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Tugas 1 Ne Nurul Hendriani
Tugas 1 Ne Nurul Hendriani
2. the balance that the body maintains between fluid intake and fluid output is called :
a. homeostasis c. encouragement
b. approximately d. normal balance
7. weak, irregular pulse, breathlessness and cough, expectorating white or pink frothy
sputum
discomfort and restlessness, edema, particularly around ankles and sacrum, distended neck
veins
raised / increase blood pressure
a. Fluid overload d. lack of electrolyte
b. over hydration e. insufficient fluid
c. A and b is true
8.This isotonic fluid provides fluid replacement without disturbing the electrolyte balance
and provides energy
a.5% dextrose in water c. lactated ringer
a. Normal saline d. normal saline in water
9. substances may be used to expand intravascular volume, and plasma volume such as:
ecept
a. blood and its derivatives
b. artificial colloids such as dextrans,
c. hydroxyethyl starch (HES) and gelatin derivatives.
d. lactated ringered
10. patients who are temporarily unable to eat so, the infusion solution can be used :
a. dextrose 10% d. sodium chloride 0,9 %
b. dextrose 20% e. potassium chloride 10
%
c. A and B is true
11. cannula has slipped out of the vein or the vein has collapsed, causing a blockage and
backflow of fluid into the interstitial spaces is called :
a. Infiltration c. speed shock
b. Bacteraemia d. phlebitis
13. Caused by the rapid infusion of an IV drug resulting in a toxic blood concentration.
a. allergic reaction c. Circulatory overload
b. speed shock d. Emboli
case I : Mr. Elliot, 53 Years old, receive IV therapy for fluid replacement for RL 20 drops
per minute. Nurse on duty will change the IV back for the second IV back and
found the following condition : P; 110 x / I, BP : 90 / 60 mmHg, RR: 28x/I, T : 37
0
C. Patient complained of Flushed face, headache, dizziness, chest tightness,
tachycardia/ rapid pulse and hypotension.
Case II : 3 days after infusion insertion of infusion on mr. Elliot, nurse on duty find :
Swelling, inflammation, redness, tense and hard vein (induration), possibly
purulent discharge at cannula exit site. On laboratory result obtain WBC ( white
blood cells count ) : 13000.
20. when a foreign body enters the circulation and travels until it occludes a small vessel:is
called:
a. emboli c. thrombophlebitis
b. phlebitis d. induration
case III :
Mrs. Anne , 38 years old was admitted to hospital with long excessive bleeding. She need
fluid replacement for fluid and blood lost. Doctor suggested to insert Sodium chloride and
HES 500 ml/8 hours
Nurse try to administer the infusion. The blood vessels invisible, because of constriction of
vein. Nurse try to administer it all the way to cover the blood and fluid need. She attempts
many times for cannulation or insert the IV chateter. And Splint it well because she afraid of
dislocation occurred. Few Hours after the insertion Mrs. Anne Complained of numbness,
pain in her right arm, tingling.
.
Cross match :