Care of Clients with Problems in cellular aberrations NCM 106 Fluid and Electrolytes: Balance and Distribution

Name: _____________________________________________

Date:_________

Instructions: I. Write answers in the blank II. Encircle the letter of the correct answer III. Write answer in the space provided

I.

Matching Type

___1. Isotonic Solution mOsm/L ___2. Normal Saline Solution volume deficit. ___3. D5W ___4. Lactated Ringers Solution ___5. Hypertonic Solutions the ECF and

A. Fluid that has a serum osmolality of 252 B. Often used to correct an extracellular C. Hartmanns solution D. Treatment for hyponatremia E. Fluid that has a total osmolality to that of do not cause red blood cells to shrink or swell. F. Isotonic expansion of the ECF caused by the abnormal retention of water and sodium in approximately the same proportions in which they normally exist in the ECF.

II. Multiple Choice 1. A student nurse is taking care of a patient with a Cardiac Disease and has multiple contraptions. She is well aware that the patient is having a fluid overload if she observes for these symptoms: A. Crackles upon auscultation, edema, weight gain, dyspnea, and respirations that are shallow and have an increased rate. B. Increased vital signs, polyuria, sweating and coughing.

C. Coldness and edema of the site, redness and pain. D. Dysuria, tachypnea, tachycardia and unilateral edema

2. Nurse Ralen notes dyspnea, cyanosis, hypotension, weak rapid pulse, chest, shoulder, and low back pain in a patient in the medicine ward. She knows that these symptoms will lead to loss of consciousness if she will not intervene immediately. What IV therapy complication is manifested by these symtoms? A. Air Embolism B. Phelibitis C. Pulmonary Embolism D. Septicemia 3. You suspect phlebitis in a patient who is endorsed from the operating room to your assigned ward. What immediate action should you do to avoid further complications? A. Assess site, monitor vital signs, document findings. B. Discontinue IV, apply a warm, moist compress to the affected site and restart IV in another site. C. Discontinue IV for 30 minutes to one hour, apply warm and moist compress and restart it afterwards. D. Administer thrombolytics to avoid pulmonary embolism. 4. You are preventing thrombophelibitis to occur during the course of treatment of your patient with clotting problems. What nursing responsibilities should you do? A. Avoiding trauma to the vein at the time the IV is inserted, observing the site every hour, and checking medication additives for compatibility. B. Maintaining aseptic technique during insertion, Monitoring blood works esp PT and PTT. C. Using of a vein viewer to ensure full and safe insertion, monitoring vital signs and blood works.

D. Administering thrombolytics to prevent clot formation. 5. An IV therapy complication that results from the perforation of the opposite vein wall during needle insertion, the needle slipping out of the vein, and

insufficient pressure applied to the site after removing the needle or cannula. A. Phlebitis B. Hematoma C. Septicemia D. Infiltration

III.

Enumeration

A. Purposes of IV administration 1.

2.

3. B. Give at least (2) veins used in IV insertion 1. 2. C. Differentiate Phlebitis from Thrombophlebitis (3pts)

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Prepared by: Mara Aurea Alberto Score + 2 !!