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Quiz von April Woodland, aktualisiert more than 1 year ago
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Erstellt von April Woodland
vor mehr als 6 Jahre
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Frage 1
Frage
What interventions would you implement if a patient has an air embolism? Select all that apply.
Antworten
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Put the head of the bed down
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have patient lay on their left side
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have patient lay flat
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have patient drink plenty of fluids
Frage 2
Frage
When the nurse is going to discontinue an IV , what is the first thing the nurse needs to do?
Antworten
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Check the doctors order
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Clamp the IV line
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Clean the site
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administer pain medication
Frage 3
Frage
When caring for a patient with an intermittent IV device what is the main thing we need to do?
Antworten
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Maintain patency
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make sure pump is working
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Check doctor order
Frage 4
Frage
After failing on a second attempt to insert an IV, what should the nurse do next?
Antworten
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Try another site
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Get another nurse
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Get a different needle
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have patient sit in a different position
Frage 5
Frage
If patient has an IV in the right forearm arm , and you need to change the IV site, Where should you insert the new Iv at?
Antworten
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The left forearm
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the right hand
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the right forearm
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the left leg
Frage 6
Frage
When scrubbing the hub, for how long do you apply friction?
Antworten
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1 minutes
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30 seconds
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15 seconds
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2 minutes
Frage 7
Frage
What are some symptoms associated with speed shock?
Antworten
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lightheadedness
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chest tightness
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flushed face
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irregular pulse
Frage 8
Frage
What is speed shock caused by what?
Antworten
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Rapid infusion
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pathogens in the blood stream
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an occlusion
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an air embolus occurs
Frage 9
Frage
If a patient has a PIC line on their right shoulder, which arm do you wanna take the blood pressure with?
Antworten
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Left
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Right
Frage 10
Frage
If a patients IV site is cool to the touch, edema is present , its burning and painful , What could the patient be experiencing?
Antworten
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infiltration
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speed shock
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sepsis
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phlebitis
Frage 11
Frage
If an IV is infused too rapidly and then the rate is slowed, What do you monitor the patient for?
Antworten
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Septic shock
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circulatory overload
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thrombophlebitis
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infiltration
Frage 12
Frage
Why do you not irrigate an occluded canula?
Antworten
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Could push a clot into a system
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could overload the IV
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Could get an infection
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Could cause infiltration
Frage 13
Frage
If a patient is presenting with edema, Increased BP, distended neck veins, rapid breathing, crackles in the lung and a moist cough, What would the nurse assume is going on ?
Antworten
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Fluid Volume Excess
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Thrombophlebitis
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Speed Shock
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Air Embolism
Frage 14
Frage
If there is an infection at the puncture site, what would you see ? Select all that apply
Antworten
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Purulent drainage
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Red/hot to the touch
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painful
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sluggish IV rate
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Cool to touch
Frage 15
Frage
What is the point of a transparent dressing over the IV?
Antworten
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To let air flow through the site
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to prevent blockage
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prevent edema
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to prevent thrombophlebitis
Frage 16
Frage
If there is redness , sweling, and warmth at IV site, What could it be?
Antworten
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Thrombophlebitis
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speed shock
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infiltration
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circulatory overload
Frage 17
Frage
How much fluid does an average adult need to replace what is lost through elimination in a 24 hour period?
Antworten
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1500-2000 mL
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2000-3000 mL
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1000-1500 mL
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500-800 mL
Frage 18
Frage
When a physician is writing orders what is an important guide when ordering electrolyte replacements?
Antworten
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Accurate I & Os
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IV placements
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Type of IV Fluids
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What type of Device is used
Frage 19
Frage
A solution with the same osmalaitly as blood, and is used to hydration
Antworten
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isotonic
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hypotonic
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hypertonic
Frage 20
Frage
Solution with less solute than blood, and is used to increase fluid to tissues
Antworten
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isotonic
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hypotonic
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hypertonic
Frage 21
Frage
Solution that has greater solute than blood, brings fluid from outside to inside the vein, used to decrease edema
Antworten
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isotonic
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hypotonic
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hypertonic
Frage 22
Frage
You must always ID your patient, If patient is unconscious, how do ID the patient?
Antworten
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Ask a staff nurse to ID patient
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look at chart
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look at ID band
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just administer IV
Frage 23
Frage
The doctors order must include what? Select all that apply
Antworten
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Type of Solution
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Amount of Solution
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Rate of the IV
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Date and Time of Order
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doctors signature
Frage 24
Frage
How many drops does a macrodrop chamber use per minute?
Antworten
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20
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10
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60
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100
Frage 25
Frage
What is a macrodrop chamber used for ?
Antworten
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Blood
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large amounts of fluid
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percise amounts of liquid
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the elderly
Frage 26
Frage
how many drops per minute does a microdrop chamber put out?
Antworten
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10
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30
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60
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100
Frage 27
Frage
What are microdrop chambers used for ?
Antworten
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Blood
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thick liquids
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precise measurements (children/elderly)
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most adults
Frage 28
Frage
When hanging a piggyback IV, which bag is higher?
Antworten
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the first bag
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the second bag
Frage 29
Frage
Irritation of the veins, S/S include; errythema, warmth, swelling, and tenderness
Antworten
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infiltration
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phlebitis
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IV site infection
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speed shock
Frage 30
Frage
A patient with an IV is experiencing Pain along the vein, decreased BP, increased pulse, and nail bed cyanosis. What would the nurse be concerned is happening?
Antworten
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sepsis
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air embolism
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catheter embolus
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phlebitis
Frage 31
Frage
What are some signs and symptoms of Sepsis? Select all that apply
Antworten
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fever/chills
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headache
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fatigue
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pain
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hypertension
Frage 32
Frage
If a patient is experiencing an allergic reaction to a medication through IV , what do you expect to see? Select all that apply
Antworten
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Site is red
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itching
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rash
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Cool to the touch
Frage 33
Frage
If a patient is having an allergic reaction to the catheter used for the IV, what do you expect to see? Select all that apply
Antworten
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Red streak at the vein
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Pain at the IV site
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Cool to the touch
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Pain and discomfort
Frage 34
Frage
What are the most common sites for IV insertion? Select all that apply
Antworten
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basilic
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cephalic
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brachial
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median cubital
Frage 35
Frage
How often do you check the IV site?
Antworten
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once a shift
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every hour
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every two hours
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every 24 hours
Frage 36
Frage
What are the elderly most at risk for when receiving an IV?
Antworten
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fluid volume overload
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fluid volume deficit
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phlebitis
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sepsis
Frage 37
Frage
What can be used instead of a tourniquet for an elderly patient?
Antworten
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Blood pressure cuff
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no tourniquet
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use your hands to pull skin back
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have patient drink water to expose veins
Frage 38
Frage
When you add dextrose to an IV , what are you adding?
Antworten
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Nutrients/ Sugar
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medication
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normal saline for hydration
Frage 39
Frage
When should you use a Butterfly needle? Select all that apply
Antworten
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Pediatric patients
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elderly patients
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Obese patients
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patients with bigger veins
Frage 40
Frage
Is a central line made for long term use or short term use?
Antworten
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short term use
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long term use
Frage 41
Frage
Typically how long does a PIC line say in?
Antworten
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6-8 weeks
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6 months
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2 weeks
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48 hours
Frage 42
Frage
How long is a peripheral IV used for ?
Antworten
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48 hours
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72 hours
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1 week
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6-8 weeks
Frage 43
Frage
When documenting on an IV site, what should be included? Select all that apply
Antworten
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Location
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type of catheter
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solution used
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IV flow sheet
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vital signs
Frage 44
Frage
When educating a patient, what should the nurse include? Select all that apply
Antworten
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Why the IV is needed
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what type of solution is being used
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length of IV therapy
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When/what to notify to the nurse
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what type of needle and all the technical terms that go behind IVs
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