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NUR 327 Exam 1 Questions and Answers 100% Pass

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NUR 327 Exam 1 Questions and Answers 100% Pass Complications of IV therapy - Circulatory overload, infiltration or extravasation, phlebitis, local infection, bleeding Isotonic fluids - NS, LR, D5W Solutions that have the same osmol as body fluids. Fluids do not enter the cell because no osmotic force exists to shift the fluids, so it increases ECV Hypotonic fluids - 0.45% NS Solutions are more dilute or have a lower osmol than body fluids. Causes movement of water into cells via osmosis. Administered slowly to prevent cellular edema. Hypertonic fluids - D5/NS, D5/LR, D5/0.45%NS, D5/0.22%NS, TPN, 10 % Dextrose, D50W, 3%NS Solutions are more concentrated or have higher osmol than body fluids. Concentrates ECF and causes movement of water from cells into ECF via osmosis. Crystalloids - CLEAR solutions that contain electrolytes, may be used for fluid volume replacement 2Katelyn Whitman, All Rights Reserved © 2025 Colloids - CLOUDY solutions known as "plasma expanders." they pull fluids from the interstitial compartments into the vascular compartment. they are used to increase the vascular volume rapidly, such as with hemorrhage or severe hypovolemia. Electrolytes to monitor during IV therapy - Sodium, Potassium, and Magnesium for sure!!! but also chloride and bicarb Which lines can be used to infuse blood products? - peripheral (20 gauge or larger for adults) or central line How long can you wait to start infusing the blood once it leaves the bank? - 30 min What do you start the infusion rate at? (mL/hr) - 50 mL/hr for first 15 min How long does the RN stay with the patient once the blood infusion has started? - 15 min. Take vitals at 15 minute mark What do we monitor when administering TPN/PPN? - fluid, electrolyte, and glucose levels What are 4 purposes of gastrointestinal intubation (NGT)? - -Decompression: relieves pressure in the bowel -Lavage: irrigates stomach -Gastric analysis -Tube feedings 3Katelyn Whitman, All Rights Reserved © 2025 Types of NGT - Short: Levin, Salem sump Medium: nasoduodenal tubes (ND) Long: covered in NUR325 Steps to insert an NGT - 1. Measure NEX mark 2. Lubricate tube 3. Swallow while inserting 4. Verify placement 5. Secure tube with tape or tube holder Suctioning gastrointestinal tubes - -2 lumen Salem sump -Low intermittent suction-less than 80 mm Hg

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NUR 327 Exam 1 Questions and
Answers 100% Pass


Complications of IV therapy - ✔✔Circulatory overload, infiltration or extravasation,

phlebitis, local infection, bleeding


Isotonic fluids - ✔✔NS, LR, D5W


Solutions that have the same osmol as body fluids. Fluids do not enter the cell because

no osmotic force exists to shift the fluids, so it increases ECV


Hypotonic fluids - ✔✔0.45% NS


Solutions are more dilute or have a lower osmol than body fluids. Causes movement of

water into cells via osmosis. Administered slowly to prevent cellular edema.


Hypertonic fluids - ✔✔D5/NS, D5/LR, D5/0.45%NS, D5/0.22%NS, TPN, 10 %

Dextrose, D50W, 3%NS


Solutions are more concentrated or have higher osmol than body fluids. Concentrates

ECF and causes movement of water from cells into ECF via osmosis.


Crystalloids - ✔✔CLEAR solutions that contain electrolytes, may be used for fluid

volume replacement


Katelyn Whitman, All Rights Reserved © 2025 1

, Colloids - ✔✔CLOUDY solutions known as "plasma expanders." they pull fluids from

the interstitial compartments into the vascular compartment. they are used to increase

the vascular volume rapidly, such as with hemorrhage or severe hypovolemia.


Electrolytes to monitor during IV therapy - ✔✔Sodium, Potassium, and Magnesium for

sure!!! but also chloride and bicarb


Which lines can be used to infuse blood products? - ✔✔peripheral (20 gauge or larger

for adults) or central line


How long can you wait to start infusing the blood once it leaves the bank? - ✔✔30 min


What do you start the infusion rate at? (mL/hr) - ✔✔50 mL/hr for first 15 min


How long does the RN stay with the patient once the blood infusion has started? -

✔✔15 min. Take vitals at 15 minute mark


What do we monitor when administering TPN/PPN? - ✔✔fluid, electrolyte, and

glucose levels


What are 4 purposes of gastrointestinal intubation (NGT)? - ✔✔-Decompression:

relieves pressure in the bowel


-Lavage: irrigates stomach


-Gastric analysis


-Tube feedings



Katelyn Whitman, All Rights Reserved © 2025 2

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