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ICHS NUR 2520: Week 3 EAQ MED SURG (96% Final score) With Rationales

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ICHS NUR 2520: Week 3 EAQ MED SURG

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6/22/22, 12:45 AM Elsevier Adaptive Quizzing - Quiz performance



Performance
Exit




Week 3 EAQ
Due Jun 26, 2022 by 8:59 pm




Final Score



96%
29 out of 30 questions answered correctly




Completed on Jun 22, 2022 12:44 am



Incorrect (1)

Which site would be avoided for a peripherally inserted central catheter
(PICC) in an adult patient?
Basilic vein

Femoral vein

Subclavian vein

Internal jugular vein

https://eaqng.elsevier.com/#/quizPerformance/27422867 1/20

,6/22/22, 12:46 AM Elsevier Adaptive Quizzing - Quiz performance

Rationale
Because there is a higher risk for infection, the femoral vein is the least preferred site
for a PICC line insertion. The basilic vein is preferred because it offers the largest
diameter of the blood vessels. The subclavian vein is also preferred because it is easy to
access using bony landmarks, followed by the internal jugular vein. The basilic,
subclavian, and internal jugular veins have lower risks for infection than the femoral
vein.

p. 283



Correct (29)

Which function does aldosterone serve?
It causes constriction of renal arterioles.

It promotes resorption of water and sodium.

It stimulates secretion of renin for the kidneys.

It causes constriction of peripheral blood vessels.




Rationale
Aldosterone promotes reabsorption of sodium and water into the body, which helps in
maintaining blood pressure. Angiotensin II causes constriction of renal arterioles,
resulting in low urine output. Factors such as low blood pressure, low blood volume,
low oxygen, and low sodium trigger secretion of renin. Angiotensin II causes
constriction of peripheral blood vessels and helps in maintaining perfusion to vital
organs.

p. 244


Which concept is accurate regarding acid-base chemistry in acidosis?
Acids bind free hydrogen ions in solution.

https://eaqng.elsevier.com/#/quizPerformance/27422867 2/20

, 6/22/22, 12:46 AM Elsevier Adaptive Quizzing - Quiz performance

Acetic acid (CH 3COOH) is a strong acid.

Normally, blood is slightly acidic in nature.
Fluids with lower pH have higher acidity.




Rationale
Fluids with lower pH have a higher level of free hydrogen ions and therefore have
higher acidity. Acids release hydrogen ions rather than bind with them when dissolved
in water. Strong acids readily dissociate in water and release all of their hydrogen ions.
CH 3COOH is a weak acid. When dissolved in water, it releases only one of its four
hydrogen molecules. Normally, blood has a pH of between 7.35 and 7.45, so it is
slightly alkaline.

pp. 261-262


Which filter pore size (in microns) would the nurse select to remove all
particles and bacteria in the infusion system?
0.2

1.2
20

40




Rationale
Filters are a part of an administration set used to remove particulate matter,
microorganisms, and other contaminants from the infusion system. Filter sizes
depend on the pore size, with common sizes such as 0.2 microns intended to remove
all particles and bacteria and 1.2 microns used to filter lipid-containing parenteral
nutrition. Microaggregate filters used in blood administration sets have a pore size of
20, 40, or 80 microns and are used to remove degenerating platelets, white blood
cells, and fibrin strands.
https://eaqng.elsevier.com/#/quizPerformance/27422867 3/20

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