NURSING 172 END OF COURSE UPDATED QUESTIONS
AND ANSWERS GRADED A+
✔✔long term catheters - ✔✔-Hickman (tunneled catheter)
-Port a cath (accessed catheter)
✔✔why are ABGs done? - ✔✔establish O2, CO2, and pH levels in arterial blood,
looking at lungs and kidney function
Drawn for 2 reasons: How well are they breathing? and Acid/Base balance
✔✔PO2 - ✔✔80-100 mmHg
✔✔PICC dressing change - ✔✔every 7 days
If gauze is in place no more than 48 hours
✔✔contact precautions - ✔✔practices used to prevent spread of disease by direct or
indirect contact
✔✔Airborne precautions - ✔✔Methods of infection control that must be used for
patients known or suspected to be infected with pathogens transmitted by airborne
droplet nuclei.
✔✔Droplet precautions - ✔✔Methods of infection control that must be used for patients
known or suspected to be infected with pathogens transmitted by large particle droplets
expelled during coughing, sneezing, talking, or laughing.
✔✔blood tubing - ✔✔blood can only hang for 4 hours and the tubing has to be changed
with every new bag
✔✔phlebitis grades - ✔✔vein inflammation
0. no redness
1. redness and may or may not be sore
2. red, sore, may or may not be swelling
3. red, sore, swelling, red streak, palpable core (hardened vein)
4. red, sore, swelling, red streak, palpable core, and purulent drainage
✔✔phlebitis treatment - ✔✔Elevation
Warm or cool compress
NSAIDS
Anti-inflammatories
Get IV out
Determine the etiology (cause)
✔✔antidote for heparin - ✔✔protamine sulfate
, ✔✔antidote for coumadin - ✔✔Vitamin K
✔✔PTT (partial thromboplastin time) - ✔✔normal = 25-35 seconds; on heparin therapy
goal is 2-2.5 times base
✔✔PT/INR therapeutic range - ✔✔2-3
✔✔Heparin can be used for some these diagnosis - ✔✔DVT, pulmonary embolism,
stroke, MI, AFIB
✔✔How is heparin administered? - ✔✔IV, IV PUSH or SUBQ
✔✔Central Line Bundle - ✔✔Interventions proven to lower infection
Full sterile barrier
avoid femoral site
daily assessment to see if central line is still needed
Wash hands
clean with chlorohexadine
Cath inserter wears a cap, mask, sterile gloves, gown, and a large sterile drape is
placed over patient during insertion
✔✔Lovenox - ✔✔Anticoagulant-low molecular weight heparin derivative. No test to
monitor levels
✔✔Valium and Ativan are both used for what? - ✔✔Antianxiety Agents, used for
anxiety, sedation CIWA, and seizures. Can be given IVP or IM
✔✔Impaired host resisistance - ✔✔-infections occur frequently
-infections are more severe than usual
-unusual infecting agents occur
-Patients have incomplete response to treatment without complete elimination of the
infecting agent.
✔✔Examples of immune system disorders? - ✔✔Rheumatoid Arthritis
Crohns Disease
Patients with organ transplants
Patients with HIV/AIDS
✔✔Health care-associated infections (HAIs) - ✔✔-an infection acquired while the client
is receiving care in a health-care setting
-These greatly increase the cost and length of the hospital stay
✔✔Some examples of things that cause HAI's? - ✔✔Central Lines (CLABSI)
AND ANSWERS GRADED A+
✔✔long term catheters - ✔✔-Hickman (tunneled catheter)
-Port a cath (accessed catheter)
✔✔why are ABGs done? - ✔✔establish O2, CO2, and pH levels in arterial blood,
looking at lungs and kidney function
Drawn for 2 reasons: How well are they breathing? and Acid/Base balance
✔✔PO2 - ✔✔80-100 mmHg
✔✔PICC dressing change - ✔✔every 7 days
If gauze is in place no more than 48 hours
✔✔contact precautions - ✔✔practices used to prevent spread of disease by direct or
indirect contact
✔✔Airborne precautions - ✔✔Methods of infection control that must be used for
patients known or suspected to be infected with pathogens transmitted by airborne
droplet nuclei.
✔✔Droplet precautions - ✔✔Methods of infection control that must be used for patients
known or suspected to be infected with pathogens transmitted by large particle droplets
expelled during coughing, sneezing, talking, or laughing.
✔✔blood tubing - ✔✔blood can only hang for 4 hours and the tubing has to be changed
with every new bag
✔✔phlebitis grades - ✔✔vein inflammation
0. no redness
1. redness and may or may not be sore
2. red, sore, may or may not be swelling
3. red, sore, swelling, red streak, palpable core (hardened vein)
4. red, sore, swelling, red streak, palpable core, and purulent drainage
✔✔phlebitis treatment - ✔✔Elevation
Warm or cool compress
NSAIDS
Anti-inflammatories
Get IV out
Determine the etiology (cause)
✔✔antidote for heparin - ✔✔protamine sulfate
, ✔✔antidote for coumadin - ✔✔Vitamin K
✔✔PTT (partial thromboplastin time) - ✔✔normal = 25-35 seconds; on heparin therapy
goal is 2-2.5 times base
✔✔PT/INR therapeutic range - ✔✔2-3
✔✔Heparin can be used for some these diagnosis - ✔✔DVT, pulmonary embolism,
stroke, MI, AFIB
✔✔How is heparin administered? - ✔✔IV, IV PUSH or SUBQ
✔✔Central Line Bundle - ✔✔Interventions proven to lower infection
Full sterile barrier
avoid femoral site
daily assessment to see if central line is still needed
Wash hands
clean with chlorohexadine
Cath inserter wears a cap, mask, sterile gloves, gown, and a large sterile drape is
placed over patient during insertion
✔✔Lovenox - ✔✔Anticoagulant-low molecular weight heparin derivative. No test to
monitor levels
✔✔Valium and Ativan are both used for what? - ✔✔Antianxiety Agents, used for
anxiety, sedation CIWA, and seizures. Can be given IVP or IM
✔✔Impaired host resisistance - ✔✔-infections occur frequently
-infections are more severe than usual
-unusual infecting agents occur
-Patients have incomplete response to treatment without complete elimination of the
infecting agent.
✔✔Examples of immune system disorders? - ✔✔Rheumatoid Arthritis
Crohns Disease
Patients with organ transplants
Patients with HIV/AIDS
✔✔Health care-associated infections (HAIs) - ✔✔-an infection acquired while the client
is receiving care in a health-care setting
-These greatly increase the cost and length of the hospital stay
✔✔Some examples of things that cause HAI's? - ✔✔Central Lines (CLABSI)
