IV THERAPY FINAL
A PATIENT RECEIVING IV THERAPY HAS REDNESS AT THE IV SITE. THE PT DENIES FEELING PAIN AT THE AREA. THESE FINDINGS SUGGESTWHAT DEGREE OF PHELIBITIS?
1+
WHATS THE SIZE OF THE MICRON FILTERS THAT COME WITH STANDARD BLOOD TRANSFUSION SETS?
170 MICRON FILTER
WHAT PERCENTAGE OF BODY WEIGHT IS ATTRIBUTED TO ECF?
20%
WHAT'S THE MAXIMAL AMOUNT OF TIME THAT TPN SOULTIONS ARE PERMITTED TO INFUSE BEFORE THE BAG MUST BE REPLACED?
24 HRS
FRESH FROZEN PLASMA MUST BE TRANSFUSED W/I?
4 HRS B/C IT DOESN'T CONTAIN PRESERVATIVES.
WHEN TEACHING AN ELDERLY PT ABOUT IV THERAPY WHICH OF THE FOLLOWING CONSIDERATIONS SHOULD THE NURSE KEEP IN MIND?
TALK SLOWLY AND BE PREPARED TO REPEAT INFO AS NEEDED.
THE PLASMA PRODUCT ALBUMIN IS ADIMNSTERED TO?
TEAT HYPOPROTEINEMIA AS WELL AS TO REPLACE VOLUME IN SHOCK AND BURNS.
WHO'S AUTHORIZED TO WRITE CHEMOTHERAPY ORDERS
THE ATTENDING PRACTITIONER
IV MEDICATION MAY BE INDICATE WHEN
THE MEDICATION CAN'T BE ABSORBED BY THE GI TRACT.
YOU SHOULD START A BLOOD TRANSFUSION AT A SLOW RATE TO ?
TO OBSERVE FOR THE EFFECTS OF A TRANSFUSION REACTION.
WHEN APPLYING A TRANSPARENT DRESSING, IT'S IMPORTANT TO
TUCK THE DRESSING IN AND AROUND AND UNDER THE HUB.
WHEN DRAWING A SPECIMEN WHAT AMOUNT OF BLODD IS DISCARED FROM THE IMPLANT PORT.
5ML
THE TOTAL BODY WATER IN AN OLDER ADULT IS DECREASED BY
6%
HOW LONG SHOULD EMLA CREAM REMAIN ON THE SKIN TO PROVIDE ANESTHESIA FOR A VENIPUNCTURE?
6O MINUTES
WHICH PERIPHERAL VENIPUNCTURE SITE SHOULD BE USED AS A LAST RESORT WHEN NO OTHER VEINS ARE AVALIABLE?
A PT WITH A HX OF PHELEBITIS
THE ADVANTAGES OF CV THERAPY INCLUDE
ABILITY TO RAPIDLY INFUSE FLUIDS, DRAW BLOOD SPECIMENS AND MEASURE CV PRESSURE.
WHEN YOU'RE PROVIDING MAINTENANCE IV FLUIDS TO A CHILD, IT'S IMPORTANT TO
ADJUST THE AMOUNTS BASED ON THE CHILDS ACTIVITY LEVEL, TREATMENTS AND INSENSIBLE FLUID LOSSES.
WHICH TYPE OF TRANSFUSION INVOLVES COLLECTION, FILTERING AND REINFUSING THE PT'S OWN BLOOD?
AUTOTRANSFUSION
WHICH SKIN CHANGE IS A CHARACTERISTIC OF AN ELDERLY PATIENT?
DECREASED AMT OF SUBQ FAT
THE 1ST STEP IN PERFORMING A ROUTINE VENIPUNCTURE IS TO
DILATE THE VEIN
WHICH IS NOT AN ADVANTAGE OF ADMINISTERING CHEMOTHERAPY BY IV ROUTE?
DOESN'T DECREASE THE CHANCE OF NAUSEA AND VOMITING.
NURSING RESPONSIBILITIES WHEN PREPARING A PATIENT FOR CV THERAPY INCLUDE?
EXPLAINING THE PROCEDURE AND CARE MEASURES OF THE THERAPY.
A CHILD WITH MODERATE DEHYDRATION WILL HAVE
EXTREME FATIGUE AND MUSCLE CRAMPING
WHICH CATHETER WOLD BE MOST APPROPRIATE FOR THE PEDIATRIC PATIENTS?
BROVIAC TUNNELED CATHETER FOR THOSE WITH SMALL CENTRAL VEINS
WHICH ELECTROLYTE PARTICIPATES IN NEUROTRANSMITTER RL\ELEASE AT THE SYNAPSE
CALCIUM
INTRAVASCULAR INFECTIONS CAN BE PREVENTED BY WHICH OF THE FOLLOWING PRECAUTIONS?
CHANGING INSERTION SITES ACCORDING T FACILITY POLICY.
OSHA REQUIRES THAT ANYONE ADMINISTERING CHEMO MUST WEAR
CHEMOTHERAPY GLOVES
WHERE SHOULD YOU MEASURE SKIN TURGOR IN AN ELDERLY PATIENT
FOREHEAD
WHICH TYPE OF SOLUTION RAISES SERUM OSMOLARITY AND PULLS FLUID AND ELECTROLYTES FROM ITHE INTRACELLULAR AND INTERSTITIAL COMPARTMENTS INTO THE INTRAVASCULAR COMPARTMENT
HYPERTONIC
WHAT'S THE PREFERRED ROUTE OF MEDICATION IN EMERGENCIES?
I.V.
IN CV THERAPY, AN ACCESS DEVICE IS INSERTED WITH ITS TIP IN THE
IN THE SUPERIOR OR INFERIOR VENA CAVA
WHEN ADMINISTERING TPN, WHICH OF THE FOLLOWING CONDITIONS IS OE OF THE FIRST SIGNS OF CATHETER RELATED SEPSIS?
INCREASED TEMPERATURE
A SCALP VEIN IS USUALLY AN IDEAL IV SITE FOR?
INFANTS YOUNGER THAN 6 MONTHS OLD B/C THEY CAN EASILY BE DISLODGED BY THE CHILDS HANDS.
YOUR PATIENT HAS SWELLING AT THE IV SITE, DISCOMFORT , DECREASED SKIN TEMP AND BLANCHING AROUND THE SITE. THESE ARE SIGNS OF
INFILTRATION
A COMMONLY USED ANTROPOMETRIC MEASURMENT THAT HELPS DETERMINE NUTRITIONAL STATUS IS
MIDARM MUSCLE CIRCUMFERENCE.
LOADING DOSE, LOCK OUT INTERVAL AND MAINTENANCE DOSES ARE BASIC TO
PCA PUMPS
ELDERLY PTS ARE MORE PRONE TO WHICH COMPLICATIONS OF IV THERAPY?
PHEBLITIS
THE FIRST STEP IN TROUBLESHOOTING A CLOTTED CATHETER IS TO
REPOSITION THE CATHETER AND ATTEMPT TO ASPIRATE THE CLOT. IF THAT DOESNT WORK INSTILL ALTEPLASE TO CLEAR THE LUMEN.
A DRUG THAT'S CYCLE-SPECIFIC WILL ATTACK NORMAL AND MALIGNANT CELLS DURING SPECIFIC PHASES OF CELL DEVELOPEMENT, EXCEPT FOR WHICH PHASE?
RESTING PHASE
WHICH OF THE FOLLOWING IS THE PREFERRED AND MOST ACCESSIBLE SITE FOR VENOUS ACCESS DEVICE IN THE INFANT UNDER AGE 6 MONTHS?
SCALP
TO TREAT EXTRAVASATION, THE FIRS STEP IS TO
STOP THE INFUSION
IF YOU DETECT SIGNS OR SYMPTOMS OF A TRANSFUSION REACTION, THE FIRST THING YOU DO IS?
STOP THE INFUSION AND QUICKLY TAKE PT'S VITAL SIGNS, THEN START INFUSING NORMAL SALINE AT A SLOW RATE AND NOTIFY MD.
WHICH VEIN IS THE M ST COMMONLY USED IN CV INSERTION SITE?
SUBCLAVIAN
THE ONE WAY TO PREVENT EXTRAVASATION IS BY:
USING AN EXISTING IV CATHETER ONLY AFTER PATENCY HAS BEEN ASSURED.
WHEN CAPILLARY BLOOD PRESSURE EXCEEDS COLLOIDAL OSMOTIC PRESSURE
WATER AND DIFFUSIBLE SOLUTES LEAVE THE CAPILLARIES AND CIRCULATE INTO THE ISF.
