Exam 27: Intravenous and Vascular Access Therapy

The nurse is administering parenteral nutrition via a central venous access device.Which outcome would best substantiate the nurse's assessment that this therapy is effective?

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

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

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

The nurse observes bleeding on the dressing of a site where the IV was discontinued.Which action should the nurse take first?

The healthcare provider prescribes 500 mL of 0.25% normal saline (1/4 NS)intravenously over 4 hours for the patient.At which rate does the nurse infuse the intravenous (IV)solution into the patient using IV tubing with a drop factor of 15 gtts/mL?

The healthcare provider's order reads,"Administer 5% dextrose solution with normal saline (D₅NS)intravenously now." Which should the nurse implement next?

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

A 5-year-old patient has intravenous (IV)fluids prescribed at 40 mL/hr,through microdrip tubing.Which rate does the nurse use to infuse the patient's IV fluid?

The prescription for the patient's intravenous (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?

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 prepares to relocate an intravenous 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 intravenous (IV)site?

The nurse is trying to get an intravenous (IV)line to last several days.What responsibility does the nurse have related to the assessment and maintenance of a peripheral IV site?

The nurse feels resistance while trying to flush the intravenous (IV)line with a 5-mL syringe of normal saline solution before administering a medication by IV bolus.Which should the nurse implement next?

The nurse is preparing to change the intravenous (IV)solution after the current one infuses.What action is appropriate for the nurse to take to provide for a smooth transition from the empty bag to the new one?