NFDN 2003 Final 6-12 exam with correct
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answers
Isotonic |- |correct |answer |osmolality |close |to |blood |plasma |- |does |not |cause |cell |to |shrink |or |
swell |- |just |adds |volume |Solutions |0.9%NACL |(normal |saline), |Dextrose |5% |in |water |Lactated |
Ringer's
Hypertonic |- |correct |answer |Osmolality |higher |than |that |of |serum |(higher |salt |concentration |) |
causes |the |cells |to |shrink |- |Dextrose |10% |in |water, |3% |- |5% |Sodium |Chloride, |Dextrose |5% |in |
0.9% |N |Cl, |Dextrose |5% |in |0.45% |NACL |, |Dextrose |5% |in |Lactated |Ringers
Hypotonic |- |correct |answer |Osmolality |lower |than |that |of |the |serum |(lower |salt |concentration
|) |Replaces |intracellular |fluid |causing |the |ells |to |swell |- |0.45% |NACL |(half |Normal |Saline)
Review |how |to |calculate |drip |factor: |- |correct |answer |total |Solution |divided |by |total |time |to |
infuse |= |ml/hour. |- |To |find |drops |per |minute |ml/hour |times |drop |factor |and |then |divide |by |60 |
minutes |gives |you |gtts |(drops |per |minute)
What |would |put |a |client |at |risk |for |imbalanced |fluid |and |electrolytes? |Dehydration |- |correct |
answer |
Too |Much |fluid |in |the |body |is |called? |- |correct |answer |Hypervolumia
What |might |develop |from |hypervolemia? |- |correct |answer |Too |much |solution |into |the |body |
too |quickly
Too |little |fluid |(water) |in |the |body |is |called? |- |correct |answer |Hypovolumia
, What |is |the |fastest |and |easiest |way |to |determine |fluid |balance |in |the |body? |- |correct |answer |
BP |& |Pulse |and |I |& |O |IV's |what |assessments |are |needed. |Vitals |, |I |& |O, |Respiratory |and |Cardio
|assessment
Primary |IV |describe |Main |line |for |fluids |- |correct |answer |
Secondary |IV |describe: |- |correct |answer |additional |line |used |to |infuse |medications |
piggybacked |into |the |main |line |( |must |be |compatible)
Describe |location |of |2nd |IV? |- |correct |answer |Must |be |kept |above |the |primary |line |in |order |to |
infuse |correctly.
Define |infiltration: |- |correct |answer |fluid |that |has |escaped |from |vein |into |the |tissue |
surrounding |the |IV |cath |cool |to |touch, |pale |in |color, |swollen |and |can |be |painful
Define |phlebitis: |- |correct |answer |Inflammation |of |the |vein |warm |and |painful
What |IV |sites |are |a |greater |risk |for |core |contamination? |- |correct |answer |Central |lines |or |
central |venous |catheters |need |to |do |strile |technique |for |all |dressing |changes |and |care |of |lines
What |diagnostic |tool |is |used |to |assess |brain |stem |function? |- |correct |answer |Glascow |Coma |
Scale
Are |narcotics |given |to |clients |with |head |injuries? |- |correct |answer |No |because |they |can |alter |
the |LOC |What |type |of |clients |get |autonomic |dysreflexia? |Spinal |Cord |Injury
Describe |autonomic |dysreflexia? |- |correct |answer |Distention |of |the |bowel |or |retention |of |
urine |in |the |bladder
What |nursing |action |can |eliminate |this |issue? |- |correct |answer |Relieveing |the |retention |of |the |
bladder/ |or |distention |of |the |bowel
| | | || | | |
answers
Isotonic |- |correct |answer |osmolality |close |to |blood |plasma |- |does |not |cause |cell |to |shrink |or |
swell |- |just |adds |volume |Solutions |0.9%NACL |(normal |saline), |Dextrose |5% |in |water |Lactated |
Ringer's
Hypertonic |- |correct |answer |Osmolality |higher |than |that |of |serum |(higher |salt |concentration |) |
causes |the |cells |to |shrink |- |Dextrose |10% |in |water, |3% |- |5% |Sodium |Chloride, |Dextrose |5% |in |
0.9% |N |Cl, |Dextrose |5% |in |0.45% |NACL |, |Dextrose |5% |in |Lactated |Ringers
Hypotonic |- |correct |answer |Osmolality |lower |than |that |of |the |serum |(lower |salt |concentration
|) |Replaces |intracellular |fluid |causing |the |ells |to |swell |- |0.45% |NACL |(half |Normal |Saline)
Review |how |to |calculate |drip |factor: |- |correct |answer |total |Solution |divided |by |total |time |to |
infuse |= |ml/hour. |- |To |find |drops |per |minute |ml/hour |times |drop |factor |and |then |divide |by |60 |
minutes |gives |you |gtts |(drops |per |minute)
What |would |put |a |client |at |risk |for |imbalanced |fluid |and |electrolytes? |Dehydration |- |correct |
answer |
Too |Much |fluid |in |the |body |is |called? |- |correct |answer |Hypervolumia
What |might |develop |from |hypervolemia? |- |correct |answer |Too |much |solution |into |the |body |
too |quickly
Too |little |fluid |(water) |in |the |body |is |called? |- |correct |answer |Hypovolumia
, What |is |the |fastest |and |easiest |way |to |determine |fluid |balance |in |the |body? |- |correct |answer |
BP |& |Pulse |and |I |& |O |IV's |what |assessments |are |needed. |Vitals |, |I |& |O, |Respiratory |and |Cardio
|assessment
Primary |IV |describe |Main |line |for |fluids |- |correct |answer |
Secondary |IV |describe: |- |correct |answer |additional |line |used |to |infuse |medications |
piggybacked |into |the |main |line |( |must |be |compatible)
Describe |location |of |2nd |IV? |- |correct |answer |Must |be |kept |above |the |primary |line |in |order |to |
infuse |correctly.
Define |infiltration: |- |correct |answer |fluid |that |has |escaped |from |vein |into |the |tissue |
surrounding |the |IV |cath |cool |to |touch, |pale |in |color, |swollen |and |can |be |painful
Define |phlebitis: |- |correct |answer |Inflammation |of |the |vein |warm |and |painful
What |IV |sites |are |a |greater |risk |for |core |contamination? |- |correct |answer |Central |lines |or |
central |venous |catheters |need |to |do |strile |technique |for |all |dressing |changes |and |care |of |lines
What |diagnostic |tool |is |used |to |assess |brain |stem |function? |- |correct |answer |Glascow |Coma |
Scale
Are |narcotics |given |to |clients |with |head |injuries? |- |correct |answer |No |because |they |can |alter |
the |LOC |What |type |of |clients |get |autonomic |dysreflexia? |Spinal |Cord |Injury
Describe |autonomic |dysreflexia? |- |correct |answer |Distention |of |the |bowel |or |retention |of |
urine |in |the |bladder
What |nursing |action |can |eliminate |this |issue? |- |correct |answer |Relieveing |the |retention |of |the |
bladder/ |or |distention |of |the |bowel
