Fundamental Concepts Complete Guide Questions and
Verified Answers 100% Correct A Grade – Herzing
QUESTION
Phlebitis
Answer:
inflammation of a vein
QUESTION
Signs of phlebitis
Answer:
Pain, increased skin temperature, and redness along the vein
QUESTION
Phlebitis Assessment
Answer:
Redness, tenderness, pain, warmth along course of vein starting at access site; possible red streak
and/or palpable cord along vein
QUESTION
blood transfusion
Answer:
Informed Consent and Allergies and Transfusion History
Obtain baseline vital signs BEFORE Infusion
Verify the blood group and type with a second nurse to ensure correct unit of blood (Compatibility
and Rh Factors) Match blood band, paperwork and Unit)
Prime the tubing with 0.9% normal saline, and
Start infusion at 2mL for first 15 minutes
QUESTION
Peripheral IV
Answer:
the nurse will see blood return in the flashback chamber, indicating correct placement.
NEXT the RN should take is separate the catheter for the needle style by activating the push- off
,tab.
Once the stylet is separated from the catheter, the nurse can then advance the catheter, so the hub
is at the site of puncture. (active safety feature if available)
Once the catheter is in place, then the nurse would remove the tourniquet, which provides
QUESTION
Peripheral Venous Access: Infiltration
Answer:
Keep site and tubing visible
Site stabilization device
Asses q4 hours
QUESTION
Fluid Volume deficit
Answer:
Especially Older adult are at risk for fluid volume deficit related to age-related changes.
They can experience a decreased sense of thirst, which will not trigger the client to intake fluids.
Care should include that the client has an intake of at least 1,500 mL
Try to schedule diagnostic testing early in the day to avoid NPO status for too long
Assess the client's fluid preferences to increase fluids
Offer the fluids on a regular schedule.
QUESTION
Fluid Volume Replacement
Answer:
Normal saline
QUESTION
Foods High and low in Sodium
Answer:
QUESTION
Foods high and low in Potassium
Answer:
, QUESTION
Fluid Volume Deficit: Treatment
Answer:
Strict I&O; replacement of fluids isotonically; water is hypotonic
QUESTION
Fluid Volume Excess: Treatment
Answer:
Diuretics, fluid restriction, strict I&O, sodium restricted diet, weighed daily, K+ serum monitored
QUESTION
Metabolic problems/ respiratory system components
Answer:
Hypoventilation , respiratory infections, COPD, pulmonary edema, anemia,
QUESTION
Respiratory system problems
Answer:
Excret more hydrogen ions and elevate serums of HCO3 in an effort to compensate the pH
QUESTION
pH
Answer:
Wigs lab value determines acidosis or alkalosis
QUESTION
Hemolytic Infusion Reaction
Answer:
Incompatibility of blood product Wrong type of blood