Deck 38: Peripheral Iv Therapy

Question 1

The nurse is providing care for a patient with an allergy to corn. Which of the following solutions, if ordered by the physician, would the nurse question?

A) 0.9% sodium chloride (NS)
B) 0.45% sodium chloride (1/2NS)
C) Dextrose 5% in water (D5W)
D) Lactated Ringer's (LR)

Answer 1

Dextrose 5% in water (D5W)

Question 2

The presence of phlebitis is indicated by which of the following?

A) Swelling and redness noted at the site
B) The site being warm to the touch
C) The patient reporting burning along the vein
D) The site appearing bruised
E) The vein feeling soft and spongy on palpation

Answer 2

Swelling and redness noted at the site
The site being warm to the touch
The patient reporting burning along the vein

Question 3

The nurse is providing care to a patient who was admitted with a suspected Coumarin overdose. Which of the following blood products will most likely be included in the patient's plan of care?

A) Cryoprecipitate
B) Fresh frozen plasma
C) Whole blood
D) Albumin

Answer 3

Fresh frozen plasma

Question 4

The nurse who is caring for a patient with an infusion of D5 1/2NS 1000 mL with 20 mEq KCL at 100 mL/hr notes that there is slight swelling at the insertion site and no blood return when aspirating at the injection port closest to the IV site. Which of the following problems does the nurse suspect?

A) Air embolism
B) Fluid overload
C) Infiltration
D) Thrombophlebitis

Question 5

A nurse knows that if a patient needs intravenous (IV) fluid replacement because of low blood volume, he or she should be given

A) An isotonic solution.
B) A hypertonic solution.
C) A hypotonic solution.
D) Any of the above.

Question 6

Before preparing the equipment to administer peripheral venipuncture, the nurse correctly washes her hands for at least

A) 1 minute.
B) 45 seconds.
C) 30 seconds.
D) 15 seconds.

Question 7

A nurse is planning the care of a diverse group of patients. He will plan to monitor the rate of infusion and assess the condition of an IV site every 2 hours for which of the following patients?

A) A 4-year-old child
B) A 38-year-old woman
C) A 72-year-old man
D) A 42-year-old who is prone to circulatory fluid overload

Question 8

A nurse knows that a patient who needs an IV to provide simple water replacement because of lack of fluid intake should be given

A) An isotonic solution.
B) A hypertonic solution.
C) A hypotonic solution.
D) Plain water.

Question 9

When administering medication via intravenous (IV) push, the nurse

A) Must administer the medication quickly to assure that it takes effect rapidly.
B) Must research the length of time over which the medication must be administered.
C) Must ensure that the medication remains undiluted before administering it.
D) May delegate the administration to an LVN or LPN.

Question 10

The nurse is providing care for a patient who has a central line and a suspected air embolism. The best action by the nurse is to

A) Elevate the head of the bed.
B) Place telemetry leads on the patient's chest.
C) Instruct the patient to bear down.
D) Place the patient on her left side in Trendelenburg position.

Question 11

The nurse is caring for a patient who reports that the intravenous (IV) site is sore. The nurse notes swelling and tenderness at the site, as well as a red streak up the arm. The nurse's care should include

A) Applying an ice pack to the area.
B) Discontinuing the IV and applying warm packs.
C) Requesting a new order for IV antibiotics to be infused at the site.
D) Sending the IV catheter and tubing to the laboratory for analysis.

Question 12

The nurse assumes responsibility for a blood transfusion that was initiated 2.5 hours ago. The patient is tolerating the procedure well, and there is roughly 50% of the blood remaining. The best action by the nurse is to

A) Increase the transfusion rate.
B) Stop the infusion and return the unused blood to the blood bank.
C) Chart the current vital signs.
D) Notify the charge nurse.

Question 13

The nurse is providing intravenous (IV) push meperidine (Demerol) through a free-flowing IV line and notes a hazy appearance in the tubing. It is necessary to

A) Stop the infusion.
B) Discontinue the IV site.
C) Put all doses of meperidine on hold.
D) Notify the supervisor.

Question 14

The nurse asks a nursing student to help initiate a transfusion. Which of the following would require immediate intervention?

A) The patient's blood type is A-positive, and the student's blood type is A-negative.
B) The tubing is hanging and primed with D5 LR.
C) The student is using Y-tubing for the transfusion.
D) The student verifies the patient's name, birth date, and blood identification tags.

Question 15

A nurse will correctly administer which of the following IV solutions via a central vein rather than a peripheral vein?

A) 15% dextrose
B) 10% dextrose
C) 5% dextrose
D) 3% sodium chloride

Question 16

The nurse is providing care for a patient who is receiving a blood transfusion. Pre-transfusion vital signs were blood pressure (BP), 144/78 mm Hg; temperature (T), 98.4°F; pulse (P), 86; respirations (R), 14. Now, approximately an hour after the transfusion was initiated, the patient's vital signs are BP, 168/92 mm Hg; P, 98; R, 20. Next, the nurse should

A) Record the vital signs.
B) Listen to the patient's breath sounds.
C) Notify the physician.
D) Slow the transfusion rate.

Question 17

The nurse who is working on a medical-surgical floor recognizes that vesicant precautions should be taken with which of the following?

A) Ampicillin sodium (ampicillin)
B) Potassium chloride
C) Promethazine (Phenergan)
D) Vancomycin (Vancocin)
E) Gentamicin sulfate (gentamicin)

Question 18

Which of the following intravenous solutions is most similar to the electrolyte content of the blood?

A) 0.22% sodium chloride (1/4NS)
B) Dextrose 5% in 0.45% sodium chloride (D5 1/2NS)
C) Dextrose 5% in water (D5W)
D) Lactated Ringer's (LR)

Question 19

A nurse knows that there is a risk for cerebral edema, increased intracranial pressure, rupture of brain cells, and death if there is an infusion of an excessive volume of

A) Isotonic solution.
B) Hypertonic solution.
C) Hypotonic solution.
D) Any of the above.

Question 20

The nurse asks the patient about allergies before cleansing the skin with which of the following solutions?

A) 10% povidone-iodine
B) 2% tincture of iodine
C) 2% aqueous chlorhexidine gluconate
D) 70% isopropyl alcohol

Question 21

The nurse needs to infuse a dose of 250 mL gentamicin over 120 minutes. What drip rate should the nurse use, in mL/hr? Record your answer as a whole number. ____________________

Question 22

When continuous intravenous (IV) infusion of a drug is desired, a nurse understands that which of the following is true?

A) The physician must order the dosage of medication to be administered.
B) The physician must perform the calculations to determine the amount of drug to add to a specific volume of IV solution.
C) The volume of solution may vary from 250 to 1000 mL.
D) The nurse must determine whether the medication is compatible with the IV solution.
E) The nurse must monitor the IV solution carefully to maintain the desired rate of IV infusion.

Question 23

A nurse could correctly provide which of the following via intravenous (IV) therapy as part of a maintenance fluid?

A) Medication
B) Water
C) Glucose
D) Vitamins
E) Blood products

Question 24

In which of the following situations would the nurse use a larger-bore needle when administering an IV?

A) There is a risk for hemorrhage, fluctuation of vital signs, or shock, such as when a patient is scheduled for surgery
B) The patient has small veins, such as in a young child or older adult
C) Intravenous (IV) access is needed only intermittently, such as to administer IV antibodies every 6 hours
D) The patient has experienced major trauma or disease and may need rapid infusion of fluids
E) The patient has fragile veins, such as in older adults or those who have had IV medications administered repeatedly

Question 25

Place the following steps for hanging a new intravenous (IV) bag in the proper order (1-6).(Enter the number of each step in the proper sequence, do not use commas).
1. Remove the piercing pin.
2. Assess the IV site.
3. Remove the IV bag from the pole.
4. Hang the bag on the IV pole.
5. Stop the infusion.
6. Insert the piercing pin into the tubing port.

Question 26

The nurse is providing care to a patient who is receiving a blood transfusion and who becomes acutely short of breath and anxious within a few minutes of the nurse's initiating the transfusion. Which of the following actions will be included in the nurse's care?

A) Frequent checks of the vital signs
B) Stopping the blood transfusion and notifying the physician
C) Sending tubing and unused blood to the blood bank
D) Obtaining a urine sample for analysis
E) Discontinuing the intravenous (IV) site