Deck 10: Overview of Infusion Therapies

Question 1

The nurse adds a medication to an intravenous (IV)fluid container to be hung on the patient's existing IV line.Which is the first action the nurse takes after adding the medication to the container?

A) Connect the bag to the tubing.
B) Rotate the bag to distribute the medication.
C) Place a completed medication-added label to the bag.
D) Connect the bag to new tubing and flush the air from the tubing.

Answer 1

Rotate the bag to distribute the medication.

Question 2

The nurse is providing care to a trauma patient who will require the rapid administration of large volumes of fluid in addition to a blood transfusion.Which gauge should the nurse use when initiating intravenous (IV)access for this patient?

A) 18
B) 20
C) 22
D) 24

Answer 2

18

Question 3

The nurse working in the emergency department (ED)is caring for a patient who experienced deep-thickness burns over 40% of the body and is in shock.Which intravenous (IV)prescription does the nurse anticipate for this patient?

A) Nutrient solutions
B) Volume expanders
C) Electrolyte solutions
D) Total parenteral nutrition

Answer 3

Volume expanders

Question 4

The nurse is setting up an intravenous (IV)infusion on an electronic infusion pump for a patient recently admitted to the unit.After leaving the room,the pump alarms and reads high pressure.Which is the priority action by the nurse?

A) Resetting the pump to resume infusion
B) Asking the patient if the pump has been tampered with in any way
C) Assessing the IV site and the tubing for kinks or closed roller clamps
D) Discontinuing the patient's IV access and restarting in a different area

Question 5

The nurse is initiating intravenous (IV)therapy for an adult patient who requires IV fluid infusion for 2-3 days and might require blood administration.Which would the nurse choose as the best option for IV catheterization?

A) Butterfly
B) Huber needle
C) Angiocatheter
D) Implantable venous access device

Question 6

Which intravenous (IV)fluid should the nurse prepare when a patient requires a hypertonic solution?

A) 0.9% normal saline
B) 2.5% dextrose in water
C) 0.33% sodium chloride
D) 5% dextrose in Lactated ringers

Question 7

The nurse is caring for a patient with a medical diagnosis of increased intracranial pressure (ICP).Which intravenous (IV)fluid order would the nurse accept without questioning?

A) Run normal saline at 125 mL/hour.
B) Run half-normal saline at 200 mL/hour.
C) Run 5% dextrose in water at 80 mL/hour.
D) Run 5% dextrose in 0.45% NaCl at 75 mL/hour.

Question 8

Which component should the nurse anticipate will be prescribed for a patient is not responding to crystalloids for volume expansion?

A) Platelets
B) Albumin
C) Fresh frozen plasma
D) Packed red blood cells

Question 9

Which component should the nurse anticipate will be prescribed for a patient with severe thrombocytopenia?

A) Platelets
B) Albumin
C) Fresh frozen plasma
D) Packed red blood cells

Question 10

Which component should the nurse anticipate will be prescribed for a patient with an elevated prothrombin time (PT)and international normalized ratio (INR)who is at an increased risk for bleeding?

A) Platelets
B) Albumin
C) Fresh frozen plasma
D) Packed red blood cells

Question 11

When removing a patient's central line dressing,which action by the nurse is the priority?

A) Applying sterile gloves
B) Inspecting the insertion site for signs of infection
C) Pulling the tape off in the direction of the catheter
D) Pressing the catheter into the skin while removing the tape

Question 12

The nurse is assessing an intravenous (IV)insertion site noting redness,warmth,and mild swelling.The patient reports a burning pain along the course of the vein during medication administration.Which term should the nurse use when documenting these findings in the medical record?

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

Question 13

The nurse is caring for a patient who is to have a peripherally inserted central catheter (PICC)line inserted tomorrow afternoon.The patient's current peripheral access line is infiltrated,and needs to be restarted.Which site would the nurse avoid using?

A) Radial vein
B) Cephalic vein
C) Median cubital vein
D) Dorsal metacarpal veins

Question 14

Which component should the nurse anticipate will be prescribed for a patient with acute blood loss?

A) Platelets
B) Albumin
C) Fresh frozen plasma
D) Packed red blood cells

Question 15

Which intravenous (IV)fluid should the nurse prepare when a patient requires an isotonic solution?

A) 0.9% normal saline
B) 2.5% dextrose in water
C) 0.33% sodium chloride
D) 5% dextrose in Lactated ringers

Question 16

The nurse is providing care to a patient who is receiving a blood transfusion.Ten minutes after the infusion is initiated,the patient reports a headache.Upon further assessment the nurse notes that the patient is experiencing dyspnea and feels warm to the touch.Which is the priority nursing action by the nurse?

A) Stop the transfusion.
B) Prepare for a full resuscitation.
C) Notify the health-care provider.
D) Decrease the rate of the transfusion.

Question 17

The nurse is caring for a patient with a central venous catheter used for intermittent medication administration.When flushing the catheter prior to administering the next dose of medication,which initial action by the nurse is the most appropriate?

A) Aspirating the patient's catheter for blood
B) Positioning the patient in reverse Trendelenburg position
C) Flushing the catheter,using as much force as required in order to clear the line
D) Obtaining a 3 mL syringe and filling it with normal saline for flushing the line

Question 18

Which aspect of intravenous (IV)therapy could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

A) Changing the IV site dressing on the patient's left hand
B) Watching the IV insertion site of the patient who complained of pain at the site
C) Reporting patient's complaints of pain or leakage from the IV site when bathing the patient
D) Replacing patient's IV solution when bag runs dry if it is only D₅W,without medications added

Question 19

The nurse is administering a blood transfusion to an adult patient.The patient reports feeling cold and is shivering 15 minutes after the initiation of the transfusion.The patient's blood pressure has decreased since the last assessment.Which is the nurse's priority action?

A) Notify the health-care provider.
B) Monitor the blood pressure every five minutes.
C) Stop the blood infusion,and run the normal saline on the other side of the Y tubing.
D) Stop the blood infusion,and remove the tubing from the IV catheter,replacing it with normal saline.

Question 20

Which intravenous (IV)fluid should the nurse prepare when a patient requires a hypotonic solution?

A) 0.9% normal saline
B) 5% dextrose in water
C) 0.33% sodium chloride
D) 5% dextrose in Lactated ringers