What is homeostasis?
Correct Ans:- ability to maintain or restore fluid volume and electrolyte concentrations
According to LSBPNE, as LPN's what
... [Show More] are we allowed to practice?
Correct Ans:- -initiate and maintain IV therapy
administer IV medication by IVPB or IVP (including hyperalimination, blood, and blood products)
What could prevent needle sticks and splashing materials in the health care facility? Correct Ans:- proper use of PPE & disposing of sharps immediately after use in the correct place
What should the immediate response as a nurse be if she were to get stuck by a needle when giving a SubQ injection?
Correct Ans:- report to the charge nurse
What is the single most important way of preventing the spread of infection?
Correct Ans:- handwashing
What do you want to assess before giving any type of injection?
Correct Ans:- allergies, especially latex
What will you see with infiltration & what would you do?
Correct Ans:- swelling, pain, coolness d/t fluids infusing in the SQ space; stop infusion, remove IV (may need to administer an antidote), elevate extremity and apply a warm compress
How will phlebitis present in a patients arm near IV site?
Correct Ans:- red line going down arm
What causes hematomas & ecchymosis?
Correct Ans:- -tourniquet applied too tight
-tourniquet left on after infusion begins
-blood leaks out around catheter
What causes circulatory overload?
Correct Ans:- -too much fluid too rapidly infused
-excessive saline infusions
-renal or cardiac compromise
How do you treat circulatory overload?
Correct Ans:- -elevate HOB
-decrease infusion rate
How does air embolism occur?
Correct Ans:- air gets into the tubing/medication from insecure connections
What is priority nursing care for catheter embolism?
Correct Ans:- apply a tourniquet above IV site to confine embolus
Contaminated IV products can lead to what?
Correct Ans:- septicemia
What can eliminate the "dead space" full of air?
Correct Ans:- priming the tubing?
What are the 5 rights of medication + 2?
Correct Ans:- -right patient
-right medication
-right dose
-right route
-right time
-right documentation
-right programming
What is a central line used for?
Correct Ans:- long-term infusions and for products that cannot run through a peripheral line
Where is a PICC line inserted?
Correct Ans:- anticubital space
What is a continuously running IV line?
Correct Ans:- primary infusion
Which type of IV admin is used for antibiotic therapy?
Correct Ans:- piggyback
What type of IV admin is used for blood and blood products?
Correct Ans:- transfusion
When choosing a vein for IV therapy what do you need to consider?
Correct Ans:- -vein size
-length of time
-mobility requirements
-comfort for client
What would a severely dehydrated client's veins look like?
Correct Ans:- collapsed
Who might you need to use a longer needle on?
Correct Ans:- obese patients
Why does a person's severity of illness impact IV therapy?
Correct Ans:- -not as good peripheral circulation
-greater potential for difficult access
Why do special techniques need to be in place for a pediatric patient?
Correct Ans:- they have smaller veins
What is the issue geriatric patients have when initiating IV therapy?
Correct Ans:- -vessels are more fragile
-susceptible to rupture d/t fragile skin
What is the primary medium within the body foe exchange and regulation between intracellular and extracellular fluid compartments?
Correct Ans:- water
If a patient has too little ECF what could occur?
Correct Ans:- hypovolemic shock
If a patient has too much ECF what can happen?
Correct Ans:- fluid overload leading to HTN and CHF
Fluid & Electrolyte balance is affected by what?
Correct Ans:- -thirst
-hormone secretion
-admin of IV fluids
What happens as a result of overhydration?
Correct Ans:- circulatory problems increase, skin and tissue integrity compromise, and respiratory difficulties
What is a possible nursing Dx for overhydration?
Correct Ans:- fluid volume excess
What is dehydration?
Correct Ans:- water output is greater than intake
What is happening in isotonic solutions?
Correct Ans:- equal pressure on either side of osmotic gradient; no movement of ions or water
What is isotonic solutions used for?
Correct Ans:- to treat hypotension resulting from hypovolemia
How will cells present in a hypotonic solution?
Correct Ans:- swollen
What is the shift of fluid in a hypotonic solution?
Correct Ans:- out from blood --> into the cells
What is hypotonic solutions used for?
Correct Ans:- hydrate interstitial & intracellular compartments and lower sodium levels [Show Less]