Medical-Surgical Nursing Study Set 1

Nursing

Quiz 12 :
Infusion Therapy

Quiz 12 :
Infusion Therapy

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A client receiving ciprofloxacin intravenously reports that the peripheral IV insertion site has become painful and reddened. In what order will the nurse perform the needed actions to manage this problem?
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Multiple Choice
Answer:

Answer:

A patient is receiving ciprofloxacin intravenously. The patient reports that the site of the insertion is painful and red. The order of the actions of the nurse is:
Option D will be the first action. The infusion of the drug is stopped immediately. Since a reaction is seen at the site of the insertion, the drug is stopped.
Option C will be the second action. The IV insertion site is changed so that the redness and painfulness in the first site can be healed.
Option A will be the third action. The problem should be reported to the health care provider.
Option B is the last action where all the findings will be added in the record of the patient.
Hence, the correct order is D-C-A-B.

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The health care provider prescribes 1 L 5%D/0.9%NS to be infused over 10 hours. The nurse sets the rate at _______mL/hr of IV solution.
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Not Answered

There is no answer for this question

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A new graduate nurse is being oriented to your medical-surgical nursing unit. Today he is assigned to care for three patients. One patient is an older adult with an infiltrated peripheral IV in her forearm. The second patient has a PICC line for antibiotic therapy, and the third patient has an arterial implanted port for chemotherapy. As his preceptor, you are responsible for teaching him how to assess patients with these devices and prevent and/or monitor for complications. Your unit has several memory checklists for IV care that you plan to review with him. What best clinical practices will you teach the new nurse about how to care for patients who have a PICC line?
Free
Essay
Answer:

Answer:

A nurse who has just graduated has joined your unit. Now he is assigned to care for the following three patients:
1. An older adult who has an infiltrated peripheral IV
2. The second patient has a PICC line
3. The third patient has an arterial implanted port
The best clinical practices that you can teach the new nurse about how to care for patients with PICC are:
• The complications of PICC are phlebitis, thrombophlebitis, deep vein thrombosis, catheter-related bloodstream infections.
• For transfusion of blood through a PICC line, an infusion pump is required
• Patients with PICCs should avoid too much physical activity
• Patients with PICCs should not use the arm with the catheter for heavy lifting
• Using hand hygiene and antiseptic solutions when treating or giving any drugs through the PICC.

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A 63-year-old obese, diabetic woman is transferred from the hospital to the skilled nursing facility (SNF) where you work as a charge nurse. The resident is being managed with IV cefoxitin 2 g IV piggyback (IVPB) every 8 hours for osteomyelitis resulting from an arterial foot ulcer. On review of her admission orders, you note that she has a newly inserted intermittent saline lock in her right forearm and is prescribed to receive the antibiotic for 4 more weeks. The SNF policy for administration of drugs prescribed every 8 hours is a 6 PM-2 AM-10 AM schedule. Would you schedule her antibiotic at these times? Why or why not?
Essay
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A new graduate nurse is being oriented to your medical-surgical nursing unit. Today he is assigned to care for three patients. One patient is an older adult with an infiltrated peripheral IV in her forearm. The second patient has a PICC line for antibiotic therapy, and the third patient has an arterial implanted port for chemotherapy. As his preceptor, you are responsible for teaching him how to assess patients with these devices and prevent and/or monitor for complications. Your unit has several memory checklists for IV care that you plan to review with him. For what life-threatening complication is the patient with the implanted port most at risk?
Essay
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A 63-year-old obese, diabetic woman is transferred from the hospital to the skilled nursing facility (SNF) where you work as a charge nurse. The resident is being managed with IV cefoxitin 2 g IV piggyback (IVPB) every 8 hours for osteomyelitis resulting from an arterial foot ulcer. On review of her admission orders, you note that she has a newly inserted intermittent saline lock in her right forearm and is prescribed to receive the antibiotic for 4 more weeks. Two days later as you are planning to end your shift, the resident reports that her IV site seems red and swollen. What action will you take at this time? What will you document on the resident's electronic health record?
Essay
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A new graduate nurse is being oriented to your medical-surgical nursing unit. Today he is assigned to care for three patients. One patient is an older adult with an infiltrated peripheral IV in her forearm. The second patient has a PICC line for antibiotic therapy, and the third patient has an arterial implanted port for chemotherapy. As his preceptor, you are responsible for teaching him how to assess patients with these devices and prevent and/or monitor for complications. Your unit has several memory checklists for IV care that you plan to review with him. You observe the new nurse as he prepares to restart the IV for the older adult patient. He chooses a vein in the dorsum of the hand. What is your best response about his IV site selection?
Essay
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A 63-year-old obese, diabetic woman is transferred from the hospital to the skilled nursing facility (SNF) where you work as a charge nurse. The resident is being managed with IV cefoxitin 2 g IV piggyback (IVPB) every 8 hours for osteomyelitis resulting from an arterial foot ulcer. On review of her admission orders, you note that she has a newly inserted intermittent saline lock in her right forearm and is prescribed to receive the antibiotic for 4 more weeks. Is a peripheral vascular access device (VAD) the best choice for this resident? Why or why not? With whom will you or the oncoming nurse collaborate to make this decision? What does the evidence say about the type of VAD that would be best to meet this resident's needs? Where would you go to find the answer to this clinical question?
Multiple Choice
Answer:
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A new graduate nurse is being oriented to your medical-surgical nursing unit. Today he is assigned to care for three patients. One patient is an older adult with an infiltrated peripheral IV in her forearm. The second patient has a PICC line for antibiotic therapy, and the third patient has an arterial implanted port for chemotherapy. As his preceptor, you are responsible for teaching him how to assess patients with these devices and prevent and/or monitor for complications. Your unit has several memory checklists for IV care that you plan to review with him. What is the value of memory checklists to ensure consistency among nurses caring for patients receiving IV therapy?
Essay
Answer:
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A 63-year-old obese, diabetic woman is transferred from the hospital to the skilled nursing facility (SNF) where you work as a charge nurse. The resident is being managed with IV cefoxitin 2 g IV piggyback (IVPB) every 8 hours for osteomyelitis resulting from an arterial foot ulcer. On review of her admission orders, you note that she has a newly inserted intermittent saline lock in her right forearm and is prescribed to receive the antibiotic for 4 more weeks. Using the SBAR technique, what will you report to the oncoming nurse about the resident's IV complications?
Essay
Answer: