Exam 12: Parenteral Administration: Intravenous Route

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The nurse determines that an elderly patient's IV of D50.2NS with 20 mEq KCl at 75 mL/hr is running 3 hours behind.After determining the IV site is patent, what action will the nurse take?

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D

A patient is diagnosed with cancer and requires 6 months of chemotherapy infusions.Which type of intravenous (IV) access device will likely be used?

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D

Which technique by the nurse accurately maintains asepsis of a peripheral IV access device?

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C

An elderly patient receiving an infusion of an isotonic fluid at 100 mL/hr complains of dyspnea.The nurse notes shallow rapid respirations and a cough that produces frothy sputum.Which is the priority nursing action?

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Which condition would the nurse expect to be treated with an isotonic solution?

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Which needle is used to access implanted infusion devices?

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The nurse assesses erythema, warmth, and burning pain along the patient's IV site.Which complication is this patient most likely experiencing?

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A 90 year old woman is admitted to an acute care facility with the diagnosis of pneumonia.She has a past medical history of diabetes mellitus, hypertension, and right sided mastectomy.When starting an IV for infusion of antibiotic therapy, the nurse will:

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A patient is admitted with hypovolemia resulting from lack of fluid intake and requires an infusion of isotonic fluids.Which IV solution will the nurse administer?

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A diabetic patient requires the administration of insulin continuously at home.Which system would most likely be used in this instance?

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Which patient assessment finding(s) suggest(s) extravasation of an IV solution? (Select all that apply.)

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What will the nurse explain when teaching a patient about a PICC line? (Select all that apply.)

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The nurse is about to administer a prescribed medication IV push into a patient's Hickman catheter.When providing this medication, the nurse will first:

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Which potential complication will the nurse expect in patients with a venous access device?

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The nurse notes that a patient with cardiac disease has IV heparin infusing and that it is behind by 2 hours.What is the best nursing action?

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A patient has a peripherally inserted central catheter (PICC) line inserted to continue IV antibiotic therapy at home.With proper care, how long can this type of venous access device remain in place?

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What is the composition of hypotonic intravenous solutions such as 0.45% NaCl?

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In assessing a patient with a central venous access device, which sign or symptom indicates that the patient is experiencing an air embolism?

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Following the insertion of a central venous access device, the nurse notes a weak, thready pulse and decreased blood pressure.The patient complains of shortness of breath and palpitations.Which action will the nurse take first?

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The nurse assesses a patient's right hand IV site to be infiltrated.Appropriate nursing actions include: (Select all that apply.)

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