NUR 327 Exam 1 Questions And Answers With
Verified Solutions
Complications of IV therapy ANS Circulatory overload, infiltration or extravasation, phlebitis,
local infection, bleeding
Isotonic fluids ANS NS, LR, D5W
Solutions that have the same osmol as body fluids. Fluids do not enter the cell because no osmotic
force exists to shift the fluids, so it increases ECV
Hypotonic fluids ANS 0.45% NS
Solutions are more dilute or have a lower osmol than body fluids. Causes movement of water into
cells via osmosis. Administered slowly to prevent cellular edema.
Hypertonic fluids ANS D5/NS, D5/LR, D5/0.45%NS, D5/0.22%NS, TPN, 10 % Dextrose,
D50W, 3%NS
Solutions are more concentrated or have higher osmol than body fluids. Concentrates ECF and
causes movement of water from cells into ECF via osmosis.
Crystalloids ANS CLEAR solutions that contain electrolytes, may be used for fluid volume
replacement
Colloids ANS CLOUDY solutions known as "plasma expanders." they pull fluids from the
interstitial compartments into the vascular compartment. they are used to increase the vascular
volume rapidly, such as with hemorrhage or severe hypovolemia.
Electrolytes to monitor during IV therapy ANS Sodium, Potassium, and Magnesium for sure!!!
but also chloride and bicarb
Which lines can be used to infuse blood products? ANS peripheral (20 gauge or larger for adults)
or central line
, How long can you wait to start infusing the blood once it leaves the bank? ANS 30 min
What do you start the infusion rate at? (mL/hr) ANS 50 mL/hr for first 15 min
How long does the RN stay with the patient once the blood infusion has started? ANS 15 min.
Take vitals at 15 minute mark
What do we monitor when administering TPN/PPN? ANS fluid, electrolyte, and glucose levels
What are 4 purposes of gastrointestinal intubation (NGT)? ANS -Decompression: relieves
pressure in the bowel
-Lavage: irrigates stomach
-Gastric analysis
-Tube feedings
Types of NGT ANS Short: Levin, Salem sump
Medium: nasoduodenal tubes (ND)
Long: covered in NUR325
Steps to insert an NGT ANS 1. Measure NEX mark
2. Lubricate tube
3. Swallow while inserting
4. Verify placement
5. Secure tube with tape or tube holder
Suctioning gastrointestinal tubes ANS -2 lumen Salem sump
-Low intermittent suction-less than 80 mm Hg
-Irrigate with saline or tap
-Count as I & O
Verified Solutions
Complications of IV therapy ANS Circulatory overload, infiltration or extravasation, phlebitis,
local infection, bleeding
Isotonic fluids ANS NS, LR, D5W
Solutions that have the same osmol as body fluids. Fluids do not enter the cell because no osmotic
force exists to shift the fluids, so it increases ECV
Hypotonic fluids ANS 0.45% NS
Solutions are more dilute or have a lower osmol than body fluids. Causes movement of water into
cells via osmosis. Administered slowly to prevent cellular edema.
Hypertonic fluids ANS D5/NS, D5/LR, D5/0.45%NS, D5/0.22%NS, TPN, 10 % Dextrose,
D50W, 3%NS
Solutions are more concentrated or have higher osmol than body fluids. Concentrates ECF and
causes movement of water from cells into ECF via osmosis.
Crystalloids ANS CLEAR solutions that contain electrolytes, may be used for fluid volume
replacement
Colloids ANS CLOUDY solutions known as "plasma expanders." they pull fluids from the
interstitial compartments into the vascular compartment. they are used to increase the vascular
volume rapidly, such as with hemorrhage or severe hypovolemia.
Electrolytes to monitor during IV therapy ANS Sodium, Potassium, and Magnesium for sure!!!
but also chloride and bicarb
Which lines can be used to infuse blood products? ANS peripheral (20 gauge or larger for adults)
or central line
, How long can you wait to start infusing the blood once it leaves the bank? ANS 30 min
What do you start the infusion rate at? (mL/hr) ANS 50 mL/hr for first 15 min
How long does the RN stay with the patient once the blood infusion has started? ANS 15 min.
Take vitals at 15 minute mark
What do we monitor when administering TPN/PPN? ANS fluid, electrolyte, and glucose levels
What are 4 purposes of gastrointestinal intubation (NGT)? ANS -Decompression: relieves
pressure in the bowel
-Lavage: irrigates stomach
-Gastric analysis
-Tube feedings
Types of NGT ANS Short: Levin, Salem sump
Medium: nasoduodenal tubes (ND)
Long: covered in NUR325
Steps to insert an NGT ANS 1. Measure NEX mark
2. Lubricate tube
3. Swallow while inserting
4. Verify placement
5. Secure tube with tape or tube holder
Suctioning gastrointestinal tubes ANS -2 lumen Salem sump
-Low intermittent suction-less than 80 mm Hg
-Irrigate with saline or tap
-Count as I & O
