NUR 172 Exam 2" With Questions And Veried Answers Already Graded A

NUR 172 Exam 2" With Questions And Veried Answers Already Graded A When giving IV for fluids, how long should you clean the port (or hub)? At least 15 Seconds What is important to remember when using IV Stopcocks? Make sure to use only compatible fluids When you have IV piggyback antibiotic, and you already have IV fluids running, what tubing would you use? use secondary IV tubing (30-36") Benefits for using IV pump for patient Patient can move around easily, give multiple meds at once (using multi-channels), alarms when finished PICC line (peripherally inserted central cath) Is a sterile procedure (even dressing changes). What else do you need to know about PICC lines? Always ends up in superior vena cava, placed by RN who is specially trained, ALWAYS verified by X-Ray and read by a Dr. prior to use, can be used for 1 year. If PICC line dressing is wet: Gather supplies and change the sterile dressing with a new one. Dressing should be sterile & occlusive (completely sealed) Why do we use a Biopatch- circular patch that encloses the PICC line (blue side upblue to the sky)? This helps dressing from having to be changed so often. REEDA Iv is red, swollen, and warm- remove IV (save do not throw out) Infiltration Site is cool, taut, edema is present Vanco infusing- you suspect leaking into tissue. What is the first thing you should do? Stop the infusion If you suspect bloodstream infusion, list the steps you should take. Report S&S to Dr., anticipate culture, save IV cath, antibiotics, fluids, and give O2. What do you do if you have a patient and you suspect an air embolism? Turn patient on left lateral Trendelenburg until you can get MD. Why is an IV a source of infection? It is an open wound in skin, goes directly into bloodstream. Is insertion is sterile? No, it's Aseptic Name the diagnosis for cough, dyspnea, restlessness, and crackles. Pulmonary edema What would you do if you suspect a patient has infiltration? going to chart assessment of site, include date and time, notify MD, what treatment ordered, what you did for it (what MD ordered), how patient tolerated. Name the diagnosis for red, raised veins Phlebitis What PPE would you wear for a patient with MERSA? gown and gloves If you are sending someone home with PICC line, what is important to educate them about? Teach them to report S&S of infection- redness, swelling, fever. Name this diagnosis with: patient has blood-tinged sputum and pounding pulse Pulmonary Edema What determines the size of the IV cath? Length of time patient has IV, condition of veins, type of solutions ordered How often do you change primary tubing? Secondary? Primary-96 Hours Secondary-24 Hours What can happen if you use an IV cath that is too large or if you have a patient with fragile skin? Can cause a hematoma What is the best way to prevent an occlusion? Flush the line as much as possible Name this diagnosis based off these symptoms: hypotension, tachycardia, change in mental status, increased lactate levels Septicemia What is the benefits of using plastic container Easy to use, store, puncture further teaching- graduation is not easy to read If you find a patient with IV site redness, swelling, etc., what would you do first? Take it out What PPE should we use for a patient with TB? Patient must be in neg pressure room, wear mask(N95) and gloves, airborne and droplet precautions. Patient has redness, swelling, and exudate coming out of the IV site, would you leave the cath in? No! Remove old dressing, replace dressing, call MD What would you do if a patient has a saline locked in place and not in use? Call the MD to see about removal Can LPN's give multivitamins? Yes, we can- second bag or more