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Exam (elaborations)

NUR 172 FINAL EXAM – 300 VERIFIED QUESTIONS AND ANSWERS (UPDATED EDITION)

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NUR 172 FINAL EXAM – 300 VERIFIED QUESTIONS AND ANSWERS (UPDATED EDITION)

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NUR172 FINAL EXAM



NUR 172 FINAL EXAM – 300
VERIFIED QUESTIONS AND
ANSWERS (UPDATED EDITION)


QUESTIONS Terms In This Set (500) ANSWERS


When giving IV for At least 15 Seconds
fluids, how long should you
clean the port (or hub)?



Make sure to use only compatible
What is important to
fluids
remember when using IV
Stopcocks?


When you have IV use secondary IV tubing (30- 36")
piggyback antibiotic, and
you already have IV fluids
running, what
tubing would you use?

Patient can move around
Benefits for using IV pump easily, give multiple meds at once
for patient (using multi-channels), alarms
when finished




PAGE 1 OF 43

, NUR172 FINAL EXAM

PICC line (peripherally Always ends up in superior vena
inserted central cath) Is a cava, placed by RN who is
sterile procedure (even specially trained, ALWAYS verified
dressing changes). What by X-Ray and read by a Dr. prior to
else do you need to know use, can be used for 1 year.
about PICC lines?



Gather supplies and change the
sterile dressing with a new one.
If PICC line dressing is wet:
Dressing should be sterile &
occlusive
(completely sealed)

Why do we use a This helps dressing from having to
Biopatch- circular be changed so often.
patch that encloses the PICC
line (blue side
up-blue to the sky)?




Site is cool, taut, edema is present

Infiltration




Vanco infusing- you Stop the infusion
suspect leaking into
tissue. What is the first
thing you should do?

If you suspect Report S&S to Dr., anticipate culture, save IV cath,
bloodstream infusion, list antibiotics, fluids, and give O2.
the steps you
should take.


PAGE 2 OF 43

, NUR172 FINAL EXAM

What do you do if you have Turn patient on left lateral Trendelenburg until you can
a patient and you suspect get MD.
an air
embolism?

Why is an IV a source It is an open wound in skin, goes directly into
of infection? bloodstream.

Is insertion is sterile? No, it's Aseptic

Name the diagnosis for cough, Pulmonary edema
dyspnea,
restlessness, and
crackles.

going to chart assessment of site, include date and time,
What would you do if you
notify MD, what treatment ordered, what you did for it
suspect a patient has
(what MD ordered), how
infiltration?
patient tolerated.

Phlebitis
Name the diagnosis for red,
raised veins



What PPE would you wear for gown and gloves
a patient with
MERSA?

If you are sending someone Teach them to report S&S of infection- redness, swelling,
home with PICC line, what fever.
is
important to educate
them about?




PAGE 3 OF 43

, NUR172 FINAL EXAM


Name this diagnosis with: Pulmonary Edema
patient has blood- tinged
sputum and
pounding pulse

What determines the Length of time patient has IV, condition of veins,
size of the IV cath? type of solutions ordered

How often do you Primary-96 Hours
change primary Secondary-24 Hours
tubing? Secondary?

What can happen if Can cause a hematoma
you use an IV cath that is too
large or if you
have a patient with
fragile skin?

What is the best way to Flush the line as much as possible
prevent an occlusion?

Name this diagnosis based Septicemia
off these
symptoms:
hypotension,
tachycardia, change in mental
status,
increased lactate levels

Easy to use, store, puncture
What is the benefits of using
plastic container
further teaching- graduation is not easy to read

If you find a patient with Take it out
IV site redness, swelling,
etc., what
would you do first?


PAGE 4 OF 43

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