HONDROS 172 FINAL FALL EXAM
QUESTIONS WITH COMPLETE
SOLUTIONS
LARGER amounts of BLOOD can be given in a least amount of time if the catheter has
- Answer- a large lumen 16-18 gauge
AB+ - Answer- universal recipient
O- - Answer- universal donor
*B* blood has - Answer- Anti-A antibodies
*A* blood has - Answer- Anti-B antibodies
AB blood - Answer- doesnt have antibodies
O blood has - Answer- anti- A&B antibodies
Rh+ persons - Answer- can receieve Rh- blood
blood can ONLY be given with - Answer- NS= 0.9%NaCl
Hemolytic transfusion reaction - Answer- -chest pain -flank pain
-↓ HTN
-occurs within 5 to 15 minutes of start of transfusion
-fever
-lumbar pain
-tachycardia
-tachypnea
to treat hemolytic transfusion reaction - Answer- STOP infusion
when transfusion reaction is noted - Answer- -stop infusion
-infuse NS not contaminated by the blood
-take VS
-call DR.
-retunr blood to lab (blood bank)
IV insertion scrub skin with - Answer- chlorprep for 30 secs. air dry, dont fan
, cannulation - Answer- CANNULA INSERTED INSIDE THE VEIN
Nurse uses stabilizing device for - Answer- PIV at time of placement
*not removed until PIV discontinued*
scrub needless port for - Answer- 15 secs
label iv TEGADERM with - Answer- -gauge of needle
-length of catheter
*dont put over insertion site*
intermitten device/ extantion set/ saline lock needs to be - Answer- primed/ flushed
before attaching to hub to get rid of air bubbles
IV insertion steps - Answer- -pull skin tau
-insert stylet at 45 degree angle bevel up
-look for blood return, advance catheter only,
-remove style
-release tourniquet
-connect hub to primed extension set
pt. safety and IV insertion - Answer- -6 rights of IV therapy
-2 IDentifiers
-keep sterile things sterile
-keep clean things clean
for vein distention - Answer- tourniquet
-warm compress
-fist opening and closing
-select vein based on type of fluid ordered
do not draw blood from same arms as - Answer- PIV
Remove tourniquet - Answer- ON LAST TUBE. dont leave on for a long time either
label tube - Answer- right after blood draw without leaving pt. room (label @ bedside)
stop blood draw if - Answer- complications occur
FLUID VOLUME OVERLOAD - Answer- -↑ BP
-↑HR
-crackles in lungs
-SOB
-↓ hematocrit
-cough
-hypoxia
QUESTIONS WITH COMPLETE
SOLUTIONS
LARGER amounts of BLOOD can be given in a least amount of time if the catheter has
- Answer- a large lumen 16-18 gauge
AB+ - Answer- universal recipient
O- - Answer- universal donor
*B* blood has - Answer- Anti-A antibodies
*A* blood has - Answer- Anti-B antibodies
AB blood - Answer- doesnt have antibodies
O blood has - Answer- anti- A&B antibodies
Rh+ persons - Answer- can receieve Rh- blood
blood can ONLY be given with - Answer- NS= 0.9%NaCl
Hemolytic transfusion reaction - Answer- -chest pain -flank pain
-↓ HTN
-occurs within 5 to 15 minutes of start of transfusion
-fever
-lumbar pain
-tachycardia
-tachypnea
to treat hemolytic transfusion reaction - Answer- STOP infusion
when transfusion reaction is noted - Answer- -stop infusion
-infuse NS not contaminated by the blood
-take VS
-call DR.
-retunr blood to lab (blood bank)
IV insertion scrub skin with - Answer- chlorprep for 30 secs. air dry, dont fan
, cannulation - Answer- CANNULA INSERTED INSIDE THE VEIN
Nurse uses stabilizing device for - Answer- PIV at time of placement
*not removed until PIV discontinued*
scrub needless port for - Answer- 15 secs
label iv TEGADERM with - Answer- -gauge of needle
-length of catheter
*dont put over insertion site*
intermitten device/ extantion set/ saline lock needs to be - Answer- primed/ flushed
before attaching to hub to get rid of air bubbles
IV insertion steps - Answer- -pull skin tau
-insert stylet at 45 degree angle bevel up
-look for blood return, advance catheter only,
-remove style
-release tourniquet
-connect hub to primed extension set
pt. safety and IV insertion - Answer- -6 rights of IV therapy
-2 IDentifiers
-keep sterile things sterile
-keep clean things clean
for vein distention - Answer- tourniquet
-warm compress
-fist opening and closing
-select vein based on type of fluid ordered
do not draw blood from same arms as - Answer- PIV
Remove tourniquet - Answer- ON LAST TUBE. dont leave on for a long time either
label tube - Answer- right after blood draw without leaving pt. room (label @ bedside)
stop blood draw if - Answer- complications occur
FLUID VOLUME OVERLOAD - Answer- -↑ BP
-↑HR
-crackles in lungs
-SOB
-↓ hematocrit
-cough
-hypoxia
