12717233
Descripción
Test por April Woodland, actualizado hace más de 1 año
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Creado por April Woodland
hace más de 6 años
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Pregunta 1
Pregunta
What interventions would you implement if a patient has an air embolism? Select all that apply.
Respuesta
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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
Pregunta 2
Pregunta
When the nurse is going to discontinue an IV , what is the first thing the nurse needs to do?
Respuesta
-
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
Pregunta 3
Pregunta
When caring for a patient with an intermittent IV device what is the main thing we need to do?
Respuesta
-
Maintain patency
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make sure pump is working
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Check doctor order
Pregunta 4
Pregunta
After failing on a second attempt to insert an IV, what should the nurse do next?
Respuesta
-
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
Pregunta 5
Pregunta
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?
Respuesta
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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
Pregunta 6
Pregunta
When scrubbing the hub, for how long do you apply friction?
Respuesta
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1 minutes
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30 seconds
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15 seconds
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2 minutes
Pregunta 7
Pregunta
What are some symptoms associated with speed shock?
Respuesta
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lightheadedness
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chest tightness
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flushed face
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irregular pulse
Pregunta 8
Pregunta
What is speed shock caused by what?
Respuesta
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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
Pregunta 9
Pregunta
If a patient has a PIC line on their right shoulder, which arm do you wanna take the blood pressure with?
Respuesta
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Left
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Right
Pregunta 10
Pregunta
If a patients IV site is cool to the touch, edema is present , its burning and painful , What could the patient be experiencing?
Respuesta
-
infiltration
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speed shock
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sepsis
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phlebitis
Pregunta 11
Pregunta
If an IV is infused too rapidly and then the rate is slowed, What do you monitor the patient for?
Respuesta
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Septic shock
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circulatory overload
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thrombophlebitis
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infiltration
Pregunta 12
Pregunta
Why do you not irrigate an occluded canula?
Respuesta
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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
Pregunta 13
Pregunta
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 ?
Respuesta
-
Fluid Volume Excess
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Thrombophlebitis
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Speed Shock
-
Air Embolism
Pregunta 14
Pregunta
If there is an infection at the puncture site, what would you see ? Select all that apply
Respuesta
-
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
Pregunta 15
Pregunta
What is the point of a transparent dressing over the IV?
Respuesta
-
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
Pregunta 16
Pregunta
If there is redness , sweling, and warmth at IV site, What could it be?
Respuesta
-
Thrombophlebitis
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speed shock
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infiltration
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circulatory overload
Pregunta 17
Pregunta
How much fluid does an average adult need to replace what is lost through elimination in a 24 hour period?
Respuesta
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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
Pregunta 18
Pregunta
When a physician is writing orders what is an important guide when ordering electrolyte replacements?
Respuesta
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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
Pregunta 19
Pregunta
A solution with the same osmalaitly as blood, and is used to hydration
Respuesta
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isotonic
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hypotonic
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hypertonic
Pregunta 20
Pregunta
Solution with less solute than blood, and is used to increase fluid to tissues
Respuesta
-
isotonic
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hypotonic
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hypertonic
Pregunta 21
Pregunta
Solution that has greater solute than blood, brings fluid from outside to inside the vein, used to decrease edema
Respuesta
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isotonic
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hypotonic
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hypertonic
Pregunta 22
Pregunta
You must always ID your patient, If patient is unconscious, how do ID the patient?
Respuesta
-
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
Pregunta 23
Pregunta
The doctors order must include what? Select all that apply
Respuesta
-
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
Pregunta 24
Pregunta
How many drops does a macrodrop chamber use per minute?
Respuesta
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20
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10
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60
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100
Pregunta 25
Pregunta
What is a macrodrop chamber used for ?
Respuesta
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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
Pregunta 26
Pregunta
how many drops per minute does a microdrop chamber put out?
Respuesta
-
10
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30
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60
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100
Pregunta 27
Pregunta
What are microdrop chambers used for ?
Respuesta
-
Blood
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thick liquids
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precise measurements (children/elderly)
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most adults
Pregunta 28
Pregunta
When hanging a piggyback IV, which bag is higher?
Respuesta
-
the first bag
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the second bag
Pregunta 29
Pregunta
Irritation of the veins, S/S include; errythema, warmth, swelling, and tenderness
Respuesta
-
infiltration
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phlebitis
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IV site infection
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speed shock
Pregunta 30
Pregunta
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?
Respuesta
-
sepsis
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air embolism
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catheter embolus
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phlebitis
Pregunta 31
Pregunta
What are some signs and symptoms of Sepsis? Select all that apply
Respuesta
-
fever/chills
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headache
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fatigue
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pain
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hypertension
Pregunta 32
Pregunta
If a patient is experiencing an allergic reaction to a medication through IV , what do you expect to see? Select all that apply
Respuesta
-
Site is red
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itching
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rash
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Cool to the touch
Pregunta 33
Pregunta
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
Respuesta
-
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
Pregunta 34
Pregunta
What are the most common sites for IV insertion? Select all that apply
Respuesta
-
basilic
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cephalic
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brachial
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median cubital
Pregunta 35
Pregunta
How often do you check the IV site?
Respuesta
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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
Pregunta 36
Pregunta
What are the elderly most at risk for when receiving an IV?
Respuesta
-
fluid volume overload
-
fluid volume deficit
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phlebitis
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sepsis
Pregunta 37
Pregunta
What can be used instead of a tourniquet for an elderly patient?
Respuesta
-
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
Pregunta 38
Pregunta
When you add dextrose to an IV , what are you adding?
Respuesta
-
Nutrients/ Sugar
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medication
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normal saline for hydration
Pregunta 39
Pregunta
When should you use a Butterfly needle? Select all that apply
Respuesta
-
Pediatric patients
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elderly patients
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Obese patients
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patients with bigger veins
Pregunta 40
Pregunta
Is a central line made for long term use or short term use?
Respuesta
-
short term use
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long term use
Pregunta 41
Pregunta
Typically how long does a PIC line say in?
Respuesta
-
6-8 weeks
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6 months
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2 weeks
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48 hours
Pregunta 42
Pregunta
How long is a peripheral IV used for ?
Respuesta
-
48 hours
-
72 hours
-
1 week
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6-8 weeks
Pregunta 43
Pregunta
When documenting on an IV site, what should be included? Select all that apply
Respuesta
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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
Pregunta 44
Pregunta
When educating a patient, what should the nurse include? Select all that apply
Respuesta
-
Why the IV is needed
-
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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