Complete Solutions
a newly admitted 60 year old has sever bacterial pneumonia, a
pulse ox of 85%, and right side mastectomy 1 year prior. What
orders/interventions with eh LPN carry out? Correct Answers -
Monitor pulse of continuously
- hang IVPB with broad spectrum antibiotic until culture and
sensitivity tests come back
- Apply O2/ nebulizer treatment as ordered
A nurse has difficulty withdrawing blood from a central
tunneled catheter but is able to infuse fluids through the line.
The nurse should anticipate that this difficulty is most likely due
to Correct Answers formation of a fibrin sheath
A nurse is assessing a pts peripheral IV site and notices redness,
warm to touch, swelling and the infusion rate has slowed what is
the first action taken by the nurse? Correct Answers Remove
the IV catheter
A nurse is caring for a patient who is receiving an isotonic
solution in a plastic container, what statement by the LPN would
indicate a need for further teaching? Correct Answers A plastic
container is not easily punctured
active immunity Correct Answers immunity produced by
exposure to an antigen, as a result of the immune response
antidote for warfarin Correct Answers Vitamin K
, bacterial phlebitis is caused by Correct Answers Poor hand
hygiene, lack of aseptic technique, failure to check equipment,
or recognize early signs of phlebitis
Often occurs during insertion
BUN Correct Answers 10-20 mg/dL
Causes of hematoma Correct Answers poor venipuncture
technique, flow clamp left open, tourniquet left on to long,
cannula to large, digging into vein
central line site has purulent drainage, pt also has fever and
elevated WBC, what can the LPN legally do? Correct Answers
change dressing
hang ivpb to newly inserted peripheral iv
Circulatory overload is a concern for which patient Correct
Answers Patients with elevated BUN and creatinine level
Creatinine Correct Answers 0.6-1.2 mg/dL
CVAD Correct Answers central vascular access device or
indwelling line
during initial venipuncture the nurse has difficulty advancing the
cannual into clients vein, observes eccmoysis over insterion
area, the area is raised and hard, what can be concluded?
Correct Answers hematoma has formed