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Nursing 301 Exam 3 (Revised) questions with 100- correct answers 2024
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Nursing 301 Exam 3 (Revised) questions with 100- correct answers 2024
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Nursing 301 Exam 3(Revised) questions with
100% correct answers 2024
Indications for IV medication administration
client is unable to or unwilling to swallow
medication is adversely affected by digestive secretions
medication that would irritate GI tract if given orally
medication used for sedation or anesthesia
Medication is only effective or available in IV form
Nurse needs to determine a precise dosage
Medication requires monitoring of therapeutic blood levels
In an emergency when a drug needs to act fast
medication compatibility
when two or more medications can be combined without producing harmful
effects or impairing the actions of any of the medications
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,PICC line (peripherally inserted central catheter) indications
artificial nutrition administration
administration of vesicants
fluid resuscitation
Nursing interventions pre and post PICC line insertion
Pre-insertion:
- measure upper arm circumference to establish baseline data
Post-insertion:
- measure and document length of external catheter from insertion site to hub of
access cap
- dressing change 24 hours after insertion, then weekly
- assess site for redness, drainage, swelling, pain
- assess for signs of dislodgement q12h - if the catheter length differs from when
you first measured it, the catheter could be dislodged - contact provider
Common complications of a PICC line
phlebitis, thrombophlebitis, central line-associated bloodstream infection
Contraindications for PICC line placement
sclerotic veins
extremities affected by mastectomy, radial artery surgery, hemodialysis graft,
arteriovenous fistula
T or F: Patient's with a PICC should not have blood pressure measurements,
venipunctures, or injections on the extremity with the PICC
True
T or F: The largest syringe size a nurse should use for administering meds in a
PICC is 15 ml
False - 10 ml
T or F: You should keep central lines unclamped or uncapped when not in use
False - keep them clamped to avoid air from entering and causing an air embolism
Nursing interventions for air embolism
clamp catheter
administer O2
place client on left side in Trendelenburg position
,Stay with client and call provider
When measuring the exposed part of a PICC line, the nurse notices that the
measurement is 7 cm greater than the last documented assessment. What should
the nurse's next step be?
A) Remove the PICC line and notify the provider
B) Thread the exposed catheter back into place
C) Document the new length and leave it - migration is normal
D) Put the patient in restraints so they won't pull at it
A
What could cause a PICC line measurement or arm circumference measurement to
be larger than a previously documented measurement?
PICC line measurement - dislodgement or migration
Arm circumference measurement - infiltration, vein rupture, blood clot
When measuring the arm circumference of a patient with a central line, the nurse
notices that their measurement is 2 cm larger than previously documented. What
should the nurse do?
A) Document the previous measurement because the nurse probably measured
wrong
B) Notify the provider
C) Edema at the site is normal - document and continue to monitor
D) Obtain a blood pressure reading
B
The nurse is going to give two IV medications but learns they are not compatible
with each other. What is the best course of action?
A) Give them anyways as side effects are rare
B) Wash the IV site with warm water in between administration
C) Give the medications 10 minutes apart
D) Use a different IV site for both medications
D
How long is syringe-pump tubing good for?
96 hours
Ports above the pump are used for...
piggyback meds
Ports below the pump are used for...
syringe pump meds
Ports closest to the patient are used for...
, IV push meds
T or F: The nurse should assess a patient's need for their PICC line every 24 hours
True
T or F: You only need to flush a saline lock after the administration of a
medication
False - before and after
T or F: You should always swab the ultrasite port before entering with a needle or
needleless access device
True
The nurse enters the patient's room to administer the next dose of cefazolin. The
nurse notices that the previous syringe is still full - what should the nurse do?
A) Administer both doses
B) Do not administer either dose
C) Administer the current dose, throw away the old dose, and contact the provider
D) Refrigerate the missed dose
C
opioid receptors
mu 1 & 2
- mu 1 is for analgesic effect
- mu 2 is for side effects from medications
Sigma
Kappa
Delta
Epsilon
T or F: there is no medication that works only on Mu 1
True
Physiological changes associated with pain
Increased bp, increased heart rate, increased respiratory rate, increased
perspiration, dilated pupils, restlessness
Which of the following are nonverbal signs of pain? (SATA)
A) Grimacing
B) Tensing
C) Patient reports pain of 8/10
D) Bradycardia
A, B
Types of pain
Nociceptive, neuropathic, referred, chronic, cancer
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