NUR 172 Final Exam Hondros
3 Goals for admin of parenteral therapy - ANS-Maintenance therapy, replacement therapy,
providing fluids & electrolytes
5 moments for hand hygiene - ANS-Before touching patient, before clean/aseptic procedure,
after body fluid exposure, after touching patient, after touching patient's surroundings.
76 y.o. patient receiving 0.9% NS for dehydration. Which assessments? - ANS-• Elimination
• Vitals
• Oxygenation
• IV site
Air embolism - ANS-Turn patient on left lateral Trendelenburg until you can get MD.
Airborne precautions - ANS-wear respirator- patient with TB, mask is donned before entering
patient room or patient before entering home setting
Alcohol should not be applied after application of iodine - ANS-because alcohol negates effects
Autonomy - ANS-independence
Beneficence - ANS-doing good
Benefits of IV pump for patient - ANS-• Patient can move easily
• Give multiple meds at once with multi-channels
• Alarms when finished
• DRAWBACK: needs plugged in sometimes
Best practice for IVs - ANS-Use alcohol caps
Best way to prevent an occlusion is to - ANS-flush cath as much as possible
Bigger number gauge - ANS-= smaller needle size
Biopatch - ANS-• Blue to the sky
• Absorbs bacteria
Blood circulatory overload - ANS-Excessive amounts of isotonic or hypertonic crystalloid
solution too rapidly- fail to monitor IV solution, or too rapid of any fluid to patient with cardiac
pulmonary or renal disease
Blood culture tubes - ANS-yellow top
BUN - ANS-10-20
Bundle for a central line bundle - ANS-Hand hygiene, maximal sterile barrier, cap, mask, sterile
gloves, gown, sterile drape placed over patient.
Calcium - ANS-4.5-5.5
Can an LPN give IV multi-vitamins? - ANS-Yes
Change tubing - ANS-• Primary- 96 hours
• Secondary- 24 hours
• Change tubing with every blood transfusion
Coagulation tubes light blue top - ANS-light blue top
Contact precautions - ANS-Wear gloves and gowns- C.Diff, norovirus, RSV
Creatinine - ANS-0.5-1
, Crystalloid - ANS-A substance that forms a true solution/is capable of passing through a
semi-permable
Drip rate - ANS-mL/min x drop factor
Droplet precautions - ANS-wear eye protection & mask-mumps, rubella, influenza, rhinovirus,
pertussis. Single patient room preferred.
EDTA tubes - ANS-lavender
EFC defecit - ANS-dehydration
Factors affecting size of IV catheter used - ANS-• Type of solution ordered
• Condition of vein
• Length of time
fidelity - ANS-faithful
Flow rate - ANS-mL/hr
FULLY COMPENSATED - ANS-pH normal
PaCO2 & HCO3 abnormal
gauze dressings - ANS-change at least every 2 days- 48 hours
Glucose - ANS-gray
Hematoma - ANS-Ice, Elevate, Pressure
Heparin tubes - ANS-green
Hypertonic - ANS-they shrink and water is pulled out of the cell
Hypertonic solutions - ANS-• Raises BP
Hypervolemia - ANS-Causes cardiovascular dysfunction
Hypotonic - ANS-causes the cell to swell as water moves in
Hypotonic solutions - ANS-• Lowers BP
Hypovolemia - ANS-Fluid volume deficit- prolonged can lead to acute renal failure
Infiltration - ANS-Cool, taunt skin and edema at site
Isotonic solution - ANS-same effect, does not cause shrinking or swelling
IV antibiotic vanco- skin in sub q tissue - ANS-stop the infusion
IV fluids an LPN can administer - ANS-D5W, D5/LR, D5/NS, NS, LR, 0.45% NaCl, 0.2% NaCl,
Antibiotics
IV glass containers - ANS-remember venting is required to all diffusion
IV piggyback of antibiotics - ANS-Use secondary tubing: 30-36 inches
• Primary bag hangs lower
• Secondary bag hangs higher
IV pump alarms - ANS-• Check pump alarm status first
IV source of infection - ANS-Opening in skin
• Access points
• Goes into blood stream
IV Stopcocks - ANS-• 4 way intersection used when IV fluids are compatible
• One or both lines can run into the patient, either alone or combined
• Controls the direction of flow of an infusate
• High contamination chances
IV Stopcocks - ANS-only when fluids are compatible
justice - ANS-fair
Keotacidosis - ANS-Causes diabetes, alcohol, starvation
3 Goals for admin of parenteral therapy - ANS-Maintenance therapy, replacement therapy,
providing fluids & electrolytes
5 moments for hand hygiene - ANS-Before touching patient, before clean/aseptic procedure,
after body fluid exposure, after touching patient, after touching patient's surroundings.
76 y.o. patient receiving 0.9% NS for dehydration. Which assessments? - ANS-• Elimination
• Vitals
• Oxygenation
• IV site
Air embolism - ANS-Turn patient on left lateral Trendelenburg until you can get MD.
Airborne precautions - ANS-wear respirator- patient with TB, mask is donned before entering
patient room or patient before entering home setting
Alcohol should not be applied after application of iodine - ANS-because alcohol negates effects
Autonomy - ANS-independence
Beneficence - ANS-doing good
Benefits of IV pump for patient - ANS-• Patient can move easily
• Give multiple meds at once with multi-channels
• Alarms when finished
• DRAWBACK: needs plugged in sometimes
Best practice for IVs - ANS-Use alcohol caps
Best way to prevent an occlusion is to - ANS-flush cath as much as possible
Bigger number gauge - ANS-= smaller needle size
Biopatch - ANS-• Blue to the sky
• Absorbs bacteria
Blood circulatory overload - ANS-Excessive amounts of isotonic or hypertonic crystalloid
solution too rapidly- fail to monitor IV solution, or too rapid of any fluid to patient with cardiac
pulmonary or renal disease
Blood culture tubes - ANS-yellow top
BUN - ANS-10-20
Bundle for a central line bundle - ANS-Hand hygiene, maximal sterile barrier, cap, mask, sterile
gloves, gown, sterile drape placed over patient.
Calcium - ANS-4.5-5.5
Can an LPN give IV multi-vitamins? - ANS-Yes
Change tubing - ANS-• Primary- 96 hours
• Secondary- 24 hours
• Change tubing with every blood transfusion
Coagulation tubes light blue top - ANS-light blue top
Contact precautions - ANS-Wear gloves and gowns- C.Diff, norovirus, RSV
Creatinine - ANS-0.5-1
, Crystalloid - ANS-A substance that forms a true solution/is capable of passing through a
semi-permable
Drip rate - ANS-mL/min x drop factor
Droplet precautions - ANS-wear eye protection & mask-mumps, rubella, influenza, rhinovirus,
pertussis. Single patient room preferred.
EDTA tubes - ANS-lavender
EFC defecit - ANS-dehydration
Factors affecting size of IV catheter used - ANS-• Type of solution ordered
• Condition of vein
• Length of time
fidelity - ANS-faithful
Flow rate - ANS-mL/hr
FULLY COMPENSATED - ANS-pH normal
PaCO2 & HCO3 abnormal
gauze dressings - ANS-change at least every 2 days- 48 hours
Glucose - ANS-gray
Hematoma - ANS-Ice, Elevate, Pressure
Heparin tubes - ANS-green
Hypertonic - ANS-they shrink and water is pulled out of the cell
Hypertonic solutions - ANS-• Raises BP
Hypervolemia - ANS-Causes cardiovascular dysfunction
Hypotonic - ANS-causes the cell to swell as water moves in
Hypotonic solutions - ANS-• Lowers BP
Hypovolemia - ANS-Fluid volume deficit- prolonged can lead to acute renal failure
Infiltration - ANS-Cool, taunt skin and edema at site
Isotonic solution - ANS-same effect, does not cause shrinking or swelling
IV antibiotic vanco- skin in sub q tissue - ANS-stop the infusion
IV fluids an LPN can administer - ANS-D5W, D5/LR, D5/NS, NS, LR, 0.45% NaCl, 0.2% NaCl,
Antibiotics
IV glass containers - ANS-remember venting is required to all diffusion
IV piggyback of antibiotics - ANS-Use secondary tubing: 30-36 inches
• Primary bag hangs lower
• Secondary bag hangs higher
IV pump alarms - ANS-• Check pump alarm status first
IV source of infection - ANS-Opening in skin
• Access points
• Goes into blood stream
IV Stopcocks - ANS-• 4 way intersection used when IV fluids are compatible
• One or both lines can run into the patient, either alone or combined
• Controls the direction of flow of an infusate
• High contamination chances
IV Stopcocks - ANS-only when fluids are compatible
justice - ANS-fair
Keotacidosis - ANS-Causes diabetes, alcohol, starvation
