NURS 172 FINAL EXAM 2 QUESTIONS AND
ANSWERS HONDROS STUDY
1. If you have a patient who has been diagnosed with asthma, and is currently
having an asthma attack, and a patient who is having chest pain who would
you see first
Answer> Chest pain patient should be seen first
2. LPN's Scope of practice r/t IV therapy
Answer>Can hang first, and continue to hang bags of Isotonic, Hypertonic,
Hypotonic solutions
-Can hang first, and continue to hang bags of antibiotics
-Can hang the 2nd bag of Vitamins/Electrolytes
-Can stop and monitor for s/s of infections with Blood/PCA
-Can place an IV antecubital or below
-Needle cannot be greater then 3 inches in length
-Patient must be an adult older than 18 years of age
3. What can an LPN do for a Pediatric patient
Answer> -Check vitals
-Get cultures
-Can give IM injections
1/9
-Can give suppositories
-Can give oral meds
-Can stop the IV if complications occur
-Can assess/monitor the patient
4. What are the steps and concerns when you D/C a PIV
Answer> No pressure at the
,site of injection until after the catheter is removed. Concerns for complications such
as phlebitis can still occur even after the IV has been removed. Make sure to monitor
site.
5. How do you Prioritize which patient to see first
Answer> Airway Breathing
Circulation
(ABC's)
and Critical thinking
6. IV Complications
Answer>
Hematoma
-Infiltration
-Extravasation
-Phlebitis
7. Hematoma (What it looks like and Interventions):
Answer>Bruise around IV site D/C the IV, place ice on area, apply
pressure
8. Infiltration (What is looks like and Interventions):
Answer>Lump D/C IV, and elevate extremity
9.
10. Extravasation (What it looks like and Interventions):
Answer>Lump, Could also have/get tissue
2/9 damage
Leave IV in, Give antidote, then D/C IV
**DO NOT ELEVATE EXTREMITY
, 11. Phlebitis (What it looks like and Interventions):
Answer>Red, Warm, Red line, Palpa-
ble cord (vein feels like a tendon)
D/C IV, apply a warm compress
12. At what stage of phlebitis is the palpable cord felt
Answer> Stage 3
13. I&O with recommendations of what the patient needs (more or less fluid)-
Answer>If the output is greater than the input recommend increasing the fluids
-If input is greater than output recommend a diuretic
14. Albumin administration and your assessment
Answer>5% = Isotonic
-20-25% = Hypertonic
-Watch for fluid volume overload
-Assess Lungs- Listening for any fluid buildup
-Assess B/P- (HTN)
15. Acute Hemolytic Transfusion Reaction (AHTR):
Answer>ABO Incompatibility- The RBC's burst/lyse, which creates the brick
red urine.
Caused by getting the wrong type of blood
S/S: Fever, Tachycardia, Chest pain, Back/flank pain, Flushed, Hypotension, Chills,
Dark brick colored urine 3/9
16. Isotonic Solutions
Answer>0.9% NS- Given for Traumas
-LR- Given for Burns
-D5W
-Increases the BP
-Stays in extracellular space (stays where you put it)
ANSWERS HONDROS STUDY
1. If you have a patient who has been diagnosed with asthma, and is currently
having an asthma attack, and a patient who is having chest pain who would
you see first
Answer> Chest pain patient should be seen first
2. LPN's Scope of practice r/t IV therapy
Answer>Can hang first, and continue to hang bags of Isotonic, Hypertonic,
Hypotonic solutions
-Can hang first, and continue to hang bags of antibiotics
-Can hang the 2nd bag of Vitamins/Electrolytes
-Can stop and monitor for s/s of infections with Blood/PCA
-Can place an IV antecubital or below
-Needle cannot be greater then 3 inches in length
-Patient must be an adult older than 18 years of age
3. What can an LPN do for a Pediatric patient
Answer> -Check vitals
-Get cultures
-Can give IM injections
1/9
-Can give suppositories
-Can give oral meds
-Can stop the IV if complications occur
-Can assess/monitor the patient
4. What are the steps and concerns when you D/C a PIV
Answer> No pressure at the
,site of injection until after the catheter is removed. Concerns for complications such
as phlebitis can still occur even after the IV has been removed. Make sure to monitor
site.
5. How do you Prioritize which patient to see first
Answer> Airway Breathing
Circulation
(ABC's)
and Critical thinking
6. IV Complications
Answer>
Hematoma
-Infiltration
-Extravasation
-Phlebitis
7. Hematoma (What it looks like and Interventions):
Answer>Bruise around IV site D/C the IV, place ice on area, apply
pressure
8. Infiltration (What is looks like and Interventions):
Answer>Lump D/C IV, and elevate extremity
9.
10. Extravasation (What it looks like and Interventions):
Answer>Lump, Could also have/get tissue
2/9 damage
Leave IV in, Give antidote, then D/C IV
**DO NOT ELEVATE EXTREMITY
, 11. Phlebitis (What it looks like and Interventions):
Answer>Red, Warm, Red line, Palpa-
ble cord (vein feels like a tendon)
D/C IV, apply a warm compress
12. At what stage of phlebitis is the palpable cord felt
Answer> Stage 3
13. I&O with recommendations of what the patient needs (more or less fluid)-
Answer>If the output is greater than the input recommend increasing the fluids
-If input is greater than output recommend a diuretic
14. Albumin administration and your assessment
Answer>5% = Isotonic
-20-25% = Hypertonic
-Watch for fluid volume overload
-Assess Lungs- Listening for any fluid buildup
-Assess B/P- (HTN)
15. Acute Hemolytic Transfusion Reaction (AHTR):
Answer>ABO Incompatibility- The RBC's burst/lyse, which creates the brick
red urine.
Caused by getting the wrong type of blood
S/S: Fever, Tachycardia, Chest pain, Back/flank pain, Flushed, Hypotension, Chills,
Dark brick colored urine 3/9
16. Isotonic Solutions
Answer>0.9% NS- Given for Traumas
-LR- Given for Burns
-D5W
-Increases the BP
-Stays in extracellular space (stays where you put it)
