Exam (elaborations)
NURS 242 FINAL EXAM
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Exam of 14 pages for the course NURS 242 at NURS 242 (NURS 242 FINAL EXAM)
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NURS 242 FINAL EXAMWhich of the following steps is necessary when a patient is prepared for an IV
solution? - ANSWER A. Shaving the hair from the site
B. Selecting a proximal site in an extremity
C. Applying a tourniquet 4-6 inches above the selected site
D. Vigorously taping and massaging the selected vein.
ANS: C
No Shaving needed
Most distal site
Do not tap or massage vein
Why is the IV push considered a dangerous method by which to adminster
medications? (select all that apply) - ANSWER A. It does not allow time to correct
errors
B. It may be irritating to the lining of the blood vessels
C. It can cause pain and abscesses
D. It can cause sloughing of tissue
ANS: ABCD
What should the nurse do when discontinuing a peripheral IV? - ANSWER A.
Withdrawl the catheter quickly
B. Keep the hub perpendicular to the skin
C. Apply pressure to the site for 1 minute
D. Inspect the catheter for intactness after removal
ANS: D
Don't reinsert
Do not want fragments of the catheter
True or False? Intravenous therapy is a method of replacing fliud and electrolytes
into the blood stream rather than the digestive system. - ANSWER ANS: True
When considering an IV site which one of these are true? - ANSWER A. Avoid areas
easily bumped in the elderly and children (like the wrists)
B.Always start with proximal and move more distal
C. Avoid any site which appears infected
D. Avoid any site with a graph or mastectomy
ANS: ACD
Always start more distal
True or Flase? Infiltration occurs when IV fluid enters the surrounding tissie around
the venipuncture site? - ANSWER ANS: True
In order to discontinue an IV line, the nurse should obtain which item from the supply
area for applying pressure to the site after removing an IV catheter? - ANSWER A.
Elastic wrap
B. Betadine swab
C. Adhesive bandage
, D. Sterile 2x2 gauze
ANS: D
Only one that makes sense because this applys pressure and getting any blood from
removing
What is the best size of IV? - ANSWER A. The largest one you can feel comfortably
insert in the patient
B. The smallest you can find
C. The smallest gauge to accomplish therapy
D. The largest gauge your facility has.
ANS: C because you want the medication to flow as fast as it can with still being in
catheter proameters
What materials are necessary when preparing to start an IV? - ANSWER A. Gloves
B. Gown
C. IV catheter
D. Saline Flush
E Eye protection
F Mask
G Primed saline lock
ANS: A,C,D,G
When a patient who needs an IV has cold extremities and few veins are visible or
small, which of the following are acceptable techniques to help improve the likelihood
of a successful IV insertion? - ANSWER a. Turn up the heat in the room and return
in about an hour when the patient is warmer
b. Apply warm packs to the extremity for 5-10 minutes
c. Blow warm air on the extremity with a blow dryer for 3-5 minutes
d. Allow the tourniquet to remain in place for a few minutes while you prepare your
equipment
ANS: B
Can't wait an hour
Doesn't make sense to use a blow dryer
Would cause discomfort for the patient
When preparing to insert the needle into the skin, the bevel should be - ANSWER a.
Down
b. Up
c. It doesn't matter
ANS:B
Always up!
While in the process of inserting an IV, which of the following is NOT acceptable: -
ANSWER A. Enter the skin at a 30-40 degree angle
B. A device may be reused if it is in the same site as the original attempt
C. Enter the skin directly over the vein
D. Enter the skin slightly adjacent to the vein and direct the needle into the side of
the vein wall
ANS:B
Never will resuse. One time use only
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