Exam 18: Intravenous Therapy

Using an IV infusion system that delivers 60 drops/ml,the nurse hangs a 500-ml bag of normal saline (NS)at 8 AM.The physician has ordered a rate of 20 ml/hr.The nurse will set the roller clamp to deliver:

The physician orders an infusion of 1000 ml of 5% dextrose in 0.45 NS to be completed in 8 hours.The IV delivery system's drop factor is 20 gtts.The nurse should set the electronic infusion pump to deliver ______________ ml/hr?

The nurse has a patient with a tunneled central line with a triple-lumen catheter.The insertion site is covered by an occlusive dressing with yesterday's date.The nurse is to give an IV drug through the central line.The nurse would initially:

The nurse is to give an IV push drug through a peripheral intermittent device.The nurse would: (Place these options in the correct sequence.) A) Clear the device with NS. B) Flush the device with NS only or a combination of NS and heparin. C) Check placement of the device. D) Slowly administer the drug through the device. E) Check the concentration of the drug.

When the nurse is to give a piggyback IV push medication to a patient who is receiving a continuous infusion,the nurse injects the medication:

The nurse is carefully checking IV sites for signs of infiltration,which are:

The nurse assesses an area where an IV had been recently changed.The area has redness,swelling,and warmth,which are characteristics of:

When discontinuing an IV,the nurse will:

In making out the assignment for the evening shift,the licensed practical nurse (LPN)is careful to assign IV rounds to be performed:

In an assessment of a patient who has been receiving intravenous (IV)fluids for the last 6 hours,the nurse finds that the pulse is now bounding,the blood pressure is more than 15 mm Hg higher than the last reading,and pedal edema has developed.The nurse evaluates these signs as associated with:

The nurse is choosing an IV cannula for an older adult patient and will choose the smallest size that will deliver the appropriate fluid,which is a cannula of:

To select a vein for an initial IV site,the best place to begin in a left-handed patient would be the:

The older adult patient is quite ill and confused and begins to cry pitifully when the nurse approaches the bed to start an IV.The best action for the nurse at this point would be to:

The patient is to receive ampicillin (Unasyn)IV piggyback in 100 ml of fluid every 8 hours.The main IV of D?W is running at 80 ml/hr and is on time.The nurse's responsibility is to calculate the total 24-hour intake.At the end of the 24-hour shift,how much IV intake will the nurse document that the patient has received?

The patient with a subclavian line complains of shortness of breath after an infusion.The patient is diaphoretic and the blood pressure is 168/100 mm Hg,higher than a previous reading of 140/86 mm Hg.The nurse assesses these symptoms as an indication of:

The physician orders a hypertonic IV for an extremely edematous patient.The nurse anticipates that the IV preparation will be:

The nurse explains to the patient that the peripheral IV tubing administration set and dressing should be changed every __________ hours.

The patient has suffered an air embolus.The quick-thinking nurse immediately:

The nurse charts signs of infected phlebitis as:

Using an IV infusion system that delivers 60 drops/ml,the nurse hangs a 1000-ml bag of 5% dextrose in water (D?W),which the physician has ordered to infuse at 80 ml/hr.It is now 10 AM.The nurse anticipates that the IV will need to be changed at: