10798711
Descripción
Test por Amanda Burton, actualizado hace más de 1 año
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Creado por Amanda Burton
hace casi 7 años
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Pregunta 1
Pregunta
Because of a communication error, the pharmacy says that there is a long delay for a replacement bag of total parenteral nutrition TPN to be mixed and delivered to the unit for the patient. The nurse recognizes that a physicians order is needed for which type of IV fluid while awaiting the replacement bag of TPN?
Respuesta
-
0.45% Saline
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5% Dextrose in water
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10% Dextrose water
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Lactate ringer
Pregunta 2
Pregunta
A nurse is assessing the patient who has severe vomiting and diarrhea. The purpose of IV infusions for this patient is to:
Respuesta
-
Provide fluids to reduce elevation in temperature
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Control the nausea and vomiting
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Replenish fluids and correct dehydration
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Deliver medication to stabilize blood pressure
Pregunta 3
Pregunta
What is the nurses primary responsibility in the daily care of a patient with a central line?
Respuesta
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Use sterile technique during insertion
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Flush the line according to agency policy
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Verify catheter placement with an x-ray examination
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Rotate the insertion site every 72 hours
Pregunta 4
Pregunta
A patient receives a total of 4000 ML's of D5W over 48 hours. How many calories will this fluid supply?
Respuesta
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800
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600
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500
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250
Pregunta 5
Pregunta
A nurse is adding a secondary piggyback to the patients existing IV. To use the gravity system, the nurse should hang:
Respuesta
-
The piggyback bag higher than the maintenance IV bag
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The maintenance IV bag at the same height as the piggyback bag
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The piggyback bag and the maintenance IV bag using Y tubing
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The maintenance IV bag after the piggyback bag is completed
Pregunta 6
Pregunta
The nurse needs to establish a peripheral IV access on adult trauma patient. Which catheter is the best choice?
Respuesta
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#24
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#22
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#20
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#18
Pregunta 7
Pregunta
In which circumstance would be used of a burette be advised as a safety device
Respuesta
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A trauma patient needs several units of packed red blood cells
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The patient needs IV fluids, but no infusion pump is available
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An infant is at risk for IV fluid overload
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A confused patient keeps trying to unplug the infusion pump
Pregunta 8
Pregunta
The nurse must assess for complications of IV therapy signs of common complications include:
Respuesta
-
Swelling and coldness at the site
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Redness along the vein
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Pale skin at the insertion site
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Immobility of the extremity
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Erythema and tenderness
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Vomiting and diarrhea
Pregunta 9
Pregunta
The patient is receiving a blood transfusion in and begins to have symptoms within 10 minutes after the start of the transfusion. What is the priority action?
Respuesta
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Take vital signs and call the physician
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Place the patient in a Supine position and start oxygen
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Stop the blood and change the IV tubing
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Slow the blood and check the vital signs
Pregunta 10
Pregunta
A patient returns from physical therapy, and her IV has a very sluggish flow, but it was functioning well before going to PT. What is the priority nursing action?
Respuesta
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Call PT and ask if anything happened to the IV during the treatment session
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Discontinue the IV and restart be IV at a new site
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Assess the IV insertion site and tubing and try repositioning the extremity
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Use a heparin flush to clear the line
Pregunta 11
Pregunta
The doctor orders the D5W (5 % dextrose in water) to infuse at 150 mL/hr the nurse is using macrodrop tubing (10 gtt/mL.) what is the drop rate? [blank_start]25[blank_end] gtt/min
Respuesta
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25
Pregunta 12
Pregunta
The doctor orders 1000 ML's of normal normal saline to infuse over eight hours. What is the pump setting? [blank_start]125[blank_end] mL/hr.
Respuesta
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125
Pregunta 13
Pregunta
This has greater concentration also having greater tonicity then blood, solution Enters the vessel.
Respuesta
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Hypotonic
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Hypertonic
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Isotonic
Pregunta 14
Pregunta
This solution is of equal solute concentration; solutions that have the same concentration, or osmolality, as blood and are used to expand the fluid volume of the body. It stays where I put it.
Respuesta
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Isotonic
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Hypotonic
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Hypertonic
Pregunta 15
Pregunta
This solution is lesser concentration; containing less solute than extravascular fluid. This solution goes Out of the vessels.
Respuesta
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Hypertonic
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Hypotonic
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Isotonic
Pregunta 16
Pregunta
This route is the main method of supplying The patient with fluids and medications when the patient is unable to take them orally.
Respuesta
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Intervenous
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Rectally
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Topically
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Orally
Pregunta 17
Pregunta
This is a concentrated dose given in a short period of time intravenously.
Respuesta
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Bolus
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TPN
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Colloids
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Infusion
Pregunta 18
Pregunta
Solutions that are given intravenously must be sterile they are supplied in plastic bags that come in what mLs?
Respuesta
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250
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500
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1000
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700
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300
Pregunta 19
Pregunta
This type of administration set consist of a bag a solution, a regular tubing set, and a needleless connector, and an IV stand.
Respuesta
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Primary IV sets
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Secondary IV sets
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Y site sets
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Controlled volume IV sets
Pregunta 20
Pregunta
This administration set, where medication is to be given intravenously and often added to an existing IV line by using what method.
Respuesta
-
Primary IV sets
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Piggyback IV sets
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Y site sets
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Controlled volume IV sets
Pregunta 21
Pregunta
This administration set is used to infuse certain blood products.
Respuesta
-
Primary IV sets
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Piggyback IV sets
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Secondary IV sets
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Y site sets
Pregunta 22
Pregunta
You can administer blood products with any type of medication.
Respuesta
- True
- False
Pregunta 23
Pregunta
This type of administration set has a dose of diluted medication that can also be given through and infusion pump a machine that delivers Abby fluids at a rate that is set by the nurse.
Respuesta
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Primary IV sets
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Secondary IV sets
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Y site sets
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Controlled volume IV sets
Pregunta 24
Pregunta
You should be checking your pumps how often?
Respuesta
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1-2 hours
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6-8 hours
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Every shift
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Once a day
Pregunta 25
Pregunta
You can use these to trap particles such as undissolved medication or salts that have precipitated from solution.
Respuesta
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Filters
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Cannula
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Hubs
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Aseptic
Pregunta 26
Pregunta
What is the slogan that was developed to emphasize the importance of using a sterile alcohol pad with friction and time when assessing a central line injection port for IV connection.
Respuesta
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Scrub the hub
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Start low go slow
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Being clean is the way to be
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Nurses are the greatest
Pregunta 27
Pregunta
What are some signs and symptoms of fluid overload
Respuesta
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Weight gain
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Weight loss
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Crackles in the Lungs
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Peripheral edema
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Clear lungs on auscultation
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Bradycardia
Pregunta 28
Pregunta
The wingtip or butterfly needle is meant for what type of therapy
Respuesta
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Short term
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Long term
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Blood products
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Viscous fluids
Pregunta 29
Pregunta
The wing tips for butterfly needles, and what type of gauges
Respuesta
-
Odd numbered
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Even numbered
Pregunta 30
Pregunta
For clear aqueous solutions what size gauge needle is used
Respuesta
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17-18 gauge
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20 - 22 gauge
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18 - 19 gauge
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23-25 gauge
Pregunta 31
Pregunta
For a more viscous fluid, blood products or a rapid administration of large amounts of fluid what size gauge needle should you use?
Respuesta
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18-19 gauge
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20-22 gauge
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23-25 gauge
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Filtered needle
Pregunta 32
Pregunta
You should never take a blood pressure on the arm that has a Picc or ML catheter in place.
Respuesta
- True
- False
Pregunta 33
Pregunta
Correct placement of the subclavian catheter's must be verified by what type of procedure before any fluid is infuse through them?
Respuesta
-
X-ray
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MRI
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Ct scan
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Palpation
Pregunta 34
Pregunta
Never use a syringe that is smaller than what mL for flushing a central line?
Respuesta
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10
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3
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5
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20
Pregunta 35
Pregunta
This is when a piece of the catheter travels through a vessel and lodges, obstructing blood flow.
Respuesta
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Air embolus
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Catheter embolus
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Infiltration
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Extravasation
Pregunta 36
Pregunta
This occurs when fluid or medication leaks out of the vein into the tissue with signs and symptoms including edema around the site and cool, pale tissue. The flow can be slow and sluggish.
Respuesta
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Infiltration
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Extravasation
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Catheter embolus
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Air embolus
Pregunta 37
Pregunta
This is the infiltration of the second drug from an IV line with the appearance of the site the patient's subjective complaints may initially be similar to those with infiltration the damage may go unnoticed for 48 to 72 hours.
Respuesta
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Infiltration
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Extravasation
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Septicemia
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Phlebitis
Pregunta 38
Pregunta
When administering blood products you must use a 20 gauge or larger needle
Respuesta
- True
- False
Pregunta 39
Pregunta
This is caused by irritation of the vein by the needle, the catheter, medications, or additives in the IV solution. The typical signs are your Erythema, warmth, swelling, and tenderness.
Respuesta
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Phlebitis
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Thrombosis
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Septicemia
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Speed shock
Pregunta 40
Pregunta
This is a type a blood stream infection that occurs when infectious pathogens are introduced into the bloodstream.
Respuesta
-
Phlebitis
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Septicemia
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Thrombosis
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Speed shark
Pregunta 41
Pregunta
Your patient has an air embolus which can occur when changing bags or an opening the line and the subclavian have a sudden drop in the blood pressure increase in the pulse, what would be a nursing implication?
Respuesta
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Place in Trendelenburg with patient on their left side
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Elevate the head of the bed keep warm assessed for Edema, slowdown infusion rate and notify the physician
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Remove IV catheter and restart IV in the other extremity
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Nothing this is a normal function of the body
Pregunta 42
Pregunta
This occurs when fluids or medications are given by bolus or administered to rapidly?
Respuesta
-
Speed shock
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Air embolus
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Phlebitis
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Circulatory overload
Pregunta 43
Pregunta
What is a nursing action if your patient has a catheter embolus?
Respuesta
-
Place a tourniquet it high on a limb above the IV site.
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Place a tourniquet below the IV site
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Nothing they will pass it themselves
-
Press the code button and start CPR
Pregunta 44
Pregunta
The primary fluid must be [blank_start]higher[blank_end] to flow before the secondary fluid.
Respuesta
-
higher
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lower
Pregunta 45
Pregunta
Your flushing an IV after administering medications, how many mLs should you flush with?
Respuesta
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3 mLs
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5 mLs
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2 mLs
-
You dont have to flush after
Pregunta 46
Pregunta
How long do signed consents for blood last?
Respuesta
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48-72 hours
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12-24 hours
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They don't expire
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6 months
Pregunta 47
Pregunta
Evidence based practice indicates that what type of solution is the only solution used in combination with infusion of a blood products.
Respuesta
-
Normal saline
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D5W
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D5LR
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Dextrose 5%
Pregunta 48
Pregunta
TPN must be replaced every [blank_start]24 hours[blank_end].
Respuesta
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24 hours
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12 hours
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36 hours
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7 days
Pregunta 49
Pregunta
Blood must be infused within how long of release from the blood bank.
Respuesta
-
4 hours
-
20 minutes
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8 hours
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After med pass
Pregunta 50
Pregunta
Your going to stay with your patient for the first little bit of blood administration, how long is minimum?
Respuesta
-
5 minutes
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10 minutes
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15 minutes
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30 minutes
Pregunta 51
Pregunta
Your going to take your patient's vitals while administering blood at the beginning to get a baseline and again [blank_start]15[blank_end] minutes after start of administration.
Respuesta
-
15
-
10
-
30
-
60
Pregunta 52
Pregunta
What is the first nursing action when a transfusion reaction occurs?
Respuesta
-
Stop the IV infusion
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Flush with normal saline and new IV tubing
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Notify the physician
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Start low-flow oxygen
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