Deck 38: Intravenous Therapy

Question 1

When continuous IV infusion of a drug is desired, a nurse understands that which of the following is true? Select all that apply.

A)The health-care provider must order the dosage of medication to be administered.
B)The physician must perform the calculations to determine the amount of drug to add to a specific volume of IV solution.
C)The volume of solution may vary from 250 to 1,000 mL.
D)The nurse must determine whether the medication is compatible with the IV solution.
E)The nurse must monitor the IV solution carefully to maintain the desired rate of IV infusion.

Answer 1

The health-care provider must order the dosage of medication to be administered.
The volume of solution may vary from 250 to 1,000 mL.
The nurse must monitor the IV solution carefully to maintain the desired rate of IV infusion.

Question 2

The nurse asks a nursing student to help initiate a transfusion.Which of the following are parts of this process? Select all that apply.

A)The student has two RNs double check the order for a transfusion.
B)The tubing is hanging and primed with D5 LR.
C)The student is using Y-tubing for the transfusion.
D)The student verifies the client's name, birth date, and blood identification tags.
E)The student assesses the client's vital sign right before the infusion begins.

Answer 2

The student has two RNs double check the order for a transfusion.
The student is using Y-tubing for the transfusion.
The student verifies the client's name, birth date, and blood identification tags.
The student assesses the client's vital sign right before the infusion begins.

Question 3

The nurse is providing care for a client who is receiving a blood transfusion.Pre-transfusion vital signs were blood pressure (BP), 144/78 mm Hg; temperature (T), 98.4°F; pulse (P), 86; respirations (R), 14.Now, approximately an hour after the transfusion was initiated, the client's vital signs are BP, 168/92 mm Hg; P, 98; R, 20.Next, the nurse should:

A)Record the vital signs.
B)Listen to the client's breath sounds.
C)Notify the physician.
D)Slow the transfusion rate.

Answer 3

Listen to the client's breath sounds.

Question 4

The nurse is caring for the client who has allergies to corn and shellfish.Which of the following should the nurse NOT use with the client? Select all that apply.

A)10% povidone-iodine
B)2% tincture of iodine
C)10% to 50% Dextrose
D)70% isopropyl alcohol
E)3% to 5% sodium chloride

Question 5

The nurse may administer which of the following IV solutions via a peripheral vein? Select all that apply.

A)15% dextrose
B)10% dextrose
C)5% dextrose in 0.45% sodium chloride
D)3% sodium chloride
E)50% dextrose

Question 6

A nurse knows that a client who needs an IV to provide simple water replacement because of lack of fluid intake should be given which of the following?

A)An isotonic solution
B)A hypertonic solution
C)A hypotonic solution
D)Plain water

Question 7

The nurse who is caring for a client with an infusion of D5 1/2NS 1,000 mL with 20 mEq KCL at 100 mL/hr notes that there is slight swelling at the insertion site and no blood return when aspirating at the injection port closest to the IV site.Which of the following problems does the nurse suspect?

A)Air embolism
B)Fluid overload
C)Infiltration
D)Thrombophlebitis

Question 8

A nurse caring for several clients in the emergency department.The nurse will plan to monitor the rate of infusion and assess the condition of an IV site every hour for which of the following clients? Select all that apply.

A)A 4-year-old child
B)A 38-year-old woman
C)A 72-year-old man
D)A 42-year-old man who is prone to circulatory fluid overload
E)A 40-year-old woman who is prone to hypoglycemia

Question 9

The nurse is caring for a client who reports that the IV site is sore.The nurse notes swelling and tenderness at the site, as well as a red streak up the arm.The nurse's care should include which of the following? Select all that apply.

A)Applying an ice pack to the area.
B)Discontinuing the IV.
C)Requesting a new order for IV antibiotics to be infused at the site.
D)Elevating the arm on pillows.
E)Applying warm packs to the area.

Question 10

The nurse is providing IV push meperidine (Demerol)through a free-flowing IV line and notes a hazy appearance in the tubing.It is necessary to:

A)Stop the infusion.
B)Discontinue the IV site.
C)Put all doses of meperidine on hold.
D)Notify the supervisor.

Question 11

The nurse who is working on a medical-surgical floor recognizes that vesicant precautions should be taken with which of the following? Select all that apply.

A)Ampicillin sodium (ampicillin)
B)Potassium chloride
C)Promethazine (Phenergan)
D)Vancomycin (Vancocin)
E)Gentamicin sulfate (gentamicin)

Question 12

The nurse is providing care to a client who is receiving a blood transfusion and who becomes acutely short of breath and anxious within a few minutes of the nurse's initiating the transfusion.Which of the following actions will be included in the nurse's care? Select all that apply.

A)Frequent checks of the vital signs
B)Stopping the blood transfusion and notifying the physician
C)Sending tubing and unused blood to the blood bank
D)Obtaining a urine sample for analysis
E)Discontinuing the IV site

Question 13

Which of the following clients would likely receive packed red blood cells? Select all that apply.

A)A client with acute blood loss
B)A client who took too much warfarin
C)A client with acute leukemia
D)A client who needs increase plasma volume
E)A client with symptomatic anemia

Question 14

A nurse could correctly provide which of the following via IV therapy as part of a maintenance fluid?

A)Medication
B)Water
C)Plasma
D)Blood transfusion

Question 15

Under the supervision of the RN, the LPN/LVN discusses the IV push route of administration to the client.Which statements by the LPN/LVN are accurate? Select all that apply.

A)"This method allows for quick administration of medication."
B)"This method means the drug will take effect instantaneously."
C)"We can administer this through the injection port you already have."
D)"All LPNs and LVNs can administer medications this way."
E)"We'll flush your device with saline before administering using this method."

Question 16

The nurse is caring for a client with an IV.The client begins to have redness and swelling at the IV site.The client also complains of burning and tenderness at the IV site.Which does the nurse suspect?

A)Hypovolemia
B)Phlebitis
C)Extravasation
D)Infiltration

Question 17

The nurse assumes responsibility for a blood transfusion that was initiated 2.5 hours ago.The client is tolerating the procedure well, and there is roughly 50% of the blood remaining.The best action by the nurse is to:

A)Increase the transfusion rate.
B)Stop the infusion and return the unused blood to the blood bank.
C)Chart the current vital signs.
D)Notify the charge nurse.

Question 18

The nurse is providing care for a client who has a central line and a suspected air embolism.The best action by the nurse is to:

A)Elevate the head of the bed.
B)Place telemetry leads on the client's chest.
C)Instruct the client to bear down.
D)Place the client on her left side in Trendelenburg position.

Question 19

The health-care provider orders that a client who is dehydrated receive lactated ringer's solution (LR).Which statement made by the nurse indicates an understanding of safety items to consider?

A)"This is the most similar to electrolyte content."
B)"I should check to see if the client is allergic to corn."
C)"This can irritate the client's vein, so it should be infused in small amounts."
D)"I should confirm what other medications the client is on."