Exam 29: Intravenous and Vascular Access Therapy

What should the nurse do upon noting bleeding around a dressing at an intravenous (IV)catheter insertion site?

The nurse assigns nursing assistive personnel (NAP)to care for several patients with continuous IV infusions.Which of the following can NAP assist with?

The nurse is caring for a patient who has a peripheral intravenous (IV)catheter.While performing her routine assessment,she notes that the insertion site is pale,cool,and edematous.The patient indicates that the site is also painful to the touch.The nurse recognizes these symptoms as revealing a possible _______________.

The nurse is preparing to start an intravenous (IV)infusion on a 92-year-old patient.The nurse realizes that she may need to take which of the following actions? (Select all that apply. )

The nurse caring for a patient receiving intravenous (IV)fluids knows that the current recommendation for changing the tubing on a continuously running IV is:

The nurse is caring for a patient receiving antineoplastic medications intravenously.The nurse discovers that the intravenous site is red,edematous,and painful.The nurse knows that antineoplastic medications are vesicant medications and documents that the patient has experienced which of the following events?

While assessing the patient's intravenous (IV)infusion,the nurse notes that it is infusing more slowly than it should be.What should the nurse do first?

The nurse is caring for a patient who will be on long-term antibiotic therapy.The patient has had numerous intravenous (IV)catheters in the past,but because the upcoming therapy will be given on a long-term basis,the nurse suggests that a _________________ be inserted.

The patient is expected to require intravenous therapy for several years as treatment for a chronic disease process.Which of the following would be the best choice for venous access in this patient?

The patient is on daily weights and is receiving intravenous therapy.The nurse notices that the patient has gained 2 kg since the previous morning.What else would the nurse expect to observe? (Select all that apply. )

The patient has intravenous (IV)therapy ordered to infuse at 1000 mL over 10 hours.The infusion set has a calibration of 15 gtt/mL.At which rate does the nurse regulate the infusion?

What should the nurse do once she recognizes that the patient has phlebitis at his intravenous (IV)catheter site?

What should be the next action by the nurse once an over-the-needle catheter (ONC)has been inserted through the skin and into the vein?

The nurse is assisting the physician during the insertion of a central line into the subclavian vein.How should the nurse cleanse the area?

What is an appropriate technique for the nurse to implement when changing the dressing at a peripheral intravenous (IV)catheter site?

Which patient would a nurse anticipate would be a candidate for a peripherally inserted central catheter (PICC)?

A pediatric patient has an intravenous (IV)catheter with microdrip tubing.The order is for 40 mL/hr to infuse.At what rate does the nurse set the microdrip?

_________________________ are surgically inserted through a tunnel into subcutaneous tissue,usually between the clavicle and the nipple,into the internal jugular or subclavian vein,with the catheter tip resting in the distal end of the superior vena cava.The subcutaneous tunnel allows the catheter to remain in place for months to years.

___________________ is manifested by decreased urine output,dry mucous membranes,decreased capillary refill,a disparity in central and peripheral pulses,tachycardia,hypotension,and shock.

The order is for the patient to receive 500 mL over 4 hours.The nurse has an electronic infusion device (EID)in place that provides for the regulation of hourly infusion.The intravenous (IV)tubing available is 10 gtt/mL.What is the setting for the infusion device?