NUR 172 QUIZ FINAL COMPREHENSIVE
EXAMINATION TEST WITH ALL QUESTIONS
AND CORRECT DETAILED ANSWERS FULL
SOLUTION TOP RATED ALREADY GRADED
A PLUS EXPERT FEEDBACK BRAND NEW
⩥ vancomycin can cause
Answer: anti-infective
speed shock if infused too fast
monitor toxicities, low WBC, headache, elevated BUN and creatinine
⩥ Levaquin/levofloxacin alerts, requires what? high risk for?
Answer: anti infective
requires increased fluid intake
high risk for photosensitivity and Achilles tendon rupture, monitor for
ankle pain.
⩥ Rifampin/ can cause what /severe risk? What's the Flagyl warning
Answer: anti-infective- TB treatment
can cause mouth sores
severe risk Steven-Johnson syndrome, low WBC/platelets, elevated
BUN/creatinine
,Flagyl warning- can cause severe bone marrow depression, WBC <5000
⩥ Predinisone interaction warning? elevates what?
Answer: steroid
elevates blood sugar
interaction warning- combining steroids with ciprofloxacin severely
increases risk for tenson rupture
⩥ What are the restricted actions for LPNs regarding IV therapy?
Answer: LPNs cannot administer IV antibiotics to patients under 18, IV
Lasix, IV Heparin, or hang blood products.
⩥ What is the purpose of the Central Line (CVC) Defense Bundle?
Answer: To prevent Central Line-Associated Bloodstream Infections
(CLABSI) by ensuring all five components are active simultaneously.
⩥ What are the components of the Central Line Defense Bundle?
Answer: Daily review of line necessity, optimal catheter site selection,
hand hygiene, maximal barrier precautions, and chlorhexidine skin
antisepsis.
⩥ What is the Chlorhexidine Foundation Rule?
Answer: Scrub the Hub for 15 seconds and allow it to dry completely;
residual protection lasts 48 hours.
,⩥ What are the signs of fluid infiltration?
Answer: Skin cool to touch, taut, and edema.
⩥ What is the immediate intervention for air embolism?
Answer: Place the patient in Trendelenburg position on their left side.
⩥ What are the signs of fluid volume deficit (dehydration)?
Answer: Skin tenting, weight loss, weak/thready pulse, and hypotension.
⩥ What are the signs of fluid volume excess (overload)?
Answer: Distended jugular vein, ascites, bounding edema, and crackles
in lungs.
⩥ What is the action of Heparin?
Answer: Prevents deep vein thrombosis (DVTs) and is administered
subcutaneously in the abdomen.
moniot aPTT antidote prothamine sulfate
⩥ What is the antidote for Warfarin (Coumadin)?
Answer: Vitamin K.
INR 2-3 norm
, ⩥ Lorazepam (Ativan) benzodiazepine
Answer: used for anxiety, sedation, alcohol withdrawal, and status
epilepticus.
side effects- diarrhea, cotton mouth, elevated HR.
⩥ What are the clinical warnings associated with hypertonic fluids?
Answer: They can increase blood pressure and pose a high risk for fluid
volume overload.
⩥ What is the preferred agent for skin antisepsis during IV insertion?
Answer: Chlorhexidine.
⩥ What is the phlebitis scale grade for redness with or without pain?
Answer: Grade 1 (Yellow).
⩥ What is the protocol for responding to phlebitis?
Answer: Remove the IV immediately, apply a warm compress, elevate
the extremity, and treat pain.
⩥ What is the definition of isotonic fluid?
Answer: Fluids that maintain equilibrium, such as 0.9% NaCl and
Lactated Ringers.
EXAMINATION TEST WITH ALL QUESTIONS
AND CORRECT DETAILED ANSWERS FULL
SOLUTION TOP RATED ALREADY GRADED
A PLUS EXPERT FEEDBACK BRAND NEW
⩥ vancomycin can cause
Answer: anti-infective
speed shock if infused too fast
monitor toxicities, low WBC, headache, elevated BUN and creatinine
⩥ Levaquin/levofloxacin alerts, requires what? high risk for?
Answer: anti infective
requires increased fluid intake
high risk for photosensitivity and Achilles tendon rupture, monitor for
ankle pain.
⩥ Rifampin/ can cause what /severe risk? What's the Flagyl warning
Answer: anti-infective- TB treatment
can cause mouth sores
severe risk Steven-Johnson syndrome, low WBC/platelets, elevated
BUN/creatinine
,Flagyl warning- can cause severe bone marrow depression, WBC <5000
⩥ Predinisone interaction warning? elevates what?
Answer: steroid
elevates blood sugar
interaction warning- combining steroids with ciprofloxacin severely
increases risk for tenson rupture
⩥ What are the restricted actions for LPNs regarding IV therapy?
Answer: LPNs cannot administer IV antibiotics to patients under 18, IV
Lasix, IV Heparin, or hang blood products.
⩥ What is the purpose of the Central Line (CVC) Defense Bundle?
Answer: To prevent Central Line-Associated Bloodstream Infections
(CLABSI) by ensuring all five components are active simultaneously.
⩥ What are the components of the Central Line Defense Bundle?
Answer: Daily review of line necessity, optimal catheter site selection,
hand hygiene, maximal barrier precautions, and chlorhexidine skin
antisepsis.
⩥ What is the Chlorhexidine Foundation Rule?
Answer: Scrub the Hub for 15 seconds and allow it to dry completely;
residual protection lasts 48 hours.
,⩥ What are the signs of fluid infiltration?
Answer: Skin cool to touch, taut, and edema.
⩥ What is the immediate intervention for air embolism?
Answer: Place the patient in Trendelenburg position on their left side.
⩥ What are the signs of fluid volume deficit (dehydration)?
Answer: Skin tenting, weight loss, weak/thready pulse, and hypotension.
⩥ What are the signs of fluid volume excess (overload)?
Answer: Distended jugular vein, ascites, bounding edema, and crackles
in lungs.
⩥ What is the action of Heparin?
Answer: Prevents deep vein thrombosis (DVTs) and is administered
subcutaneously in the abdomen.
moniot aPTT antidote prothamine sulfate
⩥ What is the antidote for Warfarin (Coumadin)?
Answer: Vitamin K.
INR 2-3 norm
, ⩥ Lorazepam (Ativan) benzodiazepine
Answer: used for anxiety, sedation, alcohol withdrawal, and status
epilepticus.
side effects- diarrhea, cotton mouth, elevated HR.
⩥ What are the clinical warnings associated with hypertonic fluids?
Answer: They can increase blood pressure and pose a high risk for fluid
volume overload.
⩥ What is the preferred agent for skin antisepsis during IV insertion?
Answer: Chlorhexidine.
⩥ What is the phlebitis scale grade for redness with or without pain?
Answer: Grade 1 (Yellow).
⩥ What is the protocol for responding to phlebitis?
Answer: Remove the IV immediately, apply a warm compress, elevate
the extremity, and treat pain.
⩥ What is the definition of isotonic fluid?
Answer: Fluids that maintain equilibrium, such as 0.9% NaCl and
Lactated Ringers.
