Exam 36: Administering Intravenous Solutions and Medications

A patient rings the call bell and states that the IV insertion site is painful. The site is reddened, warm, and swollen. The nurse assesses that the patient is most likely experiencing:

A patient receiving TPN fluid therapy experiences an air embolus in the central line. The nurse should immediately turn the patient onto the:

The nurse is aware that as a safety precaution against over hydration, the tubing drip factor set appropriate for a 6-month-old infant is:

The nurse assisting in the initiation of a blood transfusion is aware that the only appropriate solution to infuse through a parallel infusion set before and after the transfusion is:

A patient has an IV of 1000 mL 5% dextrose in 1/2 normal saline (0.45% sodium chloride) infusing via microdrip for 12 hours. The IV is infusing ________ gtt/min.

A nurse is aware that for a patient with a continuous IV infusion running, the IV bag should be changed when only ______ mL of solution remains in the bag.

The nurse caring for a patient with an intermittent IV device should:

A patient has an order for an infusion of 5% dextrose in 0.45% sodium chloride at a rate of 100 mL/hr IV. The IV tubing has a drop factor of 15 gtt/mL. At how many drops per minute should the nurse regulate the infusion?

A nurse is monitoring the status of an older adult patient who is receiving IV therapy. Indicator of fluid volume overload is suspected when the nurse assesses:

The primary care provider orders an IV of 5% dextrose in normal saline (0.45% sodium chloride) to infuse over a 10-hour period. Which of the following actions should the nurse take? (Select all that apply.)

Place the steps in order for the preparation to initiate a blood line: (Separate letters by a comma and space as follows: A, B, C, D, E.) A) Compare patient name, ID number on wrist bank with transfusion record. B) Obtain Y connector setup and saline and prime the filter with saline. C) Clamp off saline and start blood. D) Confirm the presence of a permission slip. E) Obtain baseline vital signs.

A patient is admitted with a peripherally inserted central catheter (PICC). As part of standard care for this patient, the nurse should:

Signs that would cause the nurse to discontinue a blood transfusion would include: (Select all that apply.)

The nurse is aware that the disadvantages of infusion pumps include: (Select all that apply.)

The nurse anticipates that the malnourished postoperative 70-year-old patient will receive an intravenous (IV) infusion of 5% dextrose in 0.45% saline, because it is:

After the blood infusion has started, the nurse should let the blood flow at 2 mL/min for the first ___________ minutes.

A nurse accessing the injection port of the IV tubing will "scrub the hub" for:

To facilitate the administration of an IV antibiotic every 6 hours to a patient who is ambulatory, well hydrated, and on a regular diet, the nurse would insert a(n):

A patient is to have an IV insertion site changed. The current line is in the lower right forearm. Which location is contraindicated for the new site?

The nurse is planning for the initiation of a blood transfusion. The type of tubing the nurse will prepare is a: