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NURS 306 -2024&2025 exam with correct answers
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NURS 306 -2024&2025 exam with correctanswers
Indications for subcutaneous ports - CORRECT ANSWER-Impaired venous access
Poor oral intake
Reduced ability to take PO meds
Increased frequency of SC injections
May be easier for home care
Intractable S&S
Reduces peaks & troughs of medications
May alleviate clock watching
Elderly & Palliative
What are some other considerations you should make if a person is experiencing a certain
symptoms unrelieved by current PO medications - CORRECT ANSWER-Are the symptoms being
exacerbated by anxiety or distress?
- target this first instead of switching route
Etiology of pain
- nerve pain difficult to alleviate with SC meds
List the advantages of SC ports - CORRECT ANSWER-Less invasive than IV
Sites easier to find and access
Less expensive than IV
Can be used in a variety of settings, may prevent hospitalization
Reduced risk of infection/thrombophlebitis
Continuous drug delivery
NURS 306 -2024&2025 exam with correct answers
,Comfortable
List the disadvantages of SC ports - CORRECT ANSWER-Fluid volume and type limited
Infusion rates limited
Potential local site reactions
Potential peripheral edema
Efficacy of drugs slower than IV
Whats the difference in priming a SC port if it has a y-connector vs. not having a y-connector -
CORRECT ANSWER-No y-connection: not primed prior to insertion (primer after)
Y-connection: primed before insertion
How much extra medication do you need to add to a SC port the first time you administer
mediation - CORRECT ANSWER-0.4mL (for bd saf-t-intima)
What angle do you insert SC port - CORRECT ANSWER-24-27 G needle injected at 30-45 degrees
with bevel up
how do you label a SC port, why is this important - CORRECT ANSWER-date, time of insertion,
initials, *medication name and dilution*
- medication name and dilution b/c port can only be used for the one med and one dilution
T or F: each time you administer a med via SC port you need to administer an extra 0.4mL -
CORRECT ANSWER-F - only the first time to prime
What is hyaluronidase? - CORRECT ANSWER-enzyme that breaks down hyaluronic acid (reduces
viscosity) to increase permeability of the tissue thereby increasing absorption
NURS 306 -2024&2025 exam with correct answers
, can be administered sc directly around site
How long can a SC port stay in - CORRECT ANSWER-Rotate site Q6-7days or PRN
When is it acceptable to take an inperson *verbal order* - CORRECT ANSWER-Only in emergent
or life-threatening situations or during a sterile procedure where unloving is not practical
In what circumstances may you need to take a *telephone order* - CORRECT ANSWER-when
the physician in off site and your patient is deteriorating or in need of an intervention that you
yourself cannot initiate
What is Primary Data - CORRECT ANSWER-information about the patients situation that you
think is crucial to the physicians decision making. It is directly relevant to the reasons you are
calling the physician
What is Secondary Data - CORRECT ANSWER-Assessment data that are normal and information
not needed to make a decision about the patients current situation. Important to know if
doctor has follow up questions
What does CUS stand for - CORRECT ANSWER-I am *Concerned*
I am *Uncomfortable*
This is a *Safety* issue
What does SBAR stand for - CORRECT ANSWER-Situation
Background
Assessment (...analysis)
Recommendation
NURS 306 -2024&2025 exam with correct answers
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