Exam 28: Intravenous Therapy

The nurse is preparing to initiate a blood transfusion.Which step of the procedure does the nurse implement first?

The nurse observes that the patient's left cephalic IV site is cool, swollen, and mildly tender, although the IV line is infusing at the prescribed rate.Which action does the nurse take first?

A patient has IV fluids prescribed at 40 mL/hr through microdrip tubing.Which rate does the nurse use to infuse the patient's IV fluid? _____ gtts/min.

The nurse is administering an IV infusion via a central venous access device.Which outcome would best substantiate the nurse's assessment that the patient has not experienced a complication?

The nurse is caring for a patient with a peripheral IV access that is used intermittently for medications but is not a continuous infusion.Which technique does the nurse use for routine care of this peripheral line?

The order calls for the patient to receive 500 mL of IV fluid over 4 hours, and the nurse uses IV tubing with a drop factor at 10 gtts/mL.Which rate should the nurse use on an electronic infusion pump for IV fluids to administer this prescription? ________ mL/hr.

The nurse assesses the patient's IV site.Which clinical indicator does the nurse recognize as being most consistent with phlebitis?

The nurse observes fine white crystals in the IV tubing that is infusing an antibiotic.Which action by the nurse is most appropriate?

The nurse is setting up to administer a unit of blood.Which is the most important nursing intervention during preparation for this procedure?

The prescription for the patient's IV fluid reads, "Infuse 1000 mL over 10 hours." At which rate does the nurse infuse the IV fluids using IV tubing with a drop factor of 15 gtts/mL? _____gtts/min.

The nurse is preparing to administer blood.What solution is most appropriate for the nurse to use when priming the blood administration set?

The nurse is explaining to nursing assistive personnel (NAP) how to help maintain the patient's IV therapy.What action regarding IV therapy can be delegated to the NAP?

The nurse is caring for several patients who have IV lines.What responsibility does the nurse have related to the assessment and maintenance of a peripheral IV site?

The nurse is preparing to insert a peripheral IV line.Which technique does the nurse implement to prepare for the IV insertion?

The nurse assesses the patient's IV insertion site and notes that it is warm, red, and tender.Which intervention does the nurse implement first?

The patient has a peripheral infusion for the administration of antibiotics.Which action is most effective for the nurse to use to detect an IV therapy-related infection?

After inserting a peripheral IV line into the patient, the nurse provides patient teaching about the IV insertion site.What information does the nurse give to the patient?

The patient has an intermittent infusion device inserted in the hand.Which strategy does the nurse use to prevent the IV catheter from being dislodged?

The nurse prepares to relocate an IV catheter because of signs of infiltration.The IV was located in the patient's nondominant hand.Which criterion would be best for the nurse to use when deciding on the location of the new IV site?

The health care provider's order reads, "Administer 5% dextrose solution with normal saline (D₅NS) intravenously now." What action does the nurse perform first?