NUR 172 Exam 2025 Questions and Answers
When can a air embolus occur? - ANS During removal or placement of CVAD
Catheter fracture
Disconnected of IV administration set and catheter without clamp
Failure to prime
Adding a new IV bag to a line that has run dry without clearing the air out
Loose connections
S/s of air embolism - ANS Light headed
Weakness
Wheezing, cyanosis, edema
Confusion, seizures
Anxiety agitation or sense of impending fear
Complications of air embolism - ANS Hemiplegia, aphagia and cardiac arrest
tx of air embolism - ANS Prevent more air from entering system
Place patient on left side and lateral position
Called rapid response
Administer 100% oxygen and may need intubated
Monitor vital signs
Patient may have millwheel murmur
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, Extravasation - ANS Vesicants in the tissue
S/S of extravasation - ANS Looks the same as infiltration; but then blisters develop and skin
sloughs off
Tx of extravasation - ANS STOP infusion
Check to see if there is a order to remove IV
Check with Physician for application of heat or cold therapy
Monitor pt
Elevate the limp
****Vancomycin is a vesicant and promethazine
Zithromax(azithromycin) - ANS antibiotic
Legionnaire's Disease - ANS Zithromax
It can lead to life threatening pneumonia, pt can die within a week
Common side effects of Zithromax - ANS Nausea, diarrhea
Serious side effects - ANS seizures, Q-T prolongation, hepatoxicity, CDAD, Steven-Johnson
syndrome, toxic Epidural Hemolysis
****It can lower RBC, WBC, and platelet count
Toradol (Ketrolac) - ANS NSAID
What is Toradol used for - ANS Mild to moderate pain
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
When can a air embolus occur? - ANS During removal or placement of CVAD
Catheter fracture
Disconnected of IV administration set and catheter without clamp
Failure to prime
Adding a new IV bag to a line that has run dry without clearing the air out
Loose connections
S/s of air embolism - ANS Light headed
Weakness
Wheezing, cyanosis, edema
Confusion, seizures
Anxiety agitation or sense of impending fear
Complications of air embolism - ANS Hemiplegia, aphagia and cardiac arrest
tx of air embolism - ANS Prevent more air from entering system
Place patient on left side and lateral position
Called rapid response
Administer 100% oxygen and may need intubated
Monitor vital signs
Patient may have millwheel murmur
Pg. 1 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
, Extravasation - ANS Vesicants in the tissue
S/S of extravasation - ANS Looks the same as infiltration; but then blisters develop and skin
sloughs off
Tx of extravasation - ANS STOP infusion
Check to see if there is a order to remove IV
Check with Physician for application of heat or cold therapy
Monitor pt
Elevate the limp
****Vancomycin is a vesicant and promethazine
Zithromax(azithromycin) - ANS antibiotic
Legionnaire's Disease - ANS Zithromax
It can lead to life threatening pneumonia, pt can die within a week
Common side effects of Zithromax - ANS Nausea, diarrhea
Serious side effects - ANS seizures, Q-T prolongation, hepatoxicity, CDAD, Steven-Johnson
syndrome, toxic Epidural Hemolysis
****It can lower RBC, WBC, and platelet count
Toradol (Ketrolac) - ANS NSAID
What is Toradol used for - ANS Mild to moderate pain
Pg. 2 Copyright © 2025 Jasonmcconell. ALL RIGHTS RESERVED.
