NURS 3270 Final Questions With Complete Solutions
__________ may be used to ensure correct delivery of
medications to the lower airways Correct Answer A spacer or
a breath-activated MDI
____________are used to treat severe nosebleeds Correct
Answer Nasal packing or tampons treated with epinephrine to
slow bleeding
-ostomy Correct Answer artificial opening in organ
·
o It is then the nurse's responsibility to ensure: (IV therapy)
Correct Answer · • Appropriateness of the order based on
patient's condition
• Start and maintain IV access
• Select fluid, prime tubing, and set pump
• Operate IV pump
• Recognize complications
• Maintain infection control
• Educate patient and enhance comfort
,· Discuss how the nursing process applies to the nursing skill of
medication administration Correct Answer · • Individualized
care
• Patient-centered
• Continuity of care
• Clear, efficient, and dynamic plan of care
• Goal-oriented
ADPIE - Assessment, diagnosis, planning, implementation,
evaluation
· How often to change IV bags, tubing, and sites (IV SITE)
Correct Answer Change IV site every 72-96 hours or PRN
· Identify pharmacological concerns with certain
medications/patients when administering medications
(ADVERSE EFFECTS) Correct Answer § An unintended,
undesirable, and unpredictable response of a medication
· Identify pharmacological concerns with certain
medications/patients when administering medications (SIDE
EFFECTS) Correct Answer § Predictable yet often
unavoidable secondary effect produced at the usual therapeutic
drug dose
· Identify pharmacological concerns with certain
medications/patients when administering medications (TOXIC
EFFECTS) Correct Answer · § Develops after prolonged
,intake of a medication or when a medication accumulates in the
blood due to impaired metabolism or excretion
· Indications (anticipated length of treatment) for the various
central lines (TLC, PICC, tunneled) (LONG TERM > 4 TO 6
WEEKS) Correct Answer • Implantable port (Port-a-cath) or
tunneled TLC
• Port-a-cath has decreased risk of infection due to no dressing
needed
· Indications (anticipated length of treatment) for the various
central lines (TLC, PICC, tunneled) (SHORT TERM <2
WEEKS) Correct Answer • Triple lumen catheter (TLC), non-
tunneled
• Account for 90% of Central Line Associated Bloodstream
Infections (CLABSIs)
· Indications (anticipated length of treatment) for the various
central lines (TLC, PICC, tunneled) INTERMEDIATE (> 2
WEEKS BUT < 6 WEEKS) Correct Answer • Peripherally
inserted central catheter (PICC)
• Has double lumen
· Infection control practices regarding IV therapy Correct
Answer · o Perform hand hygiene before accessing IV line
o Assess IV site and surrounding skin for signs of infection
every 4 hours
, o Use clear dressing
· o Change dressing if becomes damp, soiled, or bloody
· o Use CHG before venipuncturefor30 seconds and allow to
fully dry
o Scrub catheter hub with CHG for 30 seconds before accessing
· o Change administration sets with suspected contamination and
per protocol
· Know the eight rights of medication administration and what
you would do as the nurse to ensure each is correct—how would
you handle it if one were incorrect? Correct Answer 1. Right
patient
2. Right medication
3. Right dose
4. Right route
5. Right time
6. Right purpose
Right education
Right documentation
__________ may be used to ensure correct delivery of
medications to the lower airways Correct Answer A spacer or
a breath-activated MDI
____________are used to treat severe nosebleeds Correct
Answer Nasal packing or tampons treated with epinephrine to
slow bleeding
-ostomy Correct Answer artificial opening in organ
·
o It is then the nurse's responsibility to ensure: (IV therapy)
Correct Answer · • Appropriateness of the order based on
patient's condition
• Start and maintain IV access
• Select fluid, prime tubing, and set pump
• Operate IV pump
• Recognize complications
• Maintain infection control
• Educate patient and enhance comfort
,· Discuss how the nursing process applies to the nursing skill of
medication administration Correct Answer · • Individualized
care
• Patient-centered
• Continuity of care
• Clear, efficient, and dynamic plan of care
• Goal-oriented
ADPIE - Assessment, diagnosis, planning, implementation,
evaluation
· How often to change IV bags, tubing, and sites (IV SITE)
Correct Answer Change IV site every 72-96 hours or PRN
· Identify pharmacological concerns with certain
medications/patients when administering medications
(ADVERSE EFFECTS) Correct Answer § An unintended,
undesirable, and unpredictable response of a medication
· Identify pharmacological concerns with certain
medications/patients when administering medications (SIDE
EFFECTS) Correct Answer § Predictable yet often
unavoidable secondary effect produced at the usual therapeutic
drug dose
· Identify pharmacological concerns with certain
medications/patients when administering medications (TOXIC
EFFECTS) Correct Answer · § Develops after prolonged
,intake of a medication or when a medication accumulates in the
blood due to impaired metabolism or excretion
· Indications (anticipated length of treatment) for the various
central lines (TLC, PICC, tunneled) (LONG TERM > 4 TO 6
WEEKS) Correct Answer • Implantable port (Port-a-cath) or
tunneled TLC
• Port-a-cath has decreased risk of infection due to no dressing
needed
· Indications (anticipated length of treatment) for the various
central lines (TLC, PICC, tunneled) (SHORT TERM <2
WEEKS) Correct Answer • Triple lumen catheter (TLC), non-
tunneled
• Account for 90% of Central Line Associated Bloodstream
Infections (CLABSIs)
· Indications (anticipated length of treatment) for the various
central lines (TLC, PICC, tunneled) INTERMEDIATE (> 2
WEEKS BUT < 6 WEEKS) Correct Answer • Peripherally
inserted central catheter (PICC)
• Has double lumen
· Infection control practices regarding IV therapy Correct
Answer · o Perform hand hygiene before accessing IV line
o Assess IV site and surrounding skin for signs of infection
every 4 hours
, o Use clear dressing
· o Change dressing if becomes damp, soiled, or bloody
· o Use CHG before venipuncturefor30 seconds and allow to
fully dry
o Scrub catheter hub with CHG for 30 seconds before accessing
· o Change administration sets with suspected contamination and
per protocol
· Know the eight rights of medication administration and what
you would do as the nurse to ensure each is correct—how would
you handle it if one were incorrect? Correct Answer 1. Right
patient
2. Right medication
3. Right dose
4. Right route
5. Right time
6. Right purpose
Right education
Right documentation
