Exam 5: Fluids and Electrolytes

The nurse cares for a client with a triple lumen central line who develops a fever,which the nurse suspects is from the central line.Which nursing actions are appropriate? Select all that apply.

The nurse prepares to administer a medication through the client's central line.Per hospital policy,the nurse must use heparin to keep the line patent.Place the steps in the correct order for administering medication through the central line. A)Administer the medication. B)Flush the catheter with 5-mL saline. C)Flush the catheter with heparin. D)Flush the catheter with 10-mL saline.

The nurse cares for a client with traumatic injuries due to a motor vehicle accident.The nurse wants to increase the intravenous flow rate of intravenous fluids infusing.Which actions will the nurse take? Select all that apply.

The nurse removes a client's intravenous catheter and notes the tip of the catheter is broken.The nurse palpates the client's arm and feels the broken piece.Which action should the nurse take?

The nurse prepares to change the client's central line dressing.Place the steps of the procedure in correct order. A)Remove the old dressing. B)Remove and discard gloves;perform hand hygiene. C)Don a mask and have the client don a mask. D)Apply the new dressing. E)Cleanse the site.

A nurse attempts to flush the lumen of a triple lumen central catheter and notes severe resistance to flushing.Which diagnostic procedure does the nurse anticipate when assessing the correct placement of the central line?

The nurse is teaching a client on the importance of monitoring intake and output at home.Which statement will the nurse include in the client teaching?

Calculate the flow rate of the following intravenous therapy prescription: 3 liters 09.% normal saline over 24 hours.

The nurse is assisting the health care provider insert a central line for the client.During the procedure,the client reports sudden shortness of breath and the client's SpO2 falls to 88% on room air.Which actions will the nurse take? Select all that apply.

The nurse cares for a client who is sedated,intubated,mechanically ventilated,and has a central line.While repositioning the client,the central line is disrupted.Place the steps in correct order in response to the clinical scenario. A)Place the client in supine position. B)Clamp the affected lumen with a soft-tipped clamp. C)Place a strip of tape over the catheter. D)Notify the health care provider.

After removing a client's intravenous catheter from the upper extremity,the nurse notes the client has persistent bleeding despite applying firm pressure.Which action will the nurse take?

The nurse cares for a client with a central venous catheter.Which action by the nurse is incorrect when maintaining the client's central line?

A novice nurse performs care of a client's central line.Which action by the novice nurse requires intervention by the nurse preceptor?

The nurse prepares to change the client's central line dressing and replace the injection cap.Which position will the nurse place the client?

The nurse administers intravenous fluid therapy using a Dial-A-Flo device.What is a disadvantage of this device that the nurse recognizes?

The nurse is setting up an intravenous infusion for a client and the nurse has set the IV pump according to the health care provider's orders.How will the nurse best verify that the drops/minute rate is correct?

The nurse prepares to insert an intravenous catheter in an older adult client.Which action should the nurse take?

The nurse plans teaching for the client on methods of encouraging fluid intake.Which statements will the nurse include? Select all that apply.

The nurse is caring for a client who is receiving intravenous therapy with an infusion pump.An occlusion alarm sounds.Which things will the nurse check? Select all that apply.

The nurse attempts to secure and stabilize an IV catheter and dressing of an older adult client.Which nursing action is appropriate?