Hondros 172 College of Nursing Questions And Answers With 100% Correct Answers

How often do you monitor the IV site if a vesicant is infusing - Q 1-2 hours A 20 G needle is _______ in diameter than an 18 G - smaller A blue catheter is what size - 22 G A gray catheter is what size - 16g A green catheter is what size - 18G A nurse may only attempt an IV how many times - Twice A Pink catheter is what size - 20G Actions for LPN when there is a complication with PCA - Stop PCA, Assess breathing, assist with breathing & O2 & ambu bag, Notify RN & MD, Admin Narcan only IM for LPN After 2 nurses stick twice each, what should be done - Notify doctor and should order a PICC or other CVAD Dextrose - Is irritating to veins, It is a vesicant, It is glucose, Reduces catabolism of fat ( ketosis), Reduces catabolism of protein, Must check compatability Dilaudid side effects - respiratory depression, dizziness, drowsiness, hypotension, N/V FVE: Hypervolemia s/s - Hypertension, tachycardia, weight gain, crackles, cough, dyspnea, JVDGtt/min - use the drop factor Hematocrit lab value male and female - Male: 42-52% Female: 37-47% Hemoglobin (Hgb) lab value - 12-18 How does an elastomeric pump work - It is a balloon filled with medication that administers medication with positive pressure How oft A 16G needle is _____ than an 18 G - Bigger en do you monitor the IV site if a non-vesicant is infusing - Q 2-4 hours Hypertonic Solutions ( Shrink cells) - Increase BP: D5NS, D5LR, D5 & 1/2NS,TPN, Abumin 25% Hypotonic Solutions ( Swell cell) - Decrease BP: 1/2 NS , 1/3 NS, 1/4 NS, D2.5W Not for IICP patients Hypovolemia ( FVD) S/S - Tachycardia, hypotension, tenting of skin, narrow pulse pressure, weight loss, flat neck veins when supine, hemoglobin and hematocrit increased, increased urine specific gravity, urine output is less than 30ml/hr Interventions for Pulmonary Edema - O2 with nasal cannula, IM lasix, Fluid restriction Isotonic Solutions - Increase BP: NS, LR, D5W, D5 & 1/4NS, Albumin 5% Lactated Ringers - Preferred use for burns. Not for liver patientsWhy should you use a bp cuff on an elderly patient - To prevent skin tears Many PCA pumps now have what built in - Pulse-oximetermL/hr - Do not use drop factor Morphine side effects - Respiratory depression, N/V, dizziness, drowsiness, urinary retention Name of the veins in the top of the hand - Metacarpal On-Q is an elastomeric pump that delivers what - Pain medication Overdose of PCA symptoms - Respiratory Depression, Decreased pulse ox, Lethargy, Change in LOC, Decreased respirations Pulmonary Edema ( complication of FVE) S/S - Hypertension, Tachycardia, weight gain, crackles, cough, dyspnea Saline lock is also called what - Intermittent infusion device T/F: Blood can be administered through a 20G over-the-needle catheter - True T/F: Don't let go of the hub catheter until it is secured with the TSM - True T/F: The higher the number the smaller the catheter - True T/F:Peripheral Nerve Catheters will keep the extremity completely numb - False The gauge of the catheter should be chosen based on what - The type of solution that will be administered The IV should be inserted at what angle - 15-30 degrees The name of the main vein on the thumb side of the hand is the - CephalicThe normal solution for flushing is - Normal Saline The PNC pump is not sutured in so you may not do what to it - Change the dressing The TSM should be applied when - After flushing