Hondros Nursing 172 Exam 2 Questions and Answers 100% Pass

Hondros Nursing 172 Exam 2 Questions and Answers 100% Pass What can an LPN do for children? (Select all that apply) A. Obtain vital signs B. Change a PICC line dressing C. Insert an IV D. Administer a flu shot E. Adjust the rate on antibiotics F. Change the rate on electrolytes G. Change an IV dressing - ANSWER -A, B, D, E What is the benefit of a biopatch? - ANSWER -It prevents infection What should you flush a PICC line with? - ANSWER -Diluted Heparin or Saline What is the goal with Central line bundles? - ANSWER -To prevent infection Which of the following is consider a sterile technique? (Select all that apply) A. Wound Care B. NG tube insertion C. Spike and Prime D. PICC Line Dressing Change E. Foley Catheter Insertion - ANSWER -D, E How often is a PICC line gauze changed? - ANSWER -Every 48 hours What is the stipulation for flushing a PICC line? - ANSWER -You can only flush a PICC line if a needleless connector is attached Can an LPN change a PICC line dressing on a child? - ANSWER -Yes What is important to consider with Ativan? - ANSWER -Do not take Ativan if you are pregnant What is a normal therapeutic range for an INR lab? - ANSWER -2-3 How would you describe the blood of a patient with an INR level of 1? - ANSWER - Blood is thick If your Coumadin patient has an INR lab of 2.5 and the doctors order says to give coumadin, what should you do? - ANSWER -Question the order What is important for a patient in the ER stating that they have been drinking alcohol? - ANSWER -They can not take Ativan because they could stop breathing What lab would you check for a patient on Heparin? - ANSWER -PTT How would you know if heparin is working? - ANSWER -No signs of DVT (no redness, swelling, edema) Is Ativan a controlled substance? - ANSWER -Yes What is true about Ativan? - ANSWER -It is a sedative, it helps with seizures and anxiety and its used for patient going through alcohol withdrawls who is a CIWA scale used on? - ANSWER -Patients going through alcohol withdrawls What is a major side effect of INH? - ANSWER -Peripheral neuropathy What is normally used to treat TB? - ANSWER -Rifampin What is a normal platelet count? - ANSWER -150,000-450,000 What is INH? - ANSWER -Antibiotic What should you monitor in a patient taking Rifampin? - ANSWER -Platelet count and WBC count What type of infection is C-Diff? - ANSWER -A bacterial infection Your elderly patient has a saline lock in place but no longer needs it, can you take it out? - ANSWER -No, you need a doctors order to remove an IV that is okay. (An LPN does not need an order to remove a bad IV What is your first intervention for a patient in FVO from pulmonary edema who has crackles and a low pulse ox? - ANSWER -Raise the head of the bed What type of patient would have blood tinged sputum? - ANSWER -A patient in FVO from pulmonary edema What are some ways to prevent infection? (this is a select all question) - ANSWER -1. Check the expiration date on tubing & fluids 2. Remove IV if redness is noted 3. Do not touch the IV spike 4. Scrub the hub of the tubing with alcohol for 15 seconds What is important to knowm about Hospital Acquired Infections? (this is a select all question) - ANSWER -1. Not reimbursable 2. They are life threatening 3. Lines can cause BSI (bloodstream infection) What does the world help organization say? (this is a select all question) - ANSWER -1. Nails no longer than 1/4 of an inch 2. Wash hands for 20 seconds 3. Wear gloves whenever you are doing something that may cause you to be in contact with bodily fluids What is important to know about a patient in Airborne precautions? - ANSWER -The hospital staff will be fitted for an N5 mask but the family/friends will not be How often does primary tubing have to be changed? - ANSWER -Every 96 hours How long can you leave a PICC line in for? - ANSWER -Up to 1 year Who can have a PICC line inserted? - ANSWER -Anyone What is a noncoring needle? - ANSWER -An implanted access port What IV bag hangs higher on an IV pole? - ANSWER -The bag that is running will be hanging higher (antibiotics) What is the purpose of a backcheck valve? - ANSWER -To prevent back from from flowing into the main IV bag What would you do if your primary or secondary tubing got contaminated? - ANSWER - Change it What is true about a central line bundle? (this is a select all question) - ANSWER -1. It prevents infection 2. hand hygiene 3. clean with chlorahexadine 4. maximum sterile barrier 5. daily review of line to see if its still needed 6. avoid femoral site What is important to know about a sterile procedure? (this is a select all question) - ANSWER -1. Do not turn your back on the field 2. Keep hands above waist level 3. Do not set it your sterile field in advance 4. Don't get your sterile field wet Your patient states, "my arm hurts." Is this subjective or objective data? - ANSWER - Subjective