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1. Treatment of Hematoma - ANSWER ✓ removal of catheter, direct pressure
on site with gauze, elevate extremity, apply ice to affected area
2. Multi-channel pump - ANSWER ✓ used to infuse more than 1 medication at
a time
3. Pt iv site is red, edematous, and has a palpable cord, which grad of phlebitis
is this? - ANSWER ✓ Grade 3
4. Pt has type 1 DM. Present to the ER with N&V. Blood sugar is 550 and they
have ketones in the urine. What is the ABG disgnosis - ANSWER ✓
Metabolic Acidosis
5. Pt is suspected to have an air embolus, what actions will the nurse take? -
ANSWER ✓ - apply % oxygen per non re-rebreather mask
- turn on left side
- trendelenburg position
- call rapid response team
6. What symptoms may indicate sepsis - ANSWER ✓ - WBC 18,000
- Oral temp 103F
- Vigorous chills
,7. What will the nurse educate patient on when taking Rifampin for active TB
diagnosis? - ANSWER ✓ - Pt will be taking 3 medications to fight this
disease, 1 will not kill bacteria
- Rifampin should be taken on an empty stomach
- May cause N&V&D
- Med will be take for 6-9 months
8. How is Respiratory Acidosis treated? - ANSWER ✓ cough, deep breath, IS
use, pursed lip breathing for COPD
9. How is metabolic Acidosis treated? - ANSWER ✓ Insulin to treat DKA,
treat diarrhea which can be an underlying cause
10.How is Respiratory Alkalosis treated? - ANSWER ✓ Non re-breather mask,
breath into a paper bag
11.How is Metabolic Alkalosis treated? - ANSWER ✓ Slow down any GI
suctioning, treat underlying cause-vomiting
12.What is an antidote for dopamine- a vassopressor? - ANSWER ✓
Phentolamine
13.autonomy - ANSWER ✓ independence. responsible for one's own actions.
14.beneficence - ANSWER ✓ doing good for all pt
15.nonmaleficence - ANSWER ✓ doing no harm to pt
16.LPN may perform - ANSWER ✓ inject heparin/ normal saline to flush an
intermittent infusion
17.primary admin set - ANSWER ✓ the main admin set used to deliver parental
solutions/ meds
18.secondary admin set - ANSWER ✓ piggyback set, short tubing 30-36 in,
drop factor 10-20 drops/ml. Extender for primary infusion bag is in this set.
,19.drip chamber - ANSWER ✓ found under the spike where the sol drops and
collects before running thru iv tubing
20.drop factor - ANSWER ✓ number of drops needed to deliver 1ml of fluid.
located on tubing package.
21.gauge - ANSWER ✓ size of cannula opening. standard of measurement
22.filter - ANSWER ✓ special porous device used for elimination certain
elements, as in particles of a certain size in sol.
23.luer-lock - ANSWER ✓ threaded sleeve on a male luer so that needles are
necessary. to re-sterilize scrub with chlorhexidine (alcohol) for 15 sec, dry
for 15 sec
24.macro drip - ANSWER ✓ admin set used to deliver measured amounts of IV
sol at specific flow rate based on the size of the drops of the sol. usually 10-
20 drops/ml
25.micro drip - ANSWER ✓ admin set used to deliver small amounts of IV sol.
drop factor of 60 drops/ ML
26.midline cath - ANSWER ✓ longer usually between 3-8 in. peripheral IV
cath placed in peripheral vein can be left in place for up to 4 weeks
27.over the needle cath - ANSWER ✓ most common type. consist of a needle
with cath sheath. needles removed after insertion leaving flexible plastic cath
in place
28.patient controlled analgesia PCA - ANSWER ✓ drug delivery system that
dispenses intravascular dose of narcotic analgesic when pt pushes button on
electric cord. lpns may not maintain this device but can turn it off due to
respiratory distress.
29.radiopaque - ANSWER ✓ material used in IV cath that can be identified by
radiographic examination
, 30.elastomeric pump - ANSWER ✓ at home use pump used to deliver chemo,
pain, antibiotics
31.When giving IV for fluids, how long should you clean the port (or hub)? -
ANSWER ✓ At least 15 Seconds
32.What is important to remember when using IV Stopcocks? - ANSWER ✓
Make sure to use only compatible fluids
33.When you have IV piggyback antibiotic, and you already have IV fluids
running, what tubing would you use? - ANSWER ✓ use secondary IV
tubing (30-36")
34.Benefits for using IV pump for patient - ANSWER ✓ Patient can move
around easily, give multiple meds at once (using multi-channels), alarms
when finished
35.PICC line (peripherally inserted central cath) Is a sterile procedure (even
dressing changes). What else do you need to know about PICC lines? -
ANSWER ✓ Always ends up in superior vena cava, placed by RN who is
specially trained, ALWAYS verified by X-Ray and read by a Dr. prior to
use, can be used for 1 year.
36.If PICC line dressing is wet: - ANSWER ✓ Gather supplies and change the
sterile dressing with a new one. Dressing should be sterile & occlusive
(completely sealed)
37.Why do we use a Biopatch- circular patch that encloses the PICC line (blue
side up-blue to the sky)? - ANSWER ✓ This helps dressing from having to
be changed so often.
38.REEDA - ANSWER ✓ Iv is red, swollen, and warm- remove IV (save do
not throw out)
39.Infiltration - ANSWER ✓ Site is cool, taut, edema is present
40.Vanco infusing- you suspect leaking into tissue. What is the first thing you
should do? - ANSWER ✓ Stop the infusion