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NEW 2024-2025 NUR 172-HONDROS TEST 2GUARANTEE NURSING EXAM
Typology: Exams
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If a patient admitted with a transmission-based precautions what is the minimum PPI needed to be worn in this room? - CORRECT ANSWER -- Gloves and Gown isotonic solution - CORRECT ANSWER -- A solution in which the concentration of solutes is essentially equal to that of the cell which resides in the solution hypertonic solution - CORRECT ANSWER -- A solution in which the concentration of solutes is greater than that of the cell that resides in the solution hypotonic solution - CORRECT ANSWER -- A solution in which the concentration of solutes is less than that of the cell that resides in the solution Heparin antidote - CORRECT ANSWER -- protamine sulfate INR - CORRECT ANSWER -- International Normalized Ratio - a calculation based on the PT used to monitor patients using blood thinners. 2.0-3.0 is the range for people taking warfarin-:coumadin Causes of hematoma - CORRECT ANSWER -- poor venipuncture technique, flow clamp left open, tourniquet left on t long, cannula to large, digging into vein Signs of hematoma - CORRECT ANSWER -- Ecchymosis, immediate swelling at the site & discomfort, leakage of blood at the insertion site- unable to advance cannula Phlebitis - CORRECT ANSWER -- inflammation of the inner lining of a vein thrombophlebitis - CORRECT ANSWER -- inflammation of a vein associated with a clot formation bacterial phlebitis is caused by - CORRECT ANSWER -- Poor hand hygiene, lack of aseptic technique, failure to check equipment, or recognize early signs of phlebitis Often occurs during insertion Phlebitis Scale - CORRECT ANSWER -- 0 = No symptoms 1 = Erythema at access site with or without pain 2 = Pain at access site with erythema and/or edema 3 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord 4 = Pain at access site with erythema and/or edema, streak formation, palpable venous cord >1 inch in length, and purulent drainage erythema - CORRECT ANSWER -- redness of the skin Infiltration - CORRECT ANSWER -- admission of a non-vesicant med or solution into the surrounding tissue Extravasation - CORRECT ANSWER -- admission of a vesicant into surrounding tissue CVAD - CORRECT ANSWER -- central vascular access device or indwelling line treatment of thrombophlebitis - CORRECT ANSWER -- complete bed rest avoid massage heat and elevation promote venous return anticoagulant therapy treatment of phlebitis - CORRECT ANSWER -- remove catheter, warm compress, elevate extremity, apply analgesic or anti-inflammatory PRN active immunity - CORRECT ANSWER -- immunity produced by exposure to an antigen, as a result of the immune response part has a saline lock in place but it is not being used, what should be done? -
CORRECT ANSWER -- call MD to verify it can be removed which medication is most commonly used to clean an occlusion caused by a blood clot - CORRECT ANSWER -- Circulatory overload Speed shock Septicemia Allergic reaction Catheter embolism Air embolism BSI what set would Vancomvacin IVPB be given in - CORRECT ANSWER -- secondary administration set Circulatory overload is a concern for which patient - CORRECT ANSWER -- Patients with elevated BUN and creatinine level