Deck 12: Parenteral Administration: Intravenous Route

Question 1

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?

A)Place the patient on the left side.
B)Reassess vital signs.
C)Stop the infusion.
D)Verify placement of the device.

Answer 1

Place the patient on the left side.

Question 2

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

A)Fluid overload
B)Hemorrhagic shock
C)Cellular dehydration
D)Cerebral edema

Answer 2

Hemorrhagic shock

Question 3

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

A)Coolness
B)Edema
C)Fever
D)Pain at venipuncture site
E)Redness at the site
F)Shortness of breath

Answer 3

Coolness
Edema
Pain at venipuncture site
Redness at the site

Question 4

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

A)Fewer dissolved particles than blood
B)Approximately the same number of dissolved particles as blood
C)Higher concentrations of dissolved particles than blood
D)Electrolytes and dextrose

Question 5

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?

A)2 months
B)4 months
C)6 months
D)12 months

Question 6

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

A)stopping the infusion.
B)attempting to aspirate the medication.
C)elevating the affected limb.
D)checking capillary refill.
E)removing the catheter as directed by policy.

Question 7

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

A)Chest pain
B)Erythema
C)Frothy sputum
D)Sweating

Question 8

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?

A)D₅0.2 NS
B)D₅W
C)0.45 NS
D)0.9 NS

Question 9

Which needle is used to access implanted infusion devices?

A)Jamshidi
B)Huber
C)Gigli
D)Crutchfield

Question 10

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

A)Peripheral venous access device
B)Midline catheter
C)Winged needle venous access device
D)Implantable venous infusion port

Question 11

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

A)Air embolism
B)Extravasation
C)Phlebitis
D)Pulmonary edema

Question 12

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:

A)administer the prescribed drug.
B)flush with saline.
C)flush with heparin.
D)prepare a pump.

Question 13

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

A)Wear gloves when hanging all IV solutions.
B)Apply a topical antibiotic ointment to the insertion site.
C)Change fluid administration sets according to institutional policy.
D)Flush with heparin before use.

Question 14

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

A)Circulatory overload
B)Extravasation
C)Infection
D)Pain

Question 15

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?

A)Call the health care provider to obtain an order to decrease the IV rate.
B)Administer a bolus to make up the deficit.
C)Recalculate the flow rate and slowly make up the fluids.
D)Maintain the ordered rate.

Question 16

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

A)The catheter may have a single or double lumen.
B)There is greater risk of clotting and infiltration with this type of catheter.
C)The patient will be receiving infusions continuously to ensure patency.
D)The tip of the catheter may be open or valved.
E)The catheter may be used for drawing blood.

Question 17

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:

A)insert the IV catheter into the left hand.
B)use a lower extremity vein for insertion.
C)choose the left radial artery for insertion.
D)attempt insertion into the left antecubital space vein.

Question 18

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

A)Central line catheter
B)Microdrip set
C)Piggyback system
D)Syringe pump

Question 19

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?

A)Assess the urine output.
B)Elevate the head of the bed.
C)Encourage the patient to cough.
D)Maintain the IV rate.

Question 20

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?

A)Increase the IV rate and recheck in 1 hour.
B)Change the infusion rate to TKO.
C)Discontinue the solution using aseptic technique.
D)Contact the health care provider for consultation.