Question 1

After preparing the skin for IV catheter placement,the nurse decides that the vein needs to be palpated before introducing the catheter.How should the nurse perform this action?

Accepted Answer

C.The nurse should not repalpate the site after prepping it.If the site needs to be repalpated after cleaning,sterile gloves must be worn to perform this step.A.This could cause an infection.B.This could cause excessive skin irritation.D.This is incorrect technique and should not be done.

Question 2

The nurse is preparing to flush a patient's intermittent IV catheter.Why is the nurse flushing this catheter?

Accepted Answer

D.Flushing maintains catheter patency.A.C.Flushing will not prevent formation of emboli and may even cause emboli when done inappropriately such as in an attempt to open an occluded catheter.B.Flushing uses a small amount of solution and will not replace lost fluids or provide electrolytes.

Question 3

The nurse is concerned that a patient is developing complications from peripheral IV therapy.For which systemic complication should the nurse assess the patient? (Select all that apply.)

Accepted Answer

C,D,and F are systemic complications,because they involve many body systems.A.B.E.These are local complications,limited to the IV site and surrounding area.

Question 4

A patient is to receive an IV liter of normal saline over 6 hours.To deliver the fluid,how many mL per hour should the nurse set the pump?

Accepted Answer

The answer of A patient is to receive an IV...

Question 5

The nurse is preparing to administer a bolus IV medication through a patient's saline lock.Which action should the nurse take immediately before providing the patient with this medication?

Accepted Answer

C.When using a saline lock for a bolus medication,the hub should be scrubbed for 10 to 15 seconds with friction before each access to prevent infection.A.The medication is going to be bolused.There is no reason to calculate a drip rate.B.The saline flush should have been prepared by this time.D.The medication order should have been checked by this time.

Question 6

The nurse is planning to insert an IV catheter into a patient with severe upper extremity edema.Which actions should the nurse take to ensure the catheter is placed appropriately? (Select all that apply.)

Accepted Answer

A.C.D.When needing to insert an IV catheter into an edematous limb,the nurse should use a catheter that is 2 inches in length; the nurse should use the multiple tourniquet technique,which employs 3 tourniquets,and press down on the tissue to displace the edema and visualize the patient's veins.B.Alcohol is not used to cleanse the insertion site.E.Sterile gloves are not needed to insert the catheter.

Question 7

A patient is prescribed an IV antibiotic medication that is 100 mg in 50 mL D₅W to be infused over 20 minutes.The infusion set delivers 15 gtt per mL.How many drops of medication per minute should the infusion set deliver to the patient?

Accepted Answer

The answer of A patient is prescribed an IV antibiotic...

Question 8

A patient is prescribed to receive two units of packed red blood cells.When preparing for this patient's infusion of blood,which type of IV solution should the licensed practical nurse/licensed vocational nurse LPN/LVN select?

Accepted Answer

A.According to the American Association of Blood Banks,blood component administration sets can be primed only with 0.9% sodium chloride solution.B.C.D.Blood component administration sets are not to be primed with any solution other than 0.9% normal saline.

Question 9

A patient is prescribed to receive a continuous infusion of IV fluids.When preparing to place the catheter,the nurse notes that the client has a dialysis fistula in the right arm and had a left breast mastectomy three years prior.What should the nurse do?

Accepted Answer

D.The patient has contraindications for placement of the catheter in either arm.A.C.Limbs for IV catheter placement are avoided because of dialysis shunt placement and mastectomies.The only approach for the nurse to take is to ask the physician in which limb the IV catheter can be safely placed.B.The lower extremities are not routinely used for IV catheter placement.

Question 10

The nurse is preparing to start a peripheral IV infusion.Which technique should the nurse use to help ensure success with the venipuncture? (Select all that apply.)

Accepted Answer

A.C.Warm compresses may help dilate the vein.A tourniquet will help dilate and stabilize the vein.B.The extremity should be placed in a dependent position.D.Reduced cardiac output will not optimize venipuncture.E.The patient should be encouraged to open and close the fist a couple of times to pump blood to the extremity.F.The skin should be pulled away from the intended site to prevent rolling.

Question 11

The nurse analyzes the fluid volume status of assigned patients.Which patients are most likely to need continuous IV therapy? (Select all that apply.)

Accepted Answer

C.D.E.Very young and very old people have lower body water content and are therefore at higher risk for dehydration and need IV therapy.A patient who purges is losing excess fluid and electrolytes.A.A 45-year-old patient with a broken bone is not at risk for fluid loss.B.A patient with edema and crackles is fluid overloaded and does not need continuous IV fluids.

Quiz 7: Nursing Care of Patients Receiving Intravenous Therapy