Clayton's Basic Pharmacology for
Nurses Chapter 11 Test Bank
Questions and Answers Correctly
Solved.
Implantable infusion ports - Answer Used for long-term therapy when intermittent accessing
of the central vein is required for IV fluids, medications, TPN, chemotherapy, and blood
products. Provides the most flexibility for patients.
midline catheter - Answer 3-8 inches long, double or single lumen; inserted through
intermediate sized veins and advanced to larger vessels. Used for therapies lasting 1-4 weeks
but no recommended optimal dwell time (fluid hydration, long-term antibiotics, heparin
infusions for DVT).
Hypotonic solution - Answer Solute concentration is less than that inside the cell; cell gains
water. Used in cellular dehydration.
Dextrose 5% in water (D5W) - Answer A sterile solution that contains a concentration of 5%
dextrose in water.
Hypotonic solution.
Winged needle IV catheter - Answer - A.K.A butterfly catheter, scalp catheter
- SHORT TERM USE!
- Blood collection.
- Admin of non-irritating meds.
- Easy to puncture vessel wall, allowing SQ infiltration.
- Plastic wings facilitate placement
syringe pump - Answer Infusion control device is used to administer morphine through a
patient-controlled analgesia (PCA) pump
What can the nurse do to prevent fungal infection on a IV site? - Answer Refrain from applying
topical ointment or cream
, Veins of the lower extremities - Answer IV sites at greatest risk for development of thrombi
Microdrip chamber - Answer 60 drops/ml
Implanted Central Venous Catheter - Answer consist of an implanted long term venous access
port device composed of a catheter and reservoir with a self-sealing septum. Can last for more
than a year if properly flushed with saline-heparin solution after every use and once monthly.
Groshong catheter - Answer Contains 1-3 rounded valve tips (Lumens). Opens inward for
blood sampling, outward for infusion. Remains closed when not in use. Flushed weekly with
saline, no need to clamp-remains capped when not in use.
SASH guideline - Answer Saline flush first
Administer the prescribed drug
Saline flush after the drug
Heparin flush line
symptoms of pulmonary embolism - Answer Tachycardia, Pleuritic pain, unexplained
hemoptysis
Infiltration Scale - Answer 0: no symptoms; 1: skin blanched, edema <1" in any direction, cool
to touch, w/or w/o pain; 2: skin blanched, edema 1-6" in any direction, cool to touch, w/or w/o
pain; 3: skin blanched, gross edema >6" in any direction, cool to touch, mild to mod pain, poss
numbness; 4: skin blanched, translucent, skin discoulored, bruised, swollen, gross edema >6" in
any direction, deep pitting tissue edema; circulatory impairment, mod to severe pain, infiltrate
of any amount of blood product, irritant or vesicant
symptoms of air embolism - Answer Palpations, chest pain, and shortness of breath
implantable venous infusion ports - Answer placed into central veins for long term therapy
Symptoms of excess IV fluids in elderly - Answer Frothy sputum, thready pulse, cardiac
dysrhythmias
Nurses Chapter 11 Test Bank
Questions and Answers Correctly
Solved.
Implantable infusion ports - Answer Used for long-term therapy when intermittent accessing
of the central vein is required for IV fluids, medications, TPN, chemotherapy, and blood
products. Provides the most flexibility for patients.
midline catheter - Answer 3-8 inches long, double or single lumen; inserted through
intermediate sized veins and advanced to larger vessels. Used for therapies lasting 1-4 weeks
but no recommended optimal dwell time (fluid hydration, long-term antibiotics, heparin
infusions for DVT).
Hypotonic solution - Answer Solute concentration is less than that inside the cell; cell gains
water. Used in cellular dehydration.
Dextrose 5% in water (D5W) - Answer A sterile solution that contains a concentration of 5%
dextrose in water.
Hypotonic solution.
Winged needle IV catheter - Answer - A.K.A butterfly catheter, scalp catheter
- SHORT TERM USE!
- Blood collection.
- Admin of non-irritating meds.
- Easy to puncture vessel wall, allowing SQ infiltration.
- Plastic wings facilitate placement
syringe pump - Answer Infusion control device is used to administer morphine through a
patient-controlled analgesia (PCA) pump
What can the nurse do to prevent fungal infection on a IV site? - Answer Refrain from applying
topical ointment or cream
, Veins of the lower extremities - Answer IV sites at greatest risk for development of thrombi
Microdrip chamber - Answer 60 drops/ml
Implanted Central Venous Catheter - Answer consist of an implanted long term venous access
port device composed of a catheter and reservoir with a self-sealing septum. Can last for more
than a year if properly flushed with saline-heparin solution after every use and once monthly.
Groshong catheter - Answer Contains 1-3 rounded valve tips (Lumens). Opens inward for
blood sampling, outward for infusion. Remains closed when not in use. Flushed weekly with
saline, no need to clamp-remains capped when not in use.
SASH guideline - Answer Saline flush first
Administer the prescribed drug
Saline flush after the drug
Heparin flush line
symptoms of pulmonary embolism - Answer Tachycardia, Pleuritic pain, unexplained
hemoptysis
Infiltration Scale - Answer 0: no symptoms; 1: skin blanched, edema <1" in any direction, cool
to touch, w/or w/o pain; 2: skin blanched, edema 1-6" in any direction, cool to touch, w/or w/o
pain; 3: skin blanched, gross edema >6" in any direction, cool to touch, mild to mod pain, poss
numbness; 4: skin blanched, translucent, skin discoulored, bruised, swollen, gross edema >6" in
any direction, deep pitting tissue edema; circulatory impairment, mod to severe pain, infiltrate
of any amount of blood product, irritant or vesicant
symptoms of air embolism - Answer Palpations, chest pain, and shortness of breath
implantable venous infusion ports - Answer placed into central veins for long term therapy
Symptoms of excess IV fluids in elderly - Answer Frothy sputum, thready pulse, cardiac
dysrhythmias
