NU 272 FINAL EXAM QUESTIONS WITH CORRECT
ANSWERS
1. physical implications of nocturia: - voiding at night/ during sleep
|| || || || || || || || ||
- expressed in a number || || ||
2. what is the purpose of a central venous access device?: - allows for frequwnt
|| | || || || || || || || || | | |
access to the veins for long periods at a time without using needles
|| || || || || || || || || || || || ||
- can administer antibiotics, chemotherapy, blood transfusions, and are used for
|| || || || || || || || ||
blood draws
|| ||
3. can a UAP access an implanted vascular device?: No bc it requires sterile
|| || || || || || || | || || || ||
technique
||
4. How do you insert a venous access device?: - attach the IV tubing to the
|| || || || || || || || || || || || || ||
infusion
||
- prime the infusion with fluid
|| || || ||
- label flush syringes of saline + heparinized saline
|| || || || || || ||
- connect saline to huber needle || || || ||
- introduce yourself and identify your patient || || || || ||
- provide privacy, expose IVAD site | | | |
- assist patient to sitting/ lying position
|| || || || ||
- hand hygiene + mask
|| || ||
- prepare the site || ||
- use CHG wipe for 10 seconds, wait to dry
|| || || || || || || ||
- apply sterile gloves
|| ||
-grasp the IVAD device
|| || ||
1 ||/ ||27
,- insert the huber needle at 90 degree angle to the septum + push until it contacts
|| || || || || || || || || || || || || || ||
the base of IVAD chamber
|| || || || ||
-check for blood return
|| || ||
2 ||/ ||27
, - flush with normal saline || || ||
- secure the needle if needed with tape and dressings || || || || || || || ||
- loop the tubing || ||
- attach cap ||
- flush with heparinized saline || || ||
5. supplies needed for implanting a venous access device: - IV solution contain- er || || || || || || || || | | | ||
-IV tubing set || ||
- blood or blood product with transfusion set + priming saline
|| || || || || || || || ||
- blood specimen tubes, syringe, needle || || || ||
-sterile gloves ||
- mask
- heparin + saline flush syringes || || || ||
- Huber needle ||
- tape
- dressing materials ||
6. why would you loop and tape the tubing on a IVAD?: - looping the infusion
|| || || || || || || || || || | || || ||
tubing helps prevent tension on the needle
|| || || || || || ||
7. obtaining a blood specimen from an IVAD: - clean the port in a back and forth || || || || || || || || || || || || || || ||
motion using the CHG wipe for 30 sec
|| || || || || || || ||
- withdraw 10ml of blood and discard it || || || || || ||
8. how long can a huber needle remain in place before it needs to be changed?-
| | | | | | | | | | | | | |
: 1 week || ||
9. when taking a blood specimen from an IVAD, why would you discard the
|| || || || || || || || || || || ||
first 10ml of blood?: - because this blood may be diluted with saline/heparin from
|| || || || || || || || || || || || || ||
previous flushes
|| ||
10. Intake + Output Measuring: measurement of all fluid intake + output in a 24
|| || || || || || || || || || || || ||
hour period
|| ||
11. What patients might need I + O measuring?: patients getting IV fluids, on
|| || || || || || || || || || || ||
certain meds, after surgery, serious infections, renal/ kidney issues. CHF, DM,
|| || || || || || || || || | ||
dehydration or severe thermal burns
|| || || || ||
12. what is the equipment needed for intake and output recording?: - graduated
| | | | | | | | | || |
measuring container
|| ||
3 ||/ ||27
ANSWERS
1. physical implications of nocturia: - voiding at night/ during sleep
|| || || || || || || || ||
- expressed in a number || || ||
2. what is the purpose of a central venous access device?: - allows for frequwnt
|| | || || || || || || || || | | |
access to the veins for long periods at a time without using needles
|| || || || || || || || || || || || ||
- can administer antibiotics, chemotherapy, blood transfusions, and are used for
|| || || || || || || || ||
blood draws
|| ||
3. can a UAP access an implanted vascular device?: No bc it requires sterile
|| || || || || || || | || || || ||
technique
||
4. How do you insert a venous access device?: - attach the IV tubing to the
|| || || || || || || || || || || || || ||
infusion
||
- prime the infusion with fluid
|| || || ||
- label flush syringes of saline + heparinized saline
|| || || || || || ||
- connect saline to huber needle || || || ||
- introduce yourself and identify your patient || || || || ||
- provide privacy, expose IVAD site | | | |
- assist patient to sitting/ lying position
|| || || || ||
- hand hygiene + mask
|| || ||
- prepare the site || ||
- use CHG wipe for 10 seconds, wait to dry
|| || || || || || || ||
- apply sterile gloves
|| ||
-grasp the IVAD device
|| || ||
1 ||/ ||27
,- insert the huber needle at 90 degree angle to the septum + push until it contacts
|| || || || || || || || || || || || || || ||
the base of IVAD chamber
|| || || || ||
-check for blood return
|| || ||
2 ||/ ||27
, - flush with normal saline || || ||
- secure the needle if needed with tape and dressings || || || || || || || ||
- loop the tubing || ||
- attach cap ||
- flush with heparinized saline || || ||
5. supplies needed for implanting a venous access device: - IV solution contain- er || || || || || || || || | | | ||
-IV tubing set || ||
- blood or blood product with transfusion set + priming saline
|| || || || || || || || ||
- blood specimen tubes, syringe, needle || || || ||
-sterile gloves ||
- mask
- heparin + saline flush syringes || || || ||
- Huber needle ||
- tape
- dressing materials ||
6. why would you loop and tape the tubing on a IVAD?: - looping the infusion
|| || || || || || || || || || | || || ||
tubing helps prevent tension on the needle
|| || || || || || ||
7. obtaining a blood specimen from an IVAD: - clean the port in a back and forth || || || || || || || || || || || || || || ||
motion using the CHG wipe for 30 sec
|| || || || || || || ||
- withdraw 10ml of blood and discard it || || || || || ||
8. how long can a huber needle remain in place before it needs to be changed?-
| | | | | | | | | | | | | |
: 1 week || ||
9. when taking a blood specimen from an IVAD, why would you discard the
|| || || || || || || || || || || ||
first 10ml of blood?: - because this blood may be diluted with saline/heparin from
|| || || || || || || || || || || || || ||
previous flushes
|| ||
10. Intake + Output Measuring: measurement of all fluid intake + output in a 24
|| || || || || || || || || || || || ||
hour period
|| ||
11. What patients might need I + O measuring?: patients getting IV fluids, on
|| || || || || || || || || || || ||
certain meds, after surgery, serious infections, renal/ kidney issues. CHF, DM,
|| || || || || || || || || | ||
dehydration or severe thermal burns
|| || || || ||
12. what is the equipment needed for intake and output recording?: - graduated
| | | | | | | | | || |
measuring container
|| ||
3 ||/ ||27
