Hondros 172 Final Exam term 3 Questions And Answers Graded A+

Central line dressing change - A-Septic (sterile stays sterile, clean stays clean) (Sterile) Can we initiate blood? - Not initiate, but we can verify things and stop the blood if we suspect a reation to it. (SATA) One of your peers is reviewing IV law and make 2 incorrect statements - LPN can stick upper arm only if they cannot stick the lower bag, can hang 2nd bag of anti-infective 3 isotonics - NS, D5W, LR 3 Things to remember when placing IV? - Situation, veins, drug going into vein 65 year old getting D5W at 100Ml/HR, which would concern you the most? - Pulse ox of 90%nd HR of 110 After you are done inserting IV, and you just replaced dressing, do not forget to do what? - You must label the site again Another person getting morphine, what is the goal or expected patient outcome? - Patient gets max pain control with min, sedation As an LPN you could hang the second bag of blood, after the RN places the first? - Incorrect As LPN, which physician order can you as the LPN carry out? - Sub Q injections, Perco tablets orally Q2H, heparin flush Biggest risk of packed RBC's is fluid volume overload, which patient would be at risk? - 68 year old with hx of CHFBlood - Same technique but once you clean the site, you cannot touch the site unless with a needle. (SATA) Maintaining patient safety - Washing hands, applying cath stabilization device to prevent pistoning, fanning the Blood products - Albumin is a blood expander and can cause pulmonary edema, increase cardiac output (increase BP), you are at NO risk for transmitting hepatitis from albumin, acts as a transport for the protein By identifying the patient, would this reduce or increase the risk of complications? - Increase the risk (SATA) What is your responsibility in IV therapy infusion - Observing for possible complications, applying biopatch per facility policy, stopping the infusion when adverse effects happen. Calcium - 9-11 (this is the one you are going to select) Can you start amox IV over an hour? - Yup Caring for patient bp 70/48, patient is terrified of needles and refusing IV, what do you want to ask them? - What scares you about needles? Caring for patient that has 1000 ML bag of 5% dextrose, suppose to be run at 1000 ml/HR. it is 4PM. Now 6 PM and only has . PAtient has pounding pulse, dyspnea, etc. What would you do? - Slow the infusion, (SATA)Inserting IV on older adult with fragile veins, what would be interventions that would help patient? - Tourniquet over gown or sleeve, use of BP cuff, lowering the angle of approach into vein. Changing pic dressing - mask required for nurse and patient, sterile gloves are needed to apply the dressing Check at least 1 identifier is incorrect, why? - You should always use at least 2Chlorohexidine is the preferred cleaning method - alcohol is fine if you do not have it Complications - Hematoma's (contributed to anticoag therapy or poor technique) Complications that would make you remove the cath immediately - Phlebitis (SATA) Which of these orders are you lawfully allowed to carry out? - Dilaudid sub q every 4 hours PRN for pain, perc 2 tabs PO, Hep flush Converting a primary line to a saline lock, which would violate patient safety? - Priming the device AFTER attaching it to the patient. D5W - No major fluid shift DC'ing IV - You would use a sterile 2X2 gauze Dextrose - causes vein irritation