Nur 172 Exam 2 Hondros questions with verified
answers
a newly admitted 60 year old has sever bacterial pneumonia, a pulse ox of 85%,
and right side mastectomy 1 year prior. What orders/interventions with eh LPN
carry out? Ans✓✓✓ - Monitor pulse of continuously
- hang IVPB with broad spectrum antibiotic until culture and sensitivity tests come
back
- Apply O2/ nebulizer treatment as ordered
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 Ans✓✓✓ formation of a fibrin sheath
A nurse is assessing a pts peripheral IV site and notices redness, warm to touch,
swelling and the infusion rate has slowed what is the first action taken by the
nurse? Ans✓✓✓ Remove the IV catheter
A nurse is caring for a patient who is receiving an isotonic solution in a plastic
container, what statement by the LPN would indicate a need for further teaching?
Ans✓✓✓ A plastic container is not easily punctured
active immunity Ans✓✓✓ immunity produced by exposure to an antigen, as a
result of the immune response
antidote for warfarin Ans✓✓✓ Vitamin K
, bacterial phlebitis is caused by Ans✓✓✓ Poor hand hygiene, lack of aseptic
technique, failure to check equipment, or recognize early signs of phlebitis
Often occurs during insertion
BUN Ans✓✓✓ 10-20 mg/dL
Causes of hematoma Ans✓✓✓ poor venipuncture technique, flow clamp left
open, tourniquet left on to long, cannula to large, digging into vein
central line site has purulent drainage, pt also has fever and elevated WBC, what
can the LPN legally do? Ans✓✓✓ change dressing
hang ivpb to newly inserted peripheral iv
Circulatory overload is a concern for which patient Ans✓✓✓ Patients with
elevated BUN and creatinine level
Creatinine Ans✓✓✓ 0.6-1.2 mg/dL
CVAD Ans✓✓✓ central vascular access device or indwelling line
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? Ans✓✓✓ hematoma has formed
electronic infusion devices Ans✓✓✓ administer exact amounts, have an alarm
when IV bag is low, when there is air in tubing or when flow is impeded by an
occlusion
answers
a newly admitted 60 year old has sever bacterial pneumonia, a pulse ox of 85%,
and right side mastectomy 1 year prior. What orders/interventions with eh LPN
carry out? Ans✓✓✓ - Monitor pulse of continuously
- hang IVPB with broad spectrum antibiotic until culture and sensitivity tests come
back
- Apply O2/ nebulizer treatment as ordered
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 Ans✓✓✓ formation of a fibrin sheath
A nurse is assessing a pts peripheral IV site and notices redness, warm to touch,
swelling and the infusion rate has slowed what is the first action taken by the
nurse? Ans✓✓✓ Remove the IV catheter
A nurse is caring for a patient who is receiving an isotonic solution in a plastic
container, what statement by the LPN would indicate a need for further teaching?
Ans✓✓✓ A plastic container is not easily punctured
active immunity Ans✓✓✓ immunity produced by exposure to an antigen, as a
result of the immune response
antidote for warfarin Ans✓✓✓ Vitamin K
, bacterial phlebitis is caused by Ans✓✓✓ Poor hand hygiene, lack of aseptic
technique, failure to check equipment, or recognize early signs of phlebitis
Often occurs during insertion
BUN Ans✓✓✓ 10-20 mg/dL
Causes of hematoma Ans✓✓✓ poor venipuncture technique, flow clamp left
open, tourniquet left on to long, cannula to large, digging into vein
central line site has purulent drainage, pt also has fever and elevated WBC, what
can the LPN legally do? Ans✓✓✓ change dressing
hang ivpb to newly inserted peripheral iv
Circulatory overload is a concern for which patient Ans✓✓✓ Patients with
elevated BUN and creatinine level
Creatinine Ans✓✓✓ 0.6-1.2 mg/dL
CVAD Ans✓✓✓ central vascular access device or indwelling line
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? Ans✓✓✓ hematoma has formed
electronic infusion devices Ans✓✓✓ administer exact amounts, have an alarm
when IV bag is low, when there is air in tubing or when flow is impeded by an
occlusion
