Hondros 172 - quiz 3 Latest(2024/2025) Questions and Answers 100% Correct.

Can LPN stop blood if there is a complication? - Yes Pt on anticoagulants what do you avoid when inserting an IV? - Tourniquet, use a Bp cuff Bacterial phlebitis - Not maintaining aseptic technique BSI symptoms - Fever Chills Malaise Hypotension Cold sweat Tachycardia Tachypnea (labor respiration's) Evidence of decreased profusion Change in mental status Hypoxia-under 90 Elevated lactate levels Diminished urine output Elevated WBC BSI treatment - Report immediately Blood cultures Culture CVD Administer antibiotics, fluids Start new IV in opposite arm if needed Pt may need to go to ICUCan LPN maintain or start blood? - No Chemical phlebitis - Dextrose 10% or greater High osmolarity Not allowing antiseptic to dry Contact precautions - VRE C-Diff Norovirus RSV *gloves *gown Droplet precautions - Mumps Rubella Influenza Adenovirus Rhinovirus Pertussis *private room * pt wear a mask if need to leave room Extravasation is? - Only with a vesicant Extravasation symptoms - Skin cool at iv site Sin appears blanched Swelling Pt may complain of burning at IV site*blisters can develop, skin starts sloughing off How many times can a nurse or nurses try an IV - 2 nurses can each try 2x times What angle should IV be inserted at? - 15-30 How often do you check on a pt who has an iv non-vesicant infusing? - Q 2-4 hrs How often do you check on a pt with vesicant infusing? - Q 1-2 hours Infiltration symptoms - Skin is cool at IV site Skin appears blanched-pale and taught Swelling Pt may complain of burning at IV site Infiltration treatment - Stop infusion Remove IV Heat or cold apply depends on fluid Elevate extremity Monitor IV site Infiltration? - Iv fluid gets into the tissue, not into the vein, fluid NOT a vesicant Main vein on thumb side of hand? - Cephalic Mechanical phlebitis - Caused by inserting a large catheter into a small vein inserting at a flexion point Catheter not stabilized well and IV moves around Most common gauge for IV - 20 GaugeOverdose of PCA symptoms - Less than 10 respiration's Decreased pulse ox Lethargy Change in Level of conscience Respiratory depression Airborne precautions - Tb Varicella Measles Chicken pox Single pt room, negative pressure N-95 mask