NUR 327 Exam 1 Latest Exam set
Questions and correct simplified
Answers
Complications of IV therapy - correct answer-Circulatory overload, infiltration or extravasation, phlebitis,
local infection, bleeding
Isotonic fluids - correct answer-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 - correct answer-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 - correct answer-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 - correct answer-CLEAR solutions that contain electrolytes, may be used for fluid volume
replacement
Colloids - correct answer-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 - correct answer-Sodium, Potassium, and Magnesium for
sure!!! but also chloride and bicarb
Which lines can be used to infuse blood products? - correct answer-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? - correct answer-30 min
What do you start the infusion rate at? (mL/hr) - correct answer-50 mL/hr for first 15 min
How long does the RN stay with the patient once the blood infusion has started? - correct answer-15
min. Take vitals at 15 minute mark
What do we monitor when administering TPN/PPN? - correct answer-fluid, electrolyte, and glucose
levels
What are 4 purposes of gastrointestinal intubation (NGT)? - correct answer--Decompression: relieves
pressure in the bowel
-Lavage: irrigates stomach
-Gastric analysis
-Tube feedings
Types of NGT - correct answer-Short: Levin, Salem sump
Medium: nasoduodenal tubes (ND)
Long: covered in NUR325
Steps to insert an NGT - correct answer-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 - correct answer--2 lumen Salem sump
-Low intermittent suction-less than 80 mm Hg
Questions and correct simplified
Answers
Complications of IV therapy - correct answer-Circulatory overload, infiltration or extravasation, phlebitis,
local infection, bleeding
Isotonic fluids - correct answer-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 - correct answer-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 - correct answer-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 - correct answer-CLEAR solutions that contain electrolytes, may be used for fluid volume
replacement
Colloids - correct answer-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 - correct answer-Sodium, Potassium, and Magnesium for
sure!!! but also chloride and bicarb
Which lines can be used to infuse blood products? - correct answer-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? - correct answer-30 min
What do you start the infusion rate at? (mL/hr) - correct answer-50 mL/hr for first 15 min
How long does the RN stay with the patient once the blood infusion has started? - correct answer-15
min. Take vitals at 15 minute mark
What do we monitor when administering TPN/PPN? - correct answer-fluid, electrolyte, and glucose
levels
What are 4 purposes of gastrointestinal intubation (NGT)? - correct answer--Decompression: relieves
pressure in the bowel
-Lavage: irrigates stomach
-Gastric analysis
-Tube feedings
Types of NGT - correct answer-Short: Levin, Salem sump
Medium: nasoduodenal tubes (ND)
Long: covered in NUR325
Steps to insert an NGT - correct answer-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 - correct answer--2 lumen Salem sump
-Low intermittent suction-less than 80 mm Hg
