Exam 29: Intravenous and Vascular Access Therapy

An electronic device that delivers a measured amount of intravenous fluid over a specified period (e.g.,100 mL/hr)using positive pressure is called an ___________________.

_________________________ pull fluid into the vascular space by osmosis,resulting in an increased vascular volume that possibly will result in pulmonary edema.

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

The nurse is caring for a patient receiving intravenous therapy.The nurse should report which of the following to the primary care provider?

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 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?

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?

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?

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:

Intravenous catheters that are inserted directly through the skin and into the internal or external jugular,subclavian,or femoral vein for up to several weeks are known as _______________.

What should the nurse do when discontinuing a peripheral intravenous (IV)catheter?

What should the nurse do upon noting that the patient's intravenous (IV)catheter site is pale,cool,and edematous?

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 nurse needs to specifically prevent air emboli that may result from intravenous (IV)therapy.What should the nurse make sure to do to prevent air emboli?

Central venous access devices (CVADs)can be used in the home,in the hospital,and in long-term care facilities for patients who require which of the following?

Fluids that have the same osmolality as body fluids are used most often to replace extracellular volume and are known as _______________ fluids.

Which of the following steps is necessary when a patient is prepared for intravenous (IV)catheter insertion?

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?

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?

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