NURS 334 Pharm Exam 2 UPDATED
ACTUAL Exam Questions and CORRECT
Answers
where are central lines placed - CORRECT ANSWER - neck, chest, groin, arm
where are the end sites of central lines - CORRECT ANSWER - SVC, Atrium, Cavoatrial
junction, thoracic IVC
why do we use central lines - CORRECT ANSWER - medication, fluids (osmolality >600),
blood
long term: chemo, antibiotics, TPN, lab draw, dialysis
where does a port go - CORRECT ANSWER - below clavicle into subclavian or jugular,
special "Huber" needle
what are nurses supposed to do with dialysis catheters - CORRECT ANSWER - ONLY
dialysis nurses touch them, do not flush
when do claves have to be changes on a central line - CORRECT ANSWER - every 96 hours
what size flush do you use on a central line - CORRECT ANSWER - always use 10mL or
larger
what is the proper flush method to use when flushing a central line - CORRECT ANSWER -
positive pressure, aspirate for blood prior to hanging IVF/meds
what should the nurse do if the catheter of a central line is hard to flush or does not flush at all -
CORRECT ANSWER - DO NOT force; call IV resource
, how fast do you push in an IV push - CORRECT ANSWER - slowly, usually about 1-2
minutes depending on medication
what can happen if you IV push too fast - CORRECT ANSWER - increases concentration in
plasma, shock, cardiac arrest, euphoria
what does the nurse need to make sure they check before pushing a med IV - CORRECT
ANSWER - compatibility with other drugs and IVF
what are some examples of IV push medications - CORRECT ANSWER - furosemide,
diazepam, morphine/fetanyl/dilaudid, diphenhydramine, hydralazine, ondansetron
where do you want to push medications on the tubing - CORRECT ANSWER - the hub
closest to the site
what do you do to treat respiratory alkalosis - CORRECT ANSWER - rebreathe CO2 laden
expired breath
what do you do to treat respiratory acidosis - CORRECT ANSWER - infusion of sodium
bicarbonate (can also be used for after cardiopulmonary arrest)
how do you treat metabolic alkalosis - CORRECT ANSWER - solution of 0.9% NS and
potassium
-helps the body compensate for too few H+
how do you treat metabolic acidosis - CORRECT ANSWER - sodium bicarbonate
what are diuretics used for - CORRECT ANSWER - HTN, HF, renal failure
ACTUAL Exam Questions and CORRECT
Answers
where are central lines placed - CORRECT ANSWER - neck, chest, groin, arm
where are the end sites of central lines - CORRECT ANSWER - SVC, Atrium, Cavoatrial
junction, thoracic IVC
why do we use central lines - CORRECT ANSWER - medication, fluids (osmolality >600),
blood
long term: chemo, antibiotics, TPN, lab draw, dialysis
where does a port go - CORRECT ANSWER - below clavicle into subclavian or jugular,
special "Huber" needle
what are nurses supposed to do with dialysis catheters - CORRECT ANSWER - ONLY
dialysis nurses touch them, do not flush
when do claves have to be changes on a central line - CORRECT ANSWER - every 96 hours
what size flush do you use on a central line - CORRECT ANSWER - always use 10mL or
larger
what is the proper flush method to use when flushing a central line - CORRECT ANSWER -
positive pressure, aspirate for blood prior to hanging IVF/meds
what should the nurse do if the catheter of a central line is hard to flush or does not flush at all -
CORRECT ANSWER - DO NOT force; call IV resource
, how fast do you push in an IV push - CORRECT ANSWER - slowly, usually about 1-2
minutes depending on medication
what can happen if you IV push too fast - CORRECT ANSWER - increases concentration in
plasma, shock, cardiac arrest, euphoria
what does the nurse need to make sure they check before pushing a med IV - CORRECT
ANSWER - compatibility with other drugs and IVF
what are some examples of IV push medications - CORRECT ANSWER - furosemide,
diazepam, morphine/fetanyl/dilaudid, diphenhydramine, hydralazine, ondansetron
where do you want to push medications on the tubing - CORRECT ANSWER - the hub
closest to the site
what do you do to treat respiratory alkalosis - CORRECT ANSWER - rebreathe CO2 laden
expired breath
what do you do to treat respiratory acidosis - CORRECT ANSWER - infusion of sodium
bicarbonate (can also be used for after cardiopulmonary arrest)
how do you treat metabolic alkalosis - CORRECT ANSWER - solution of 0.9% NS and
potassium
-helps the body compensate for too few H+
how do you treat metabolic acidosis - CORRECT ANSWER - sodium bicarbonate
what are diuretics used for - CORRECT ANSWER - HTN, HF, renal failure
