Question 1

Your client is going to have an MRI done, and you are temporarily capping the client's venipuncture device. The client asks you how you will cap the line. What is your best answer?

Accepted Answer

Using a medication lock is the best option as it prevents blood from coming out of the venipuncture device and also prevents air or other contaminants from entering the tubing. This ensures that the line remains sterile and safe for use when the client returns from the MRI.

Question 2

You are caring for a client on total parenteral nutrition (TPN). You know TPN is only used when a client is very malnourished, or the client cannot consume food or liquids for an extended period of time. What is the most important aspect of TPN?

Accepted Answer

The most important aspect of TPN is ensuring that it is individualized to the specific needs of the client. TPN solutions are tailored to meet the unique nutritional requirements of each client, taking into account factors such as age, weight, diagnosis, and any other medical conditions. The other answer choices are not necessarily true for all clients receiving TPN.

Question 3

The nursing instructor is teaching student nurses about venipuncture techniques and possible complications from the procedure. What can happen if the venipuncture device is left in the clients' vein to long?

Accepted Answer

Leaving the venipuncture device in the client's vein too long can cause phlebitis, which is the inflammation of the vein. This can cause pain, redness, and swelling at the site of the venipuncture. Gangrene and necrosis of the skin are not common complications of venipuncture, and cold packs may be used for pain relief but are not a direct complication of leaving the device in too long.

Question 4

The nurse is caring for a client with a midline catheter. IV fluids are being infused at 125 mL/hr. The nurse would know to assess what to meet one of the expected outcomes for the nursing diagnosis Risk for Imbalanced Fluid Volume?

Accepted Answer

To assess for potential fluid volume imbalances, the nurse should monitor the client's lung sounds for signs of fluid overload or dehydration. The client's meal orders and visitors may not provide relevant information in this case, and temperature is not directly linked to fluid volume imbalances.

Question 5

Your client has just had a transfusion ordered for severe anemia. You are gathering the supplies that you need in order to transfuse the client. What kind of tubing do you know that you need to infuse blood or blood products?

Accepted Answer

Y-administration tubing is specifically designed for blood transfusions. It allows for the blood product to be infused while also enabling the nurse to flush the line with saline before, during, and after the transfusion to prevent clotting and ensure the patient receives the entire prescribed volume of blood.

Quiz 13: Intravenous Therapy

Your client is going to have an MRI done, and you are temporarily capping the client's venipuncture device. The client asks you how you will cap the line. What is your best answer?

You are caring for a client on total parenteral nutrition (TPN) . You know TPN is only used when a client is very malnourished, or the client cannot consume food or liquids for an extended period of time. What is the most important aspect of TPN?

The nursing instructor is teaching student nurses about venipuncture techniques and possible complications from the procedure. What can happen if the venipuncture device is left in the clients' vein to long?

The nurse is caring for a client with a midline catheter. IV fluids are being infused at 125 mL/hr. The nurse would know to assess what to meet one of the expected outcomes for the nursing diagnosis Risk for Imbalanced Fluid Volume?

Your client has just had a transfusion ordered for severe anemia. You are gathering the supplies that you need in order to transfuse the client. What kind of tubing do you know that you need to infuse blood or blood products?