exam 1 (211)

Question 1

what is parenteral?

Answer 1

administration by route other that GI

Question 2

what must the provider include when writing an order?

Answer 2

date, type of medication, dosage, rate, frequency

Question 3

what is a flange

Answer 3

the platform reduces risk fo fingers touching the spike

Question 4

what is the macro drops per ml/min

Answer 4

either 10,15, or 20

Question 5

what is the micro drip per ml/min

Answer 5

60

Question 6

when does the tubing need changed?
Peripheral
Central Venous
intermittent

Answer 6

96
96
24

Question 7

solvent?
solute?

Answer 7

water
dissolved particles

Question 8

what are electrolytes

Answer 8

solutes that dissolve in water and dissociate into ion particles. Electrolytes give water the ability to conduct electricity

Question 9

intravascular
interstitial

Answer 9

fluid lies within the veins
fluid lies in spaces between the cells

Question 10

what osmolality is normal saline at?

Answer 10

308

Question 11

uses for isotonic fluids

Answer 11

to expand extracellular fluid
replacement of fluids for acute blood loss
hypovolemia
hypotension
(ofter for hemorrhage, burns, and wounds)

Question 12

uses for hypotonic fluids

Answer 12

hydrate cells
renal failure
malnutrition

Question 13

uses for hypertonic fluids

Answer 13

in cases of extravascular volume overload

Question 14

the inflammation of a vein

Answer 14

phlebitis

Question 15

inflammation of the vein with the formation of thrombus

Answer 15

thrombophlebitis

Question 16

s&s of phlebitis

Answer 16

redness, warmness, tenderness, swelling, buring

Question 17

nursing care of phlebitis

Answer 17

discontinue catheter, elevate, warm compress

Question 18

leakage of IV solution into tissue surrounding the vein

Answer 18

infiltration

Question 19

s&s of infiltration

Answer 19

redness, warmth, swelling, dull ache, coolness & blanching

Question 20

leakage of irritant chemicals into tissue surrounding the vein

Answer 20

extravasation

Question 21

important s&s of extravasation

Answer 21

discoloration of tissue around IV site

Question 22

occurs when IV fluid infuses too rapidly or too much fluid is infused

Answer 22

circulatory overload

Question 23

s&s of circulatory overload

Answer 23

engorged neck vein, dyspnea, edema, bounding pulse, rapid repirations

Question 24

occurs when fluid overload leads to respiratory distress

Answer 24

pulmonary edema

Question 25

s&s of pulmonary edema

Answer 25

dyspnea, cough, anxiety, thready pulse, elevation/drop in BP, frothy sputum

Question 26

occurs as a systematic reaction to a foreign substance entering the bloodstream too rapidly

Answer 26

speed shock

Question 27

s&s of speed shock

Answer 27

syncope, shock, cardiac arrest

Question 28

present psi limit has been exceeded

Answer 28

occlusion

Question 29

the sensor detected air in the line

Answer 29

air-in-line

Question 30

preset volume has infused

Answer 30

infusion complete

Question 31

pump on, but not started nonfunctional

Answer 31

not infusing

Question 32

inadequate closure

Answer 32

door open

Question 33

how long can mid line catheter access be used for

Answer 33

2-4 weeks

Question 34

how long are midline catheters

Answer 34

3-8 inches

Question 35

CVAD are…

Answer 35

long-term or home IV therapy

Question 36

CVAD indications

Answer 36

parenteral nutrition
fluids
chemo
blood
antibiotics (long treatment)
pressure monitoring

Question 37

most common central line

Answer 37

picc

Question 38

how long can a PICC dwell

Answer 38

6 months

Question 39

how long is a PICC

Answer 39

16-26 inches

Question 40

catheters that are usually inserted directly through the skin & into the jugular subclavian or femoral veins

Answer 40

non-tunneled catheters

Question 41

what catheters tip rests in the superior vena cava

Answer 41

non-tunneled catheters
tunneled catheters

Question 42

how long are non-tunneled catheters

Answer 42

6-8 inches

Question 43

how long can non-tunneled catheters be used?

Answer 43

5-10 days

Question 44

how long do tunneled catheters last?

Answer 44

months to years

Question 45

Hickman
broviac
Groshong

Answer 45

blunt end
smaller w/ blunt end
closed-end, side slits

Question 46

how many ML’s are needed when flushing a PICC line

Answer 46

10 MLs every 12 hours

Question 47

SALINE FLUSH, ADMINISTER, SALINE FLUSH

Answer 47

!!!!

Question 48

enteral is administered?

Answer 48

orally

Question 49

total parenteral nutrition is administered?

Answer 49

directly into the vein

Question 50

central parenteral nutrition is administered through

Answer 50

central line

Question 51

S&S of hyperglycemia

Answer 51

N&V, dizziness, rapid pulse, fruity breath

Question 52

S&S of hypoglycemia

Answer 52

tremors, cold clammy skin, blurred vision, lack of cordination

Question 53

fluid overload S&S

Answer 53

weight gain, neck distention, crackles & rhonchi, rapid pulse

Question 54

fluid deficit S&S

Answer 54

loss of turgor, small tongue, sunken eyes, weaken pulse

Question 55

what is the average liters of blood in the body?
female
male

Answer 55

F- 4 to 5
M- 5 to 6

Question 56

5 fypes of white blood cells

Answer 56

neutrophils
eosinophils
basophils
monocytes
lymphocytes

Question 57

platelets are also known as

Answer 57

thrombocytes

Question 58

type A blood has

Answer 58

A antigens and anti-B antibodies

Question 59

type B blood has

Answer 59

B antigens and anti-A antibodies

Question 60

type AB blood has

Answer 60

anti-A and anti-B antigens and NO antibodies

Question 61

type O blood has

Answer 61

NO antigent and both A and B type blood

Question 62

what is the most common reaction that happens around 6hrs. of a transfusion

Answer 62

febrile

Question 63

what reaction is due to an ABO incompatibility and usually occurs within the first 15 min. after a transfusion

Answer 63

hemolytic