Exam 3 Chapter 18 PDF

1. If you receive an order from a doctor and the order is TPN. What should be done? Assess the bag, expiration and compare to MAR (VERIFY) 2. If a patient has a metabolic disturbance before hanging meds what should be checked before char...

1. If you receive an order from a doctor and the order is TPN. What should be done? Assess the bag, expiration and compare to MAR (VERIFY) 2. If a patient has a metabolic disturbance before hanging meds what should be checked before charting? Labs 3. Lab values to check for blood transfusions? Hemoglobin and HNH 4. What would be some reasons a patient would refuse blood transfusions? Jehovah's witness 5. If pt has blood transfusion but chooses not to use hospital blood what is this called? Autologous 6. When hanging blood what is the tubing called? Y-tubing 7. How soon will a blood transfusion reaction take? 15 minutes and stop infusion and disconnect 8. What is done before you start blood transfusion? Vitals 9. If a nurse has 4 types of solutions: Normal solution, blood products, TPN? Which should be administered through a central line? TPN 10. Type O, Type B, Type A: What is the universal blood type? Type O 11. Once blood is picked up how long do you have to administer blood ? 4 Hours 12. Most meds are good for TPN (false) 13. What should be monitored with TPN? Blood sugar at least every 6 hours 14. Unit of packed red blood cells is given and the next day. What labs should be looked at to see if it helped? Hemoglobin 15. What is the only solution that can go with blood? Normal Saline 16. What is the universal receiver? Type AB 17. How many times can a Y-tubing be used with blood transfusions? Once 18. Patient that is receiving IV antibiotic with a central line with 3 lumens. In one lumen there is Normal Saline, Another has antibiotic, and a peripheral IV started in ER. The antibiotic is needed where it would be given? Central 19. Which nursing action would ensure the safety of a patient who is about the CPN? Verify the physician's order for the correct product and programmes at a safe rate. 20. If you are receiving orders to give blood to a patient and you have a second nurse to verify. Right before you get to administer and the call light goes off what should be done with the blood product? Return the blood back to the bank due to it being out of the timeframe 21. When giving TPN and order of lipids are given. What disease process would be contraindicated for pt to receive lipids? Pancreatitis 22. Patient started the first unit of blood and you stayed for the first 15 minutes.Call light rings and the patient's back starts to hurt. What is happening? Pt is having an adverse reaction. 23. What are some blood transfusion reaction symptoms? Swelling, itching, Flank pain, fever, chills, rashes 24. How often must Central Line dressing be changed? 5-7 days 25. When performing a venipuncture when should the tourniquet be released? After the last specimen is collected  26. Orders to hang the unit of first red blood cells. What should be gotten from the patient? Consent 27. Patient receiving Gauze dressing allowed to stay on the patient? 1-2 days 28. Supplies needed from obtaining labs from patients? Gloves, Alcohol, Cotton balls or Gauze, Tourniquet 29. What is the total hours that a TPN is allowed to hang? 24 hours 30. Patient is receiving a TPN and assessment is done. What is a good sign that it is helping? Protein 31. If a nurse is preparing to insert a new IV into a patient. Where is the best place to try to start it? Distal and nondominant 32. If you have a patient and you notice gauze is saturated what should be done? Change the gauze 33. The nurse is preparing herparing to use a flush to use for a patient's IV infusion site. Where should it go? Central Line 34. Patient is receiving packed red blood cells and you go in to do an assessment and palpate fine crackles. What is this? Fluid Overload 35. When giving blood what all should be documented? Time, Vitals, amount of blood, 36. What type of additives can be found in TPN? Vitamins, Amino Acids, Dextrose 37. Type of patient that are good candidates to receive TPN? Trauma patients, Burns 38. While checking a blood bath prior to infusion, the nurse notices patient blood type O and donor blood is type O. What should be done? Document