Nur 172 Exam 2 Hondros Questions With 100% A+ Pass Answers.

Patient admitted with transmission-based precautions what is the minimum PPI needed to be worn in this room? Answer - Gloves and Gown Isotonic solution Answer - A solution in which the concentration of solutes is essentially equal to that of the cell which resides in the solution Hypertonic solution Answer - A solution in which the concentration of solutes is greater than that of the cell that resides in the solution Hypotonic solution Answer - A solution in which the concentration of solutes is less than that of the cell that resides in the solution Heparin antidote Answer - protamine sulfate INR Answer - International Normalized Ratio - a calculation based on the PT used to monitor patients using blood thinners. 2.0-3.0 is the range for people taking warfarin:Coumadin Causes of hematoma Answer - poor venipuncture technique, flow clamp left open, tourniquet left on to long, cannula to large, digging into vein Signs of hematoma Answer - Ecchymosis, immediate swelling at the site & discomfort, leakage of blood at the insertion site- unable to advance cannula Phlebitis Answer - inflammation of the inner lining of a vein Thrombophlebitis Answer - inflammation of a vein associated with a clot formation Bacterial phlebitis is caused by Answer - Poor hand hygiene, lack of aseptic technique, failure to check equipment, or recognize early signs of phlebitis Often occurs during insertion Phlebitis Scale Answer - 0 = No symptoms 1 = Erythema at access site with or without pain 2 = Pain at access site with erythema and/or edema 3 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord 4 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord 1 inch in length, and purulent drainage Erythema Answer - redness of the skin This study source was downloaded by from CourseH on :49:17 GMT -05:00 Infiltration Answer - admission of a non-vesicant med or solution into the surrounding tissue Extravasation Answer - admission of a vesicant into surrounding tissue CVAD Answer - central vascular access device or indwelling line Treatment of thrombophlebitis Answer - complete bed rest avoid massage Heat and elevation promote venous return anticoagulant therapy Treatment of phlebitis Answer - remove catheter, warm compress, elevate extremity, and apply analgesic or anti-inflammatory PRN Active immunity Answer - immunity produced by exposure to an antigen, as a result of the immune response Pt has a saline lock in place but it is not being used, what should be done? Answer - call MD to verify it can be removed Which medication is most commonly used to clean an occlusion caused by a blood clot Answer - Activate- Alter place Systemic complications of IV therapy Answer - Circulatory overload Speed shock Septicemia Allergic reaction Catheter embolism Air embolism BSI What set would vancomyacin IVPB be given in Answer - secondary administration set Circulatory overload is a concern for which patient Answer - Patients with elevated BUN and creatinine level BUN Answer - 10-20 mg/dL Creatinine Answer - 0.6-1.2 mg/dL What are the LPN duties when assisting with blood transfusion Answer - monitor pt during transfusion X-ray shows tip of PICC is in the jugular vein Answer - let RN know of x-ray reading Where should broken IV pumps be stored? Answer - Return pump to bio-med engineering dept Is it okay to use a sharpie on a plastic IV bag? Answer - no, it will seep through Who can insert PICC lines? Answer - Specially trained nurses Skin is cool, taunt, edemic, what type of complication may have occurred? Answer - Infiltration What steps should be taken if BSI is suspected Answer - Notify MD What statement about lorazepam would indicate the nurse needs further teaching? Answer - Used for nausea IV was hung by gravity but the tubing was not primed, what action is taken by the nurse? Answer - place pt in trendelenburg and left side Signs and symptoms of pulmonary edema from receiving an infusion to quickly Answer - - cough - dyspnea - restless - crackles What should be included in charting for a grade 3 infiltration iv finding Answer - - assessment of site - date and time - notify MD - treatment ordered - carry out of treatment What statement would indicate a nurse needs more teaching for central line dressing change Answer - bio-patches to prevent infections Central line site has purulent drainage, pt also has fever and elevated WBC, what can the LPN legally do? Answer - change dressing hang ivpb to newly inserted peripheral iv What statement would indicate a need for further teaching of transmission based precautions Answer - pt in airborne precautions cannot come out of their room for any reason INR-5.5, Pt has been taking 2mg of warfarin daily. What order would be questions? Answer - Increase the coumadin to 4mg daily. Antidote for warfarin Answer - Vitamin K What can an lpn carry out on a pediatric unit? Answer - report to RN redness of iv site on 10 y/o What would be done if redness, swelling, and exudate is oozing forming from IV site? Answer - remove catheter, apply a sterile dressing, and call MD