Final
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| Which of the following is a change in the cardiovascular system secondary to the aging process | Increased fragility of the veins
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| Which of the following methods may an IV certified LPN use to administer an IV push drug | Using a safety syringe and needle to inject directly into the vein or into the injection port of an intermittent infusion set
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| Which of the following assessment parameters is considered to be of the most crucial importance before initiating parenteral fluid therapy | Renal status
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| Fever, chills, general malaise, headache, nausea and vomiting, vascular collapse, and shock are signs and symptoms of what condition. | Septicemia
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| the largest and best anchored vein to use for a phlebotomy venipuncture is the | median cubital vein
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| which of the following comprise the structure of the skin | Dermis, epideremis, and superficial fascia
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| What supplies should be collected in preparation for establishing a peripheral intravenous site | Tourniquet, antiseptic, dressing, cannulas, tape, gloves, prescribed fluid and administration set
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| Which of the following is a primary consideration in fluid and electrolyte imbalance in pediatric patients | The younger the child, the greater the risk of fluid and electrolyte imbalance, fluid overlead and congestive heart failure
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| Which of the following signs and symptoms are typical of a vasovagal reaction consequential to patient stress | Vasoconstriction, syncope an diaphoresis
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| Volume-control set contains one of two types of filter design integral to the calibrated chamber. What are these two available filter | Pediatric
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| Peak level and trough level blood specimens are drawn during | therapeutic drug monitoring
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| The Venous Access and Intravenous Infusion Treatment Modalities is in accordance with the guidelines enacted by the | Missouri Rule 4 CSR 200.6010
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| What are the main sources of bacteria responsiblew for IV-associated infections | Air, blood and skin
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| Identified parameters in the assessment of patients receiving parenteral fluid therapy include | Comparison of I & O, vital signs, skin turgor and laboratory values.
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| Normal saline flushing of the primary IV line before IVPB drug administration is frequently required to prevent what phenomenon | Bioincompatibility
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| The nursing objective in fluid and electrolyte imbalances is to know the importance of | evaluating patient's fluid and electrolyte status in order to recognize disturbance and initiate appropriate intervention
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| What is a vitall nursing consideration when infusing parenteral nutrition solutions | Initial infusions should begin slowly with incremental increases until desired infusion rate is achieved
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| Using an armboard when the IV site is located in an area of flexion prevents what condition | Mechanical phlebitis
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| Structural componenets common to both veins and arteries include which of the following | Tunica intima, tunica media, and tunica adventitia
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| Decreased ability of the elder patient to metbolize drugs is caused by alterations in | hepatic function
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| What two factors can alter normal blood clotting | Certain disease processes and medications
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| Which nursing consideration should the IV therapy-certified LPN observe when monitoring a pt. for clinical manifestations of chemotherapy side effects or toxicities | Document and report observations to the physician
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| What is the appropriate nursing action after cannula removal | Determining if the cannula was removed in its entirety
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| What factors affect the infusion flow rate | Phlebitis, height of container, and viscosity of the fluid
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| What two elements are essential for accurate documenation of the IV therapy-monitoring process | Pertinent information regarding observations and actions taken
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| The cannula hb should be stabilized during tape and dressing removal to prevent what condition from developing | Discontinuation-generated mechanical phlebitis
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| Which of the following are four of the major organs involved in homeostasis | heart, lungs, kidneys and adrenal glands
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| Which of the following IV therapy-related factors are likely to cause variations in respiratory function | Fluid and electrolyte imbalances, pH change, and emboli
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| Which of the following sites is considered appropriate when selecting a peripheral vein for intravenous cannula insertion | Soft, spngy veins located away from areas of flexion
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| Which of the following are identified as etiological factors contributing to drug errors | Ambiguities in drug names and uses, improper administration techniques, illegible orders, and inadequate monitoring of responses
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| Which of the following are local complications associated with IV therapy | Phlebitis, infiltration, and extravasation
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| Which of the following is a true statement regarding valves | Purpose is to prevent back flow of blood
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| Which of the following tasks can the LPn perform in blood transfusion therapy | Obtain unit from blood blank, crosscheck identifying data with RN before initiations and monitor during the transfusion
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| Which one of the following statements spplies to IV site dressings | Dressings may be gauze or transparent semipermeable membrane dressings
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| Functions of water in the body include which of the following | Providing for ionization of electrolytes, regulating body temperature, and acting as a solvent for a variety of substances
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| A key point to consider when calculating intravenous drug dosing is to | have a second person check mathematical calculations
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| What are the objectives of intravenous drug administration | Prophylactic, diagnostic and therapeutic
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| What is the threefold purpose of documenting the nursing care provided | Communicating patient status, identifying care provider competiency, and creating a legal lrecord of care provided
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| Intravenous therapy activities that may be delegated to an IV therapy-certified LPN include: | Initiating peripheral access, converting and IV cannula to a "locked" cannula, and monitoring blood transfusions
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| A key point to consider when calculating intravenous drug dosing is to | have a second person check mathematical calculations
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| Vein dialation may be achieved by: | applying a tourniquet
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| What immediate nursing intervention should be taken in response to an acute intravascular hemolytic reaction | Stop transfusion, KVO with NS, disconnect administration set from cannula and initiatae NS infusion with new tubing if a Y tubing is used
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| The goal of injecting a flush solution into the intermittent infusion device is to | maintain patency
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| What are the potential complications of an inaccurate infusion flow rate | Inappropriate drug serum levels, pulmonary edema, and cannula occlusion
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| Which function of blood is essential to homeostasis | Helps maintain acid-base balance
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| Drug accumulation secondary to inadequate distribution, metabolism, or excretion is a common etiology of | a toxic reaction
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| What condition is characterized by pulmonary edema, distended neck veins, peripheral edema, and a bounding, rapid pulse | Fluid volume excess
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| Prime factors to be considered when selecting a vein for venipuncture include: | characteristics of available veins, objective of ordered therapy, and anticipated duration of therapy
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| Intermittent infusion devices are used to provide which of the following intravenous-related procedures | Intermittent delivery of IV push drugs and intermittent IV piggyback
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