NUR 172 Intravenous Therapy for the Practical Nurse
Final Exam
Question:
During blood collection, nurse notices hematoma. What action would you take?
Answer:
DC collection and apply pressure to site until bleeding stops
Question:
What symptoms would you expect to observe in a patient that has a citric toxicity (causes hypocalcemia) from a rapid blood transfusion?
Answer:
Positive trousseau sign, Positive Chvostek's sign
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Question:
TACO
Answer:
transfusion associated circulatory overload causes hypertension, severe headache, JVD, Dyspnea, pink frothy sputum (sputum is on another question, not this one)
Question:
Patient getting packed RBC, what are signs that they are having an acute reaction?
Answer:
Chest pain, tachycardia, hypotension (back pain as well which is not on test)
Question:
When inserting IV on elderly adult with fragile veins, which interventions would you like to implement?
Answer:
Placing tourniquet over the patient's gown, using BP cuff as tourniquet, lowering the angle of approach into the vein
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Question:
When inserting IV, it would be important to maintain the patient's safety by?
Answer:
wash hands prior to inserting IV, applying tape or stabilization device to prevent from pistoning, release tourniquet BEFORE flushing
Question:
Teaching patient about PCA pumps, what is important?
Answer:
Want to reinforce medication side effects, ONLY the patient pushes the button, how to push the button, in addition to teaching the patient- teach the family NOT to push the button.
Question:
As LPN, which physician order can you as the LPN carry out?
Answer:
Sub Q injections, Perco tablets orally Q2H, heparin flush
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Question:
IV law OBN, what can an LPN do?
Answer:
Give IV to patient 18 and over, stop PCA pump if patient has inadequate respirations
Question:
Elderly patient who has pulmonary edema, which orders can the LPN carry out for this patient?
Answer:
Apply O2 per nasal cannula and monitor O2, replacing water with ice chips, peripheral IV saline lock.
Question:
Monitoring patient with central line for sepsis, these are the S&S that would indicate possible sepsis..
Answer:
oral temp of 103, elevated WBC (4-10k is normal)of 18k, patient is shaking vigorously and complaining of being cold
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