HONDROS 172 Exam 2
Which ABG shows full compensation - Answer-PH-7.44
PACO2- 30
HC03-20
Which type of IV equipment puts a patient at a higher risk of BSI
(Blood stream infection) - Answer-Stopcock
Nurse reviewing infection prevention needs further education when she states what - Answer-Change
primary IV tubing every 24 hours
(96 hrs is correct)
120 mL of NS with 500 mg ampicillin to infuse over 40 minutes with a drip factor of 15 GTT/ml. provide
ml/hr! - Answer-120/40×60 = 180 mL/hr
Patient is taking warfarin 4 mg daily the patient's INR is 4.8 the nurse will do which of the following -
Answer-Call the doctor and suggest that the medication be held for the day
, Zosyn 2.25 gm Q6 hrs for 7 days. Label states to infuse a 50 mL bag over 35 minutes. Drop factor is 15
GTT/MIN. What rate will the nurse set the pump - Answer-50/35×60 = 86 mL/hr
A patient just received a new PICC which statement by the LPN who is talking to another nurse indicates
a need for more education - Answer-It can be used for up to 60 days
(Can be used for 1 yr.)
The LPN is caring for an adult patient with PICC which statement is correct regarding care of PICC by LPN
- Answer-Changing PICC dressing is sterile procedure
The nurse is assessing a patient's peripheral IV site and find the site has redness,is warm, swelling and
the infusion has slowed what action will the nurse take - Answer-Remove the IV
The nurse enters the room to assess the patient's peripheral IV site and find the skin is cold, taut and
Edema around IV site Vanco myosin is infusing. patient would be experiencing which complication -
Answer-Extravasation
PT has IV at 150 mL/hour nurse notes patient has SOB, RR 28, pulse ox of 88% and crackles in the lungs
what will Nurse do first - Answer-Slow the IV rate to 10 mL/hr
An experienced nurse is about to give lorazepam (Ativan) she is teaching a new nurse about the drug.
Which statement indicates a need for further teaching - Answer-Lorazepam is used for allergic reactions
(No, Benadryl)
A nurse hangs an IV of NS to gravity but forgets to prime the tubing, patient received a line of air. what
actions will the nurse take - Answer-Notify the RN immediately, turn patient to left side, head of bed
lower than hips, hips lower than feet, apply 100% oxygen nonrebreather mask
An elderly patient has an IV infusing at 150 ML/HR. The nurse notices JVD, RR-28 and crackles in the
lungs. Which action will the nurse take first - Answer-Stop IV fluid
Which ABG shows full compensation - Answer-PH-7.44
PACO2- 30
HC03-20
Which type of IV equipment puts a patient at a higher risk of BSI
(Blood stream infection) - Answer-Stopcock
Nurse reviewing infection prevention needs further education when she states what - Answer-Change
primary IV tubing every 24 hours
(96 hrs is correct)
120 mL of NS with 500 mg ampicillin to infuse over 40 minutes with a drip factor of 15 GTT/ml. provide
ml/hr! - Answer-120/40×60 = 180 mL/hr
Patient is taking warfarin 4 mg daily the patient's INR is 4.8 the nurse will do which of the following -
Answer-Call the doctor and suggest that the medication be held for the day
, Zosyn 2.25 gm Q6 hrs for 7 days. Label states to infuse a 50 mL bag over 35 minutes. Drop factor is 15
GTT/MIN. What rate will the nurse set the pump - Answer-50/35×60 = 86 mL/hr
A patient just received a new PICC which statement by the LPN who is talking to another nurse indicates
a need for more education - Answer-It can be used for up to 60 days
(Can be used for 1 yr.)
The LPN is caring for an adult patient with PICC which statement is correct regarding care of PICC by LPN
- Answer-Changing PICC dressing is sterile procedure
The nurse is assessing a patient's peripheral IV site and find the site has redness,is warm, swelling and
the infusion has slowed what action will the nurse take - Answer-Remove the IV
The nurse enters the room to assess the patient's peripheral IV site and find the skin is cold, taut and
Edema around IV site Vanco myosin is infusing. patient would be experiencing which complication -
Answer-Extravasation
PT has IV at 150 mL/hour nurse notes patient has SOB, RR 28, pulse ox of 88% and crackles in the lungs
what will Nurse do first - Answer-Slow the IV rate to 10 mL/hr
An experienced nurse is about to give lorazepam (Ativan) she is teaching a new nurse about the drug.
Which statement indicates a need for further teaching - Answer-Lorazepam is used for allergic reactions
(No, Benadryl)
A nurse hangs an IV of NS to gravity but forgets to prime the tubing, patient received a line of air. what
actions will the nurse take - Answer-Notify the RN immediately, turn patient to left side, head of bed
lower than hips, hips lower than feet, apply 100% oxygen nonrebreather mask
An elderly patient has an IV infusing at 150 ML/HR. The nurse notices JVD, RR-28 and crackles in the
lungs. Which action will the nurse take first - Answer-Stop IV fluid
