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NUR1113 Final Exam Latest Update
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NUR1113 Final Exam Latest UpdateCirculatory overload - Answer S&S increased HR & BP, jugular vein distention; lung
crackles
cause; I&O- more going in than what's coming out
nursing intervention; report, may slow down IV or order lasix
Phlebitis - Answer inflammation of the vein
S&S warmth, burning, redness
nursing intervention; stop IV and start a new, assess site
Infiltration - Answer leakage of fluid outside the vein
S&S cool skin, edema
nursing intervention; stop IV and start a new, apply warm compresses
Thrombophlebitis - Answer inflammation and formation of a thrombus(clot) in a vein
nursing intervention; stop iv and start a new, warm compress, report
STAT - Answer give immediately
Air embolism - Answer S&S chest pain, palpitations, hypotension, pallor
feeling that somethings not right
Septicemia - Answer S&S fever, chills, increased HR, decreased BP, pallor
Veins the LPN is permitted to stat an IV - Answer Median, cephalic, basilic
What consideration should be given before stating an IV on elderly patients - Answer
avoid hands due to fragility of skin and veins
veins are small and rollie. try to find a bigger vein,
LPN's can administer IV fluids via which of the following IV types - Answer midlines,
PICC lines, peripheral venous catheters, central lines
AFTER 1st dose has been given
When administering IV medications with fluids, what can the nurse always check prior to
administration - Answer compatibility of fluid medications
What does SASH stand for - Answer saline, administer, saline, heparin
Which of the following types of dressing will the nurse use to cover the IV site - Answer
, transparent; changed every 72 hrs
How should a secondary IV (piggy back) medication be hung? - Answer higher than the
primary fluid
why is it important for the nurse to prime the IV tubing? - Answer assure the expulsion of
air to avoid creating an air embolism
Where would an LPN go to find information about the regulations regarding IV therapy
for LPN's? - Answer Ohio administrative Code 4723-17
The transparent dressing of a central line IV (straight to the heart) should be changed
how often? - Answer every 3 to 7 days
Which needle is used to access implanted infusion devices? - Answer Huber needle,
noncaring, on top of muscle under the skin, sterile
med port- inserted in surgery
How often should IV bas be changes? - Answer 12-24hours
IV primary and secondary administration sets need to be changes every - Answer 72
hours
Transparent IV dressings only need to be changes when visibly soiled - Answer False
When changing a central line dressing PPE needs to be worn - Answer True
sterile
When changing a central line dressing it is important to maintain sterile technique -
Answer True
An example of an isotonic solution is 0.9% sodium chloride(NaCL) and Lactated Ringers
(LR) - Answer True
LPN's can administer IV therapy under the direction of a registered nurse - Answer True
To prevent an air embolism the nurse must always prime the IV tubing - Answer True
IV medication can be administered immediately after removal from the refrigerator -
Answer False
at room temperature for 30 mins
Where can an LPN check the compatibility of fluids - Answer drug reference books,
pharmacy, IV fluid reference books
Intermittent infusion - Answer short term( 1 min-1 hour) parenteral administration of IV
medication
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