When initiating a peripheral IV in an adult for short term fluid replacement, the nurse should select a ________gauge angiocatheter. - Answer 22
Swelling, bruising and blood leaking at the IV site after inserting a peripheral IV catheter are manifestations of: - Answer Hematoma
Which of...
Nursing Lab Exam Questions With
Solved Solutions.
When initiating a peripheral IV in an adult for short term fluid replacement, the nurse should select a
________gauge angiocatheter. - Answer 22
Swelling, bruising and blood leaking at the IV site after inserting a peripheral IV catheter are
manifestations of: - Answer Hematoma
Which of the following actions enhance vein visibility prior to initiating peripheral IV therapy? Select all
that apply.
a) Apply a tourniquet 4-6cm above the selected site
b) place the extremity in a dependent position
c) use a transillumination (ultrasound device)
d) shave the skin surface to remove excess hair
e) apply a warm compress to the extremity - Answer b) place the extremity in a dependent position
c) use a transillumination (ultrasound device)
e) apply a warm compress to the extremity
True or False
Aseptic technique and body fluid precautions are required when performing venipuncture for blood
specimen collection. - Answer True
When inserting an angiocatheter into a peripheral vein, the nurse should begin at an angle of ________
and have the bevel _____. - Answer 20-30 degrees; up
True or False
A location proximal to an existing site must be used when re-siting an IV into the same extremity. -
Answer True (vein selection)
,Which assessment finding indicates correct application of a tourniquet to a patient's arm? - Answer
The nurse palpates a radial pulse on the arm.
Which interventions should be performed by the nurse when initiating peripheral IV therapy for a
pediatric patient? - Answer Encourage age-appropriate distraction techniques during the procedure.
Which statement describes the potential effects of hemolysis on the diagnostic results of blood
specimens collected through venipuncture? Select all that apply.
a) The beneficial effects of hemolysis are enhanced by adding preservatives to blood collection tubes.
b) Hemolyzed blood specimens will be rejected by the laboratory department.
c) Potassium values will be falsely elevated as a result of hemolysis.
d) Hemolysis improves the accuracy of most serum diagnostic values
e) Hemolysis results from hemoglobin and intracellular ingredients being released into extracellular fluid.
- Answer b) Hemolyzed blood specimens will be rejected by the laboratory department.
c) Potassium values will be falsely elevated as a result of hemolysis.
e) Hemolysis results from hemoglobin and intracellular ingredients being released into extracellular
fluid.
While attempting to insert a peripheral IV, the nurse notes swelling and bruising of the client's skin
around the puncture site. What action should the nurse take? - Answer Remove the IV catheter and
apply pressure.
In patients that have a chest tube, range of motion (ROM) exercises are initiated to prevent arm and
shoulder stiffening. What nursing considerations are appropriate for this intervention? Select all that
apply
a) ROM exercises are done on the affected side.
b) ROM exercises should be initiated 24-48 hours post-surgical intervention.
c) Regular or scheduled doses of acetaminophen can help relieve shoulder pain.
d) Pain assessment should always precede exercise
e) Range of motion exercises should be initiated as soon as physiologically possible. - Answer a) ROM
exercises are done on the affected side.
c) Regular or scheduled doses of acetaminophen can help relieve shoulder pain.
, d) Pain assessment should always precede exercise
e) Range of motion exercises should be initiated as soon as physiologically possible.
The nurse monitoring a patient in the emergency room and is concerned that pneumothorax may be
present. What clinical indications would the nurse be looking for? Select all that apply.
a) Increasing shortness of breath
b) Increasing oxygen saturation
c) Increased respiratory rate
d) Increased respiratory distress
e) Tachycardia - Answer a) Increasing shortness of breath
c) Increased respiratory rate
d) Increased respiratory distress
e) Tachycardia
True or False
Heimlich valve lets air escape through a one way valve - Answer True
The nurse is preparing to assist with the removal of a patients' chest tube. Which actions following
removal is appropriate considering there is no purse-string suture? - Answer Apply an occlusive
dressing to the site
Which of the following may be indications for chest tube placement? Select all that apply.
a) Bronchiectasis
b) Hemothorax
c) Pneumothorax
d) Pulmonary embolism
e) Empyema - Answer b) Hemothorax
c) Pneumothorax
e) Empyema
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