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Test Questions

Posted
by mel82 mel82 Member

Can anyone tell me the answers to these questions?

1. What would the nurse not do when administereing heparin?

a. wipe the area with an alcohol wipe

b. inject into the abdomen

c. aspirate bubbles

d. document time, route and area of the body administered to

I think it's ©, I know you don't aspirate before injecting, but wouldn't you have to get the bubbles out before administering

2. What would S/S would the nurse report to the MD when administering digoxin?

a. digoxin level of 2.25 mg

b. anorexia

c. fatigue

I think this one is A

Thanks,

these were on a test and I can't find the answers

ganursechick, BSN, RN

Specializes in Mental Health, & Internal Mmed.

you are right, I say 'c' for the other one too-aspirating is never done with heparin

You right C in correct you never need to Aspirate Hepain

You are right A is correct in my book it says .5 to 2.0 is normal anything over 2.0 is indicative to digitalis toxicity

I agree that C is the correct answer on the first one. Never ever aspirate on Heparin.

For the second one.....anorexia is an adverse rxn, however, the toxic level is >2.0. The best answer is A.

mariedoreen

Specializes in Med-Surg. Has 3 years experience.

Can anyone tell me the answers to these questions?

c. aspirate bubbles

I think it's ©, I know you don't aspirate before injecting, but wouldn't you have to get the bubbles out before administering

It's a statement designed to mislead. You don't aspirate bubbles, you tap and then push them out (aspirating is drawing something in)... don't you love these tests?

and I agree with you and the other posters on answers. Sounds like you did great :wink2:

But, you don't push out the bubble in the Heparin. It goes in too.

mariedoreen

Specializes in Med-Surg. Has 3 years experience.

But, you don't push out the bubble in the Heparin. It goes in too.

Educate me, I've never had to deal with this since our heparins were all pre-filled. Why not?

The air bubble "locks" the medication into the tissue. If your syringes are prefilled, there should be a bubble already in the syringe and you shouldn't push it out.

mariedoreen

Specializes in Med-Surg. Has 3 years experience.

The air bubble "locks" the medication into the tissue. If your syringes are prefilled, there should be a bubble already in the syringe and you shouldn't push it out.

So you're supposed to do an air lock with Sub Q heparin? We never learned that, thanks for the heads up -- always interesting to hear what others are doing.

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