NURSING 172 EXAMS SCRIPT UPDATED QUESTIONS
AND ANSWERS GRADED A+
✔✔Change "Transparent" - ✔✔Every 7 days.
*Should be changed earlier if visibly soiled, wet, lose
✔✔Safety: PCA Pumps - ✔✔*Patient should be able to comprehend the technique
*Patient should not be sedated by other medications.
*No other person should be allowed to press PCA button.
*Patient should be carefully monitored for signs of respiratory depression.
*Monitor O2 Saturation.
*Patient's baseline vital signs, cognitive status and pain level should be assessed prior
to beginning therapy.
✔✔Plavix - ✔✔Anticoagulant
✔✔Pravastatin - ✔✔*Treat high cholesterol and triglyceride levels.
*This may reduce the risk of heart attack, stroke, and related health conditions.
✔✔Pravastatin "S/S" - ✔✔*Blistering, peeling, red skin rash
*Dark urine or pale stools, diarrhea, nausea, vomiting, loss of appetite, pain in your
upper stomach, yellow skin or eyes
*Muscle pain, tenderness, or weakness
*Unusual tiredness
✔✔Zantic - ✔✔*It can treat and prevent heartburn.
*It can also treat stomach ulcers, gastroesophageal reflux disease (GERD).
*Conditions that cause too much stomach acid.
✔✔Zantic "S/S" - ✔✔*Blistering, peeling, red skin rash
*Dark urine or pale stools, nausea, vomiting, loss of appetite, stomach pain, yellow skin
or eyes
*Fast, slow, or uneven heartbeat
*Unusual bleeding, bruising, or weakness
✔✔Warfarin - ✔✔It can treat and prevent blood clots
✔✔Enoxaparin - ✔✔Anticoagulant
✔✔Needleless Connector "Classification" - ✔✔Function.
✔✔Nontunneled Central Vascular Access Devices - ✔✔*Inserted Percutaneously
through the subclavian, jugular or femoral tip vein.
*Tip in the Subclavian Vein
, ✔✔Nontunneled Central Vascular Access Devices "CONS" - ✔✔*Because Opening into
MAJOR Vien
*Increased Risk for BSI
✔✔Peripherally Inserted Central Catheters (PICC) - ✔✔Cather inserted above the
Anticobical Vein and threaded through to the Vena Cava.
✔✔Peripherally Inserted Central Catheters (PICC) "PRO" - ✔✔*Longer route for
Bacteria to travel than nontunnel
*Can be left in for a long time (1yr).
*Placed at Bedside.
✔✔Peripherally Inserted Central Catheters (PICC) "CONS" - ✔✔*Increased Risk for
Venous Thrombus
*Continues Flushing Required.
✔✔Subcutaneously Tunneled - ✔✔Catheter is Tunneled through Sub-Q tissue than into
Vena Cava.
✔✔Subcutaneously Tunneled "PROS" - ✔✔*Can be Used Long-Term or Lifetime
*Longer distances from the exit point and the place where the Catheter enters the Vena
Cava.
✔✔Subcutaneously Tunneled "CONS" - ✔✔Must be Surgical Implanted
✔✔Implanted Vascular Access Port "IVAP" - ✔✔Completely closed system consisting of
an implanted device with a receiver and self sealing system connected to a catheter
✔✔Implanted Vascular Access Port "IVAP" (PROS) - ✔✔*Totally Enclosed system.
*Low Risk of BSI
*No Dressing
✔✔Implanted Vascular Access Port "IVAP" (CONS) - ✔✔*Must Be Surgically Implanted.
*Can become a reservoir for Bacteria Growth.
*Needs Specific needle to access port.
*Needle has no Safety device, Becomes Risk for Needle Stick.
✔✔Central Vascular Access Devices "Least to Most" Safest - ✔✔*Nontunneled Central
Vascular Access Devices.
*Peripherally Inserted Central Catheters (PICC).
*Subcutaneously Tunneled.
*Implanted Vascular Access Port "IVAP".
✔✔Butterfly - ✔✔Stainless Steal Winged Needle
AND ANSWERS GRADED A+
✔✔Change "Transparent" - ✔✔Every 7 days.
*Should be changed earlier if visibly soiled, wet, lose
✔✔Safety: PCA Pumps - ✔✔*Patient should be able to comprehend the technique
*Patient should not be sedated by other medications.
*No other person should be allowed to press PCA button.
*Patient should be carefully monitored for signs of respiratory depression.
*Monitor O2 Saturation.
*Patient's baseline vital signs, cognitive status and pain level should be assessed prior
to beginning therapy.
✔✔Plavix - ✔✔Anticoagulant
✔✔Pravastatin - ✔✔*Treat high cholesterol and triglyceride levels.
*This may reduce the risk of heart attack, stroke, and related health conditions.
✔✔Pravastatin "S/S" - ✔✔*Blistering, peeling, red skin rash
*Dark urine or pale stools, diarrhea, nausea, vomiting, loss of appetite, pain in your
upper stomach, yellow skin or eyes
*Muscle pain, tenderness, or weakness
*Unusual tiredness
✔✔Zantic - ✔✔*It can treat and prevent heartburn.
*It can also treat stomach ulcers, gastroesophageal reflux disease (GERD).
*Conditions that cause too much stomach acid.
✔✔Zantic "S/S" - ✔✔*Blistering, peeling, red skin rash
*Dark urine or pale stools, nausea, vomiting, loss of appetite, stomach pain, yellow skin
or eyes
*Fast, slow, or uneven heartbeat
*Unusual bleeding, bruising, or weakness
✔✔Warfarin - ✔✔It can treat and prevent blood clots
✔✔Enoxaparin - ✔✔Anticoagulant
✔✔Needleless Connector "Classification" - ✔✔Function.
✔✔Nontunneled Central Vascular Access Devices - ✔✔*Inserted Percutaneously
through the subclavian, jugular or femoral tip vein.
*Tip in the Subclavian Vein
, ✔✔Nontunneled Central Vascular Access Devices "CONS" - ✔✔*Because Opening into
MAJOR Vien
*Increased Risk for BSI
✔✔Peripherally Inserted Central Catheters (PICC) - ✔✔Cather inserted above the
Anticobical Vein and threaded through to the Vena Cava.
✔✔Peripherally Inserted Central Catheters (PICC) "PRO" - ✔✔*Longer route for
Bacteria to travel than nontunnel
*Can be left in for a long time (1yr).
*Placed at Bedside.
✔✔Peripherally Inserted Central Catheters (PICC) "CONS" - ✔✔*Increased Risk for
Venous Thrombus
*Continues Flushing Required.
✔✔Subcutaneously Tunneled - ✔✔Catheter is Tunneled through Sub-Q tissue than into
Vena Cava.
✔✔Subcutaneously Tunneled "PROS" - ✔✔*Can be Used Long-Term or Lifetime
*Longer distances from the exit point and the place where the Catheter enters the Vena
Cava.
✔✔Subcutaneously Tunneled "CONS" - ✔✔Must be Surgical Implanted
✔✔Implanted Vascular Access Port "IVAP" - ✔✔Completely closed system consisting of
an implanted device with a receiver and self sealing system connected to a catheter
✔✔Implanted Vascular Access Port "IVAP" (PROS) - ✔✔*Totally Enclosed system.
*Low Risk of BSI
*No Dressing
✔✔Implanted Vascular Access Port "IVAP" (CONS) - ✔✔*Must Be Surgically Implanted.
*Can become a reservoir for Bacteria Growth.
*Needs Specific needle to access port.
*Needle has no Safety device, Becomes Risk for Needle Stick.
✔✔Central Vascular Access Devices "Least to Most" Safest - ✔✔*Nontunneled Central
Vascular Access Devices.
*Peripherally Inserted Central Catheters (PICC).
*Subcutaneously Tunneled.
*Implanted Vascular Access Port "IVAP".
✔✔Butterfly - ✔✔Stainless Steal Winged Needle
