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PN3006 - Midterm And Final Review Exam Questions With Answers
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PN3006 - Midterm And Final Review Exam Questions With Answers inflammation of the vein's inner lining (tunica intimia); pain, edema, ery thema, INCREASED SKIN TEMP, streaking; causes can be mechanical or chemical - Answer phlebitis inflammation that causes a blood clot to form; s&s=DECREASED FLOW RATE, bruising; complications=pulmonary embolism, stroke - Answer thrombophlebitis IV fluids enter the surrounding space around the venipuncture site; s&s=swelling, pallor, COOLNESS fluid at site; tx=d/c IV and insert new catheter into alternat e extremity - Answer infiltration same as infiltration except with CHEMOTHERAPY agents - Answer extravasation air bubble in vien; s&s=SOB, coughing, shoulder/neck pain, agitation, hypotension, increased heart rate, jugular vein distension - Answer air embolism fluid overload; excess fluid accumulation in lungs due to increased fluid in circulatory system; s&s=decreased O2 sat, increased resp rate, crackles at lung base, pinky frothy sputum - Answer pulmonary edema systemic infection caused by pathogens introduced to bloodstream through puncture site; can lead to sepsis/bacteremia - Answer CR- BSI local infection at IV site; 2-3 days after IV site started - Answer i nfection low sodium; causes - dehydration, hypertonic solution - Answer hyponatremia rx to IV device; anaphylaxis - Answer allergic reaction during IV administrat ion increased fluid in blood; s&s=pulmonary edema, resp issues (dyspenea); nursing interventions=lung assessment, vs, electrolyte balance, monitor output - Answer hypervolemia grade 0-4; 1=edema<2.5cm, 2=edema 2.5-15cm, 3=gross edema 2.5- 15cm, 4=deep pitting edema with severe pain - Answer infiltration scale 0-4; 1=erythema, 2=pain with erythema, 3=pain, erythema, streaks, 4=purulent drainage - Answer phlebitis scale 1. infiltration 2. tube occlusion 3. vein spasms (chilled fluids?) 4. height of dr ip chamber (>3ft) 5. position of cannula (flexion?) 6. patient (moving, touching) - Answer 6 factors that affect flow rate q72 hrs for primary tubing with hyper/hypo/iso solution (or when insertion site is changed), q24 hrs for secondary tubing, q24 hrs for infusions of TPN, q4 hrs for blood products - Answer when to change IV tubing acute hemolytic, febrile, mild allergic, anaphylactic, circulatory overload, sepsi s - Answer 6 transfusion reactions incompatible blood products - Answer cause of acute hemolytic reaction incompatible WBC/plasma/plasma protein - Answer cause of febrile transfusion reaction sensitivity to plasma protein - Answer cause of allergic transfusion reaction incompatible IgA - Answer cause of anaphylactic transfusion reaction fluid administered to fast - Answer cause of circulatory overload transfusion reaction contaminated blood products - Answer cause of sepsis transfusion reaction 1. .45 NS 2. 2.5D5W 3. .33NS - Answer 3 examples of hypertonic IV solution 1. D51/2 2. D5NS 3.D5LR - Answer 3 examples of hypotonic IV solution 1. NS 2. LR 3. D5W - Answer 3 examples of isotonic IV solution top layer of skin; stratum corneum=outer most layer of epidermis - Answer epidermisThe benefits of buying summaries with Stuvia:
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