NUR 172 Intravenous Therapy
for the Practical Nurse
Exam 1
Question:
Reasons for IV Therapy
Answer:
Resuscitation-goal to correct hypovolemic and septic shock
Replacement-used after hemorrhage, GI losses, starvation
Maintenance-used for patients on NPO
Question:
LPN can insert peripheral IV where
Answer:
antecubital space, forearm, and the hand
,Question:
Length of IV catheter LPN may insert
Answer:
3 inches or shorter
Question:
When can an LPN hang solutions with vitamins or electrolytes
Answer:
after the RN hung the first bag
Question:
When can an LPN change a PICC/CVC dressing
Answer:
If the patient is 18 or older
Question:
Informed consent
Answer:
must be voluntary
Pt. must be informed of all risks
Pt. must be allowed to ask questions and concerns
,Question:
Unusual Occurrence Report (incident report)
Answer:
must be documented as a confidential and internal report,
Do not document in Pt. record
Question:
Sentinel Event
Answer:
an unexpected occurrence involving death, permanent harm, severe
temporary harm, and intervention needed to sustain life.
NOT all sentinel events are considered Malpractice.
Question:
Earliest sign of hemorrhage
Answer:
Thirst
, Question:
What IV solutions can an LPN not hang or maintain
Answer:
TPN,
Blood,
Heparin,
Chemotherapy
Question:
The nurse who is caring for a client with kidney failure notes that the client
is dyspneic, and crackles are heard when listening to breath sounds in the
lungs. which additional S/S would the nurse expect to note in this client?
1. Rapid weight loss
2. An increase in B/P
3. A weak thready pulse
4. Flat neck and hand veins
Answer:
2. An increase in B/P
for the Practical Nurse
Exam 1
Question:
Reasons for IV Therapy
Answer:
Resuscitation-goal to correct hypovolemic and septic shock
Replacement-used after hemorrhage, GI losses, starvation
Maintenance-used for patients on NPO
Question:
LPN can insert peripheral IV where
Answer:
antecubital space, forearm, and the hand
,Question:
Length of IV catheter LPN may insert
Answer:
3 inches or shorter
Question:
When can an LPN hang solutions with vitamins or electrolytes
Answer:
after the RN hung the first bag
Question:
When can an LPN change a PICC/CVC dressing
Answer:
If the patient is 18 or older
Question:
Informed consent
Answer:
must be voluntary
Pt. must be informed of all risks
Pt. must be allowed to ask questions and concerns
,Question:
Unusual Occurrence Report (incident report)
Answer:
must be documented as a confidential and internal report,
Do not document in Pt. record
Question:
Sentinel Event
Answer:
an unexpected occurrence involving death, permanent harm, severe
temporary harm, and intervention needed to sustain life.
NOT all sentinel events are considered Malpractice.
Question:
Earliest sign of hemorrhage
Answer:
Thirst
, Question:
What IV solutions can an LPN not hang or maintain
Answer:
TPN,
Blood,
Heparin,
Chemotherapy
Question:
The nurse who is caring for a client with kidney failure notes that the client
is dyspneic, and crackles are heard when listening to breath sounds in the
lungs. which additional S/S would the nurse expect to note in this client?
1. Rapid weight loss
2. An increase in B/P
3. A weak thready pulse
4. Flat neck and hand veins
Answer:
2. An increase in B/P
