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Nurs 172 Final Exam Hondros questions with verified answers

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Nurs 172 Final Exam Hondros questions with verified
answers
(SATA) Maintaining patient safety Ans✓✓✓ Washing hands, applying cath
stabilization device to prevent pistoning, fanning the


(SATA) One of your peers is reviewing IV law and make 2 incorrect statements
Ans✓✓✓ LPN can stick upper arm only if they cannot stick the lower bag, can
hang 2nd bag of anti-infective


(SATA) What is your responsibility in IV therapy infusion Ans✓✓✓ Observing for
possible complications, applying biopatch per facility policy, stopping the infusion
when adverse effects happen.


(SATA) Which of these orders are you lawfully allowed to carry out? Ans✓✓✓
Dilaudid sub q every 4 hours PRN for pain, perc 2 tabs PO, Hep flush


(SATA)Inserting IV on older adult with fragile veins, what would be interventions
that would help patient? Ans✓✓✓ Tourniquet over gown or sleeve, use of BP
cuff, lowering the angle of approach into vein.


3 isotonics Ans✓✓✓ NS, D5W, LR


3 Things to remember when placing IV? Ans✓✓✓ Situation, veins, drug going
into vein


65 year old getting D5W at 100Ml/HR, which would concern you the most?
Ans✓✓✓ Pulse ox of 90%nd HR of 110

,After you are done inserting IV, and you just replaced dressing, do not forget to
do what? Ans✓✓✓ You must label the site again


Another person getting morphine, what is the goal or expected patient outcome?
Ans✓✓✓ Patient gets max pain control with min, sedation


As an LPN you could hang the second bag of blood, after the RN places the first?
Ans✓✓✓ Incorrect


As LPN, which physician order can you as the LPN carry out? Ans✓✓✓ Sub Q
injections, Perco tablets orally Q2H, heparin flush


Biggest risk of packed RBC's is fluid volume overload, which patient would be at
risk? Ans✓✓✓ 68 year old with hx of CHF


Blood Ans✓✓✓ Same technique but once you clean the site, you cannot touch
the site unless with a needle.


Blood products Ans✓✓✓ Albumin is a blood expander and can cause pulmonary
edema, increase cardiac output (increase BP), you are at NO risk for transmitting
hepatitis from albumin, acts as a transport for the protein


By identifying the patient, would this reduce or increase the risk of complications?
Ans✓✓✓ Increase the risk


Calcium Ans✓✓✓ 9-11 (this is the one you are going to select)

, Can we initiate blood? Ans✓✓✓ Not initiate, but we can verify things and stop
the blood if we suspect a reation to it.


Can you start amox IV over an hour? Ans✓✓✓ Yup


Caring for patient bp 70/48, patient is terrified of needles and refusing IV, what do
you want to ask them? Ans✓✓✓ What scares you about needles?


Caring for patient that has 1000 ML bag of 5% dextrose, suppose to be run at
1000 ml/HR. it is 4PM. Now 6 PM and only has . PAtient has pounding pulse,
dyspnea, etc. What would you do? Ans✓✓✓ Slow the infusion,


Central line dressing change Ans✓✓✓ A-Septic (sterile stays sterile, clean stays
clean) (Sterile)


Changing pic dressing Ans✓✓✓ mask required for nurse and patient, sterile
gloves are needed to apply the dressing


Check at least 1 identifier is incorrect, why? Ans✓✓✓ You should always use at
least 2


Chlorohexidine is the preferred cleaning method Ans✓✓✓ alcohol is fine if you
do not have it


Complications Ans✓✓✓ Hematoma's (contributed to anticoag therapy or poor
technique)

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