question

A patient with fluid volume deficit will most likely have lab values which are:

answer

Concentrated

question

The 7 authorized solutions an LPN can initiate are:

answer

1. D5LR 6. 0.45% Sodium Chloride (NaCl) 2. LR 7. 0.2% Sodium Chloride (NaCl) 3. NS 4. D5W 5. D5NS

question

Your patient's lab results just came back; Hemoglobin 3.0. You have an order to administer 2 units PRBS stat. As an LPN you would...

answer

Notify the RN, an LPN cannot infuse blood.

question

A patient with a sodium imbalance will most likely exhibit what symptoms?

answer

Decreased neuro. (Fluid shifts in or out of brain cells.)

question

Primary chemical component in the human organism that accounts for approximately 60% of the adult body weight is...

answer

Water

question

Your patient has a potassium level at 2.5. Do to this, the health care provider has ordered a peripheral piggyback infusion of potassium during your shift. This patient has already received a potassium piggyback infusion earlier in the shift by the RN. As an IV therapy LPN, you should do what with the order?

answer

Hang the piggyback solution (The RN already hung the first one earlier in your shift)

question

If lab values are elevated, which of the following volume states is the patient most likely experiencing?

answer

Fluid Volume Deficit

question

Which element does not have control over fluid status?

answer

Calcium

question

Which of the following solutions is considered to be HYPERtonic?

answer

D5LR

question

The best method to evaluate acute* fluid volume deficit is by what?

answer

Ortho Vital Signs

question

Your patient has a peripheral lick flush due during your shift. As an IV Therapy LPN, you may not perform this task. [T/F]

answer

False, you can perform this task.

question

A patient has been vomiting and has had diarrhea. Which at home* weight the patient reports would best indicate fluid volume deficit if compared to admission at 68kg?

answer

158 pounds. Basically, you want to look for the biggest difference between the at-home weight and the admission hospital weight. Multiply by 2.2 to get kg into pds.

question

Your patient has an order for d50.45 NS infusion. Can you initiate this? [T/F]

answer

True

question

Which of the following does NOT effect water balance? 1. Anti-diuretic Hormone 2. Thirst 3. Steroids 4. Aldosterone 5. None of the above

answer

5. None of the above

question

Which solution has an osmolarity higher than blood serum and remains in the intravascular compartment once administered into the bloodstream?

answer

Hypertonic

question

Which solutions is classified as hypertonic? 1. D5LR 2. 0.45 NS 3. NS 4. LR

answer

1. D5LR

question

What type of solution is the health care provider most likely to order for a patient dehydrated secondary to receiving too much diuretic therapy; Hypertonic or Hypotonic?

answer

Hypotonic

question

What are NOT causes of infiltration?

answer

Pain, tenderness, and discomfort

question

A patient receiving a continous Heparin infusion. The electronic IV pump is continually beeping and reads, "occlusion". The 1st action the nurse should do would be to...

answer

Assess the administration, set, dressing, and IV for possible construction

question

If phlebitis is suspected, list the following order* of treatment interventions the LPN should initiate:

answer

1. Stop infusion 2. Culture cath tip if physician wishes 3. Start a new IV on the opposite arm 4. Document findings and actions

question

If a nurse notices s/s of infiltration on a patient with an IV and nothing is done, the patient is at risk for suffering pain possibly loss of mobility, and interference with the IV. [T/F]

answer

True

question

The best intervention for IV related complications is prevention. [T/F]

answer

True

question

On the phlebitis scale developed by the Infusion Nursing Society, a severity of (+1) would be:

answer

Erythema at access site with or without pain

question

Treatment of a hematoma would include applying what to the site?

answer

Applying a cold compress to the site

question

You have an order to discontinue an IV on your patient who is also on blood thinners, what do you need to consider when D/C the IV?

answer

The patient is at a high risk for a hematoma. Blood thinners are anti-coagulants! Hold site for at least 5 minutes and hold above the heart.

question

Phlebitis can occur after the catheter as been removed. [T/F]

answer

True

question

When using the infiltration scale developed by the Infusion Nursing Society, in grade 4 of infiltration, what would you see?

answer

Skin blanched, translucency, skin tight, leaking, skin discolored, bruised, swollen, gross edema about 6 inches, deep pitting tissue edema

question

You have an order to hang an IVPB of Amplicillin and it is NOT compatible with your maintence IV solution, what do you do?

answer

Notify the RN

question

The primary treatment of thromboplebitis is D/C of the IV. [T/F]

answer

True

question

What are the 3 signs and systems that a nurse would discover if a patient is experiencing thromboplebitis?

answer

Infusion may slow and leak, may palpate a hard lump and also visualize a lump

question

If the LPN suspects extravasation with a patient, what should be their first action?

answer

Stop the infusion and notify the RN on duty

question

Your patient has an IV infusing by an electronic pump. Every time you walk by the room the alarm is beeping. You do all of the following except: 1. Detach tubing from cath to see if solution flows freely 2. Asses filter for air 3. Check dressing and tape for constriction 4. Have the patient raise their arm to check for venous strain

answer

4. Have the patient raise their arm to check for venous strain

question

A patient's IV site is assessed and a red streak is noted over the catheter track. This sign indicates what type of phlebitis?

answer

Mechanical (think equipment)

question

A large size IV catheter inserted into a small vein can cause infiltration [T/F]

answer

True

question

An IV site that is red, edematous, and painful indicates what problem?

answer

Phlebitis

question

High risk factors that can cause thrombophlebitis include large catheters in small veins, extremely low gravity, infusion rates (<20ml/hr), catheter tips just below vein bifurcation. [T/F]

answer

True

question

Inflammation of the vein wall is called infiltration. [T/F]

answer

False, that would be considered Phlebitis. Infiltration is when the IV has infiltrated through the vein and into the surrounding tissue

question

Your patient has a Potassium level of 2.5. Due to this, the HCP has ordered an IVPB infusion of Potassium during your shift. This patient has already received a Potassium IVPB infusion earlier in the shift by the RN. Can you administer this medication through a PICC line? [Yes/No]

answer

No.

question

Use a 10ml syringe on all central line to assure maximum pressure to clear the device of debri. [T/F]

answer

False

question

Your patient has a peripheral lock flush due during your shift. As an IV Therapy Certified LPN, can you do this? [Yes/No]

answer

Yes

question

Calculate the following math problem: Order: Antiobiotic 500 mg in 100 ml of NS IVPB to infuse over 30 minutes. Drop factor: 10. Give ____ gtt/min

answer

33 gtts/min

question

Calculate the following math problem. Order: 100 ml Levaquin solution to infuse over 30 minutes Drop Factor: 15. Give ______ gtt/min

answer

50 gtts/min

question

Which of the following is an allowable procedure for the LPN via central lines?

answer

Heparin flush

question

To certify CL placement before use, which procedure should be done?

answer

X-ray of chest

question

Upon flushing a peripheral J-loop with normal saline, you meet resistance and the patient complains of pain. What should you do?

answer

Stop immediately, discontinue the angiocatheter, and insert a new angiocatherter.

question

Centreal catheters can originate in all except which location?

answer

Carotid artery

question

What action while flushing a central line facilitates clearing debri from the catheter wall?

answer

Push-pause solution delivery

question

If resistance if met while flushing a central line with NS, the LPN should:

answer

Stop and notify the RN

question

You must always remove all of the air fro ma pre-filled NS syringe prior to priming a J-loop [T/F]

answer

True

question

Which of the following is an example of a tunneled catheter?

answer

Broviac

question

Which central line may be placed by special trained RN's?

answer

PICC lines

question

Which devices always require Heparin solution as a flush?

answer

Ports

question

You are working on a telemetry unit and your patient is due to have his CVC dressing changed. Can you do this? [Yes/No]

answer

Yes

question

All of the following can be performed via CL catheter except: a. blood draws an administration b.vesicants and chemotherapy c. solution administartion d. arterial blood gas sampling

answer

D. arterial blood gas sampling

question

While in your patient's room, the physician comes in and asks you to D/C the CVC. What do you do?

answer

Tell the physician that you are not legally allowed to D/C discontinue the CVC and notify the RN

question

When assisting with the insertion of a central, which supplies are needed? Gown, Gloves, Shoe Covers, and Mask

answer

Gown, Gloves, Mask

question

The best method to clear secondary IV tubing of air is:

answer

Connect to primary and back flow

question

Heparin or NS may be used to flush central line catheters? [T/F}

answer

False

question

All central venous catheters end in which location?

answer

Right atrium

question

While performing a CVC dressing change, you notice that the IV tubing is also due to be changed. Can you do this? [Yes/No]

answer

No

question

What is the most concerning consequences of biofilm development within the central line catheter?

answer

Myocarditis

question

Calculate the following math problem: Order: 1500 ml NS to run for 24 hours. Drop factor: 10. Give _____ gt/min

answer

10 gtt/min

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