10798711
Descrição
Quiz por Amanda Burton, atualizado more than 1 year ago
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Criado por Amanda Burton
aproximadamente 7 anos atrás
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Questão 1
Questão
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?
Responda
-
0.45% Saline
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5% Dextrose in water
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10% Dextrose water
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Lactate ringer
Questão 2
Questão
A nurse is assessing the patient who has severe vomiting and diarrhea. The purpose of IV infusions for this patient is to:
Responda
-
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
Questão 3
Questão
What is the nurses primary responsibility in the daily care of a patient with a central line?
Responda
-
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
Questão 4
Questão
A patient receives a total of 4000 ML's of D5W over 48 hours. How many calories will this fluid supply?
Responda
-
800
-
600
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500
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250
Questão 5
Questão
A nurse is adding a secondary piggyback to the patients existing IV. To use the gravity system, the nurse should hang:
Responda
-
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
Questão 6
Questão
The nurse needs to establish a peripheral IV access on adult trauma patient. Which catheter is the best choice?
Responda
-
#24
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#22
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#20
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#18
Questão 7
Questão
In which circumstance would be used of a burette be advised as a safety device
Responda
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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
Questão 8
Questão
The nurse must assess for complications of IV therapy signs of common complications include:
Responda
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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
Questão 9
Questão
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?
Responda
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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
Questão 10
Questão
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?
Responda
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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
Questão 11
Questão
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
Responda
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25
Questão 12
Questão
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.
Responda
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125
Questão 13
Questão
This has greater concentration also having greater tonicity then blood, solution Enters the vessel.
Responda
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Hypotonic
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Hypertonic
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Isotonic
Questão 14
Questão
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.
Responda
-
Isotonic
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Hypotonic
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Hypertonic
Questão 15
Questão
This solution is lesser concentration; containing less solute than extravascular fluid. This solution goes Out of the vessels.
Responda
-
Hypertonic
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Hypotonic
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Isotonic
Questão 16
Questão
This route is the main method of supplying The patient with fluids and medications when the patient is unable to take them orally.
Responda
-
Intervenous
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Rectally
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Topically
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Orally
Questão 17
Questão
This is a concentrated dose given in a short period of time intravenously.
Responda
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Bolus
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TPN
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Colloids
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Infusion
Questão 18
Questão
Solutions that are given intravenously must be sterile they are supplied in plastic bags that come in what mLs?
Responda
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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
Questão 19
Questão
This type of administration set consist of a bag a solution, a regular tubing set, and a needleless connector, and an IV stand.
Responda
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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
Questão 20
Questão
This administration set, where medication is to be given intravenously and often added to an existing IV line by using what method.
Responda
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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
Questão 21
Questão
This administration set is used to infuse certain blood products.
Responda
-
Primary IV sets
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Piggyback IV sets
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Secondary IV sets
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Y site sets
Questão 22
Questão
You can administer blood products with any type of medication.
Responda
- True
- False
Questão 23
Questão
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.
Responda
-
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
Questão 24
Questão
You should be checking your pumps how often?
Responda
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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
Questão 25
Questão
You can use these to trap particles such as undissolved medication or salts that have precipitated from solution.
Responda
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Filters
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Cannula
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Hubs
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Aseptic
Questão 26
Questão
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.
Responda
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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
Questão 27
Questão
What are some signs and symptoms of fluid overload
Responda
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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
Questão 28
Questão
The wingtip or butterfly needle is meant for what type of therapy
Responda
-
Short term
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Long term
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Blood products
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Viscous fluids
Questão 29
Questão
The wing tips for butterfly needles, and what type of gauges
Responda
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Odd numbered
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Even numbered
Questão 30
Questão
For clear aqueous solutions what size gauge needle is used
Responda
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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
Questão 31
Questão
For a more viscous fluid, blood products or a rapid administration of large amounts of fluid what size gauge needle should you use?
Responda
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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
Questão 32
Questão
You should never take a blood pressure on the arm that has a Picc or ML catheter in place.
Responda
- True
- False
Questão 33
Questão
Correct placement of the subclavian catheter's must be verified by what type of procedure before any fluid is infuse through them?
Responda
-
X-ray
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MRI
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Ct scan
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Palpation
Questão 34
Questão
Never use a syringe that is smaller than what mL for flushing a central line?
Responda
-
10
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3
-
5
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20
Questão 35
Questão
This is when a piece of the catheter travels through a vessel and lodges, obstructing blood flow.
Responda
-
Air embolus
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Catheter embolus
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Infiltration
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Extravasation
Questão 36
Questão
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.
Responda
-
Infiltration
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Extravasation
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Catheter embolus
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Air embolus
Questão 37
Questão
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.
Responda
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Infiltration
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Extravasation
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Septicemia
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Phlebitis
Questão 38
Questão
When administering blood products you must use a 20 gauge or larger needle
Responda
- True
- False
Questão 39
Questão
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.
Responda
-
Phlebitis
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Thrombosis
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Septicemia
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Speed shock
Questão 40
Questão
This is a type a blood stream infection that occurs when infectious pathogens are introduced into the bloodstream.
Responda
-
Phlebitis
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Septicemia
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Thrombosis
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Speed shark
Questão 41
Questão
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?
Responda
-
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
-
Nothing this is a normal function of the body
Questão 42
Questão
This occurs when fluids or medications are given by bolus or administered to rapidly?
Responda
-
Speed shock
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Air embolus
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Phlebitis
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Circulatory overload
Questão 43
Questão
What is a nursing action if your patient has a catheter embolus?
Responda
-
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
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Press the code button and start CPR
Questão 44
Questão
The primary fluid must be [blank_start]higher[blank_end] to flow before the secondary fluid.
Responda
-
higher
-
lower
Questão 45
Questão
Your flushing an IV after administering medications, how many mLs should you flush with?
Responda
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3 mLs
-
5 mLs
-
2 mLs
-
You dont have to flush after
Questão 46
Questão
How long do signed consents for blood last?
Responda
-
48-72 hours
-
12-24 hours
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They don't expire
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6 months
Questão 47
Questão
Evidence based practice indicates that what type of solution is the only solution used in combination with infusion of a blood products.
Responda
-
Normal saline
-
D5W
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D5LR
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Dextrose 5%
Questão 48
Questão
TPN must be replaced every [blank_start]24 hours[blank_end].
Responda
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24 hours
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12 hours
-
36 hours
-
7 days
Questão 49
Questão
Blood must be infused within how long of release from the blood bank.
Responda
-
4 hours
-
20 minutes
-
8 hours
-
After med pass
Questão 50
Questão
Your going to stay with your patient for the first little bit of blood administration, how long is minimum?
Responda
-
5 minutes
-
10 minutes
-
15 minutes
-
30 minutes
Questão 51
Questão
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.
Responda
-
15
-
10
-
30
-
60
Questão 52
Questão
What is the first nursing action when a transfusion reaction occurs?
Responda
-
Stop the IV infusion
-
Flush with normal saline and new IV tubing
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Notify the physician
-
Start low-flow oxygen
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