172 Final Exam Hondros term 3 Practice Questions and Answers (100% Pass)

172 Final Exam Hondros term 3 Practice Questions and Answers (100% Pass) What gauge needle would we use for donating blood? - Answer️️ -16-18 gauge needle How long should you scrub the site? Hub? - Answer️️ -Site-30 seconds, Hub-15 seconds What is our preferred method used to clean a site or hub? Why? - Answer️️ -chlorhexidine (lasts 24 hours) What should you pay attention to using any type of iodine on a patient? - Answer️️ -allergies to shellfish Complications - Answer️️ -Hematoma's (contributed to anticoag therapy or poor technique) Can we initiate blood? - Answer️️ -Not initiate, but we can verify things and stop the blood if we suspect a reation to it. What are the first signs of a reaction to blood product? - Answer️️ - Restlessness, sob, rash, vitals taking The first action you do when you see a reaction to blood? - Answer️️ - STOP the transfusion, not REMOVE it. ©SOPHIABENNET@ Thursday, August 22, 2024 10:21 AM HONDROS COLLEGE OF NURSING 2 Blood products - Answer️️ -Albumin is a blood expander and can cause pulmonary edema, increase cardiac output (increase BP), you are at NO risk for transmitting hepatitis from albumin, acts as a transport for the protein Patient who needs to receive packed red blood cells - Answer️️ -admitted with bright red emesis, heart rate of 120, high pulse low bp, Hgb of 7.8 (usually an Hgb under 9 is a sign of patient being unstable) Biggest risk of packed RBC's is fluid volume overload, which patient would be at risk? - Answer️️ -68 year old with hx of CHF Transfusion associated transgraft verst post disease- Who is at risk? - Answer️️ -Someone who is immunocompromised- patient with AIDS Patient who is exhibiting S&S of acute hemolytic transfusion reaction, LPN at bedside would immediately do what action? - Answer️️ -Stop the blood transfusion Patient has 0+ blood and gets B+ blood, patient has reaction, what is the reaction and expected treatment? - Answer️️ -Stop the transfusion LPN in the room and has obtained vitals, notices that RN is priming with LR, what action would LPN take? - Answer️️ -Tell the RN that you only prime blood with NS solution. Patient has IV with albumin, what will LPN care of this patient include? - Answer️️ -Monitor for crackles and tachycardia ©SOPHIABENNET@ Thursday, August 22, 2024 10:21 AM HONDROS COLLEGE OF NURSING 3 Observing new nurse providing phlebotomy, what would require intervention? - Answer️️ -They take the blood back to nurse's station to label them (should be done prior) During blood collection, nurse notices hematoma. What action would you take? - Answer️️ -DC collection and apply pressure to site until bleeding stops What symptoms would you expect to observe in a patient that has a citric toxicity (causes hypocalcemia) from a rapid blood transfusion? - Answer️️ -Positive trousseau sign, Positive Chvostek's sign TACO - Answer️️ -causes hypertension, severe headache, JVD, Dyspnea, pink frothy sputum (sputum is on another question, not this one) Patient getting packed RBC, what are signs that they are having an acute reaction? - Answer️️ -Chest pain, tachycardia, hypotension (back pain as well which is not on test) When inserting IV on elderly adult with fragile veins, which interventions would you like to implement? - Answer️️ -Placing tourniquet over the patient's gown, using BP cuff as tourniquet, lowering the angle of approach into the vein When inserting IV, it would be important to maintain the patient's safety by? - Answer️️ -wash hands prior to inserting IV, applying tape or ©SOPHIABENNET@ Thursday, August 22, 2024 10:21 AM HONDROS COLLEGE OF NURSING 4 stabilization device to prevent from pistoning, release tourniquet BEFORE flushing Side note - Answer️️ -Nurse's responsibility for applying bio-patch to CBC site per facility policy with dressing change, I will stop the infusion if adverse effect occur. Teaching patient about PCA pumps, what is important? - Answer️️ -Want to reinforce medication side effects, ONLY the patient pushes the button, how to push the button, in addition to teaching the patient- teach the family NOT to push the button. As LPN, which physician order can you as the LPN carry out? - Answer️️ -Sub Q injections, Perco tablets orally Q2H, heparin flush IV law OBN, what can an LPN do? - Answer️️ -Give IV to patient 18 and over, stop PCA pump if patient has inadequate respirations Elderly patient who has pulmonary edema, which orders can the LPN carry out for this patient? - Answer️️ -Apply O2 per nasal cannula and monitor O2, replacing water with ice chips, peripheral IV saline lock. Monitoring patient with central line for sepsis, these are the S&S that would indicate possible sepsis.. - Answer️️ -oral temp of 103, elevated WBC (4-10k is normal)of 18k, patient is shaking vigorously and complaining of being cold ©SOPHIABENNET@ Thursday, August 22, 2024 10:21 AM HONDROS COLLEGE OF NURSING 5 You have a 42 year old patient vomiting for 3 days and is not pregnant, which orders/interventions could and should you, the LPN, implement? - Answer️️ -Start NS at 160ml/hr, insert peripheral IV in the forearm, be alert and check for tinting. Universal donor - Answer️️ -O(-) Universal recipient - Answer️️ -AB Central line dressing change - Answer️️ -A-Septic (sterile stays sterile, clean stays clean) (Sterile) Blood - Answer️️ -Same technique but once you clean