nurs 405a exam 2 Questions And Answers Rated 100% Correct
4 views 0 purchase
Course
Nurs 405a
Institution
Nurs 405a
what is the use for a hypertonic solution (3% sodium chloride) - ️️Corrects
hyponatremia,
Pulls fluid into vascular space,
HIGH ALERT FLUID
what is does rind mean for iv medications - ️️Rate to administer over
Incompatibility (Y-site compatibility)
Normal dosage
Dilution
does the ne...
nurs 405a exam 2
what is the use for a hypertonic solution (3% sodium chloride) - ✔️✔️Corrects
hyponatremia,
Pulls fluid into vascular space,
HIGH ALERT FLUID
what is does rind mean for iv medications - ✔️✔️Rate to administer over
Incompatibility (Y-site compatibility)
Normal dosage
Dilution
does the needle stay in the patients veins when they get an iv - ✔️✔️no
what is osmosis - ✔️✔️Water moves across membrane from lesser concentration of
solutes to greater concentration
What is osmolarity? - ✔️✔️Concentration of solutes in fluid
what are the different types of osmolarity - ✔️✔️isotonic, hypotonic, hypertonic
what does a isotonic solute concentration equal - ✔️✔️the same as plasma
what does a hypotonic solute concentration equal - ✔️✔️less then the plasma
what does a hypertonic solute concentration equal - ✔️✔️greater then the plasma
what are the two fluids that make up total body fluid - ✔️✔️intra-cellular fluid and extra-
cellular fluid
what falls underneath the extra cellular fluid category - ✔️✔️vascular and interstitial
what is an example of a isotonic solution - ✔️✔️0.9% sodium chloride (normal saline)
and lactated ringers
what is an example of a hypotonic solution - ✔️✔️0.45% NaCl (1/2 normal saline)
what does a hypotonic solution do - ✔️✔️causes cells to swell (rehydrates the cell)
what patient should we avoid giving hypotonic solutions to - ✔️✔️neuro patients
,what is the purpose of iv therapy - ✔️✔️Replace Fluid & Electrolyte, give meds and
blood products
what is an example of a hypertonic solution - ✔️✔️D5/0.9% Sodium Chloride (5%
dextrose with Normal Saline) or 3% sodium chloride
what should we ensure before administering iv push medication - ✔️✔️patency of
catheter
true or false we should flush pre and post med administration - ✔️✔️true (agency
policy)
What are the 6 rights of medication administration? - ✔️✔️Right patient,
medication, dose
time, route, and documentation
what is a complication of iv therapy with when giving hypertonic and isotonic solutions -
✔️✔️fluid overload
what are some other complications of iv therapy - ✔️✔️air embolism, line sepsis,
infiltration, extravasation, phlebitis, and thrombophlebitis
what is an air embolism - ✔️✔️When a large air bubble blocks blood flow from the right
ventricle into the pulmonary artery.
what can cause an air embolism - ✔️✔️air in the iv line
what is phlebitis - ✔️✔️inflammation of a vein
What is extravasation? - ✔️✔️leakage of agents into tissues around IV site.
What is thrombophlebitis? - ✔️✔️Inflammation of a vein with formation of a clot
what patients are at highest risk for fluid volume overload - ✔️✔️pt receiving hypertonic
solutions
How would you assess for this complication of fluid volume overload? - ✔️✔️check and
listen for Crackles, edema, effort of breathing
what would we do if the patient is going into fluid volume overload due to receiving a
hypertonic solution - ✔️✔️stop the infusion, then possibly give a diuretic
, how do we prevent air embolisms - ✔️✔️Prime tubing,
Air detection in IV pumps, and Maintain intact ports
what are some s/s of an air embolism - ✔️✔️Dyspnea, hypotension, cyanosis, change
in LOC, JVD (jugular vein distention)
what are some interventions that can be done for an air embolism - ✔️✔️Immediately
clamp line, then place pt on Left side in Trendelenburg position, give o2
What is the left side Trendelenburg position? - ✔️✔️head of bed is lower then the foot
of the bed
what is the goal when putting the pt in the left trendelenburg position - ✔️✔️prevent the
air from getting to the Right side of the heart
how can we prevention line sepsis - ✔️✔️Aseptic Technique, Change solutions Q 24
hours, "Scrub the hub", and Change tubing per hospital policy
what are some s/s of line sepsis - ✔️✔️Fever, chills, increased WBC count
what are the interventions that should be done for line sepsis - ✔️✔️D/C line and send
catheter tip for culture, Blood cultures, IV antibiotics, and Assess for s/s of sepsis
what medications should we not give through a peripheral line - ✔️✔️Extremely
hypertonic, extreme pH, Vasoconstrictors, and Irritants
what should we do if the iv site has infiltrated or extravated - ✔️✔️d/c the iv cath
what does vesicant mean - ✔️✔️chemicals that cause tissue damage on direct contact
what should we do if and iv infiltrated/extrvated but it is not vesicant - ✔️✔️Apply warm
compress to infiltration site and elevate extremity
true or false one Cannot re-start an iv that is distal (away from the body) to infiltration -
✔️✔️true
what should we asses for when a patients iv has extravated - ✔️✔️Assess
Neurovascular status of limb
what are the different kind of phlebitis - ✔️✔️chemical, bacterial, and mechanical
what is chemical phlebitis - ✔️✔️Inflammation of the vein associated with chemical
irritation
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller ACADEMICMATERIALS. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $7.99. You're not tied to anything after your purchase.