that method
Where should the piggyback infusion be hung in relation to the primary
infusion? - ANSWER Hanging above the primary infusion.
,Where is the piggyback solution connected? - ANSWER Connected to the
upper Y-port of the primary infusion line.
What is the purpose of parenteral nutrition? - ANSWER Parenteral nutrition is
able to provide nutrients to patients who are unable to digest food (either an
issue with the mouth or the digestive system).
What should the nurse assess when treating a patient requiring PN? -
ANSWER 1. Assess the indications of malnutrition.
2. Assess vital signs every 4 hours.
3. Weigh the patient at least 3 times per week.
4. Assess levels of serum albumin, transferrin, total protein, and triglycerides.
5. Assess electrolyte balance and vital organ function.
6. Monitor intake and output every 8 hours.
7. Check blood sugars every 6 hours.
What are some reasons why a person would need parenteral nutrition? -
ANSWER 1. Paralytic ileus
2. Small-bowel resection, surgery
3. GI bleeding
4. Trauma
5. Severe malabsorption
6. Bowel rest
7. IBD, severe diarrhea
, 8. Malnutrition
What lab values should be assessed with a patient receiving PN? - ANSWER
Glucose, zinc, copper, potassium, magnesium, and phosphorus.
What are some of the risks associated with PN? - ANSWER 1. Pneumothorax
2. Air embolism
3. Localized infection
4. Sepsis
5. Hypo/hyperglycemia
How can complications be prevented for a patient receiving PN? - ANSWER 1.
Ensure that all catheter connections are secure.
2. Provide catheter care using aseptic technique.
3. Perform dressing changes every 5 to 7 days.
If the patient is receiving 2:1 nutrition, what should you assess for in the bag?
- ANSWER Particulate matter.
If the patient is receiving 3:1 nutrition, what should you assess for in the bag?
- ANSWER Fat separating into layers.
How often should the administration sets be changed when administering
PN? - ANSWER Every 96 hours.
How often should the administration sets be changed when administering
lipids? - ANSWER Every 24 hours.
What is the automatic stop order for PN? - ANSWER Three months.
