Question 1

The nurse assesses a patient receiving intravenous therapy and suspects fluid overload. Which of the following assessments should the nurse perform first?

Accepted Answer

A)  Assess lung sounds for crackles.
B)  Inspect the insertion site for infiltration.
C)  Check the patient's weight.
D)  Observe the patient's feet for edema. A

Question 2

The nurse is preparing to start a peripheral IV infusion. Which of the following techniques could be used to help ensure success with the venipuncture? (Select all that apply.?

Accepted Answer

A)  Elevate the extremity to promote venous return.
B)  Apply a warm compress prior to site preparation.
C)  Use a tourniquet to dilate the vein.
D)  Lower the head of the bed to reduce cardiac output.
E)  Encourage the patient to open the hand and lay it flat on the bed.F) Push the skin toward the intended puncture site to prevent rolling.CompletionComplete each statement.

Question 3

Which fluid shift occurs when a hypertonic intravenous solution is administered?

Accepted Answer

A)  Fluid moves from the venous circulation into the interstitial space.
B)  Fluid moves from the interstitial space into the venous circulation.
C)  Fluid moves from the arterial circulation into the venous circulation.
D)  Fluid moves from the plasma into the cells.

Question 4

Which of the following are systemic complications of peripheral intravenous therapy? (Select all that apply.?

Accepted Answer

A)  Fluid overload
B)  Air embolism
C)  Phlebitis
D)  Septicemia
E)  ExtravasationF) Infiltration

Question 5

As soon as the nurse begins to insert an intravenous catheter in the patient's antecubital space, blood begins to spurt from the site. What should the nurse do first?

Accepted Answer

A)  Finish threading the catheter quickly, and apply a pressure dressing and tape.
B)  Remove the catheter, and insert a new one in the same site.
C)  Remove the catheter, and apply pressure to the site.
D)  Remove the catheter, and call for help.

Question 6

A nurse is infusing an intravenous antibiotic medication. It is ordered as 100 mg in 50 mL D5W to be infused over 20 minutes. How many drops per minute should be delivered using tubing that delivers 15 gtt per mL? ________________drops per minute

Accepted Answer

The answer of A nurse is infusing an intravenous antibiotic...

Question 7

An intravenous (IV)  insertion site begins to leak. The tape over the site is wet. What should the nurse do first?

Accepted Answer

A)  Call the physician to report the problem.
B)  Remove the dressing from the IV site, and observe the insertion site.
C)  Slowly increase the speed of the IV drip, and watch the site carefully for increased leaking of IV solution.
D)  Reduce the IV flow rate.

Question 8

A patient has been on total parenteral nutrition (TPN)  for 3 weeks after an episode of severe gastrointestinal bleeding. The physician plans to discontinue TPN. What order should the nurse anticipate?

Accepted Answer

A)  Start tube feedings TID via nasogastric tube.
B)  Place the patient on clear liquids for 1 week.
C)  Taper TPN rate and introduce regular feedings slowly.
D)  Sodium-restricted diet with high-protein snacks bid. C

Question 9

Which patients are most likely to need continuous intravenous therapy? (Select all that apply.?

Accepted Answer

A)  A 3-year-old who has had frequent diarrhea and vomiting for 3 days
B)  A patient with pitting edema and lung crackles
C)  An 85-year-old man with Alzheimer's disease who refuses to eat or drink
D)  A 16-year-old girl with anorexia who has been repeatedly purging
E)  A 45-year-old woman with a broken humerus

Question 10

The LPN enters a patient's room and notes a white precipitate forming in the IV tubing at the site where an antibiotic is piggybacked in. Which of the following actions is appropriate first?

Accepted Answer

A)  Call the pharmacy to see whether this is an expected reaction.
B)  When the infusion is complete, remove the tubing, and send it to the laboratory for analysis.
C)  Stop the infusion.
D)  Notify the physician.

Question 11

An angiocatheter site in a patient's left forearm has become reddened and tender. What should the nurse do first?

Accepted Answer

A)  Check for a blood return.
B)  Apply a warm compress over the insertion site.
C)  Remove the angiocatheter.
D)  Run the intravenous solution at a slightly faster rate to encourage sluggish circulation.

Question 12

When is it appropriate to use the SASH (saline-administer medication-saline-heparin)  technique for administering intravenous (IV)  medications?

Accepted Answer

A)  When the medication is not compatible with heparin
B)  When the patient is allergic to heparin
C)  During routine peripheral locking device IV flushes
D)  When the IV site is red or puffy

Question 13

When assessing a patient with an intravenous line in the right arm, the LPN notices that the skin near the infusion site is taut and cool, and when the arm is lowered, it appears to swell. What is most likely occurring?

Accepted Answer

A)  Infection
B)  Venous spasm
C)  Infiltration
D)  Embolism C

Question 14

A patient is receiving an intravenous (IV)  solution delivered by an electronic control device. The alarm begins sounding, and the display panel indicates occlusion. The nurse pushes the alarm silence button, but the alarm quickly resumes. Which of the following actions should be taken first?

Accepted Answer

A)  Notify the physician.
B)  Check for kinking of the tubing or a closed clamp.
C)  Turn off the IV solution, and gently flush the line with 3 mL of saline flush solution.
D)  Decrease the rate to 10 mL/hr, and flush the line with 1 mL of heparin solution.

Question 15

Which of the following factors can slow the flow rate of a gravity solution?

Accepted Answer

A)  Raising the level of the solution container
B)  Opening the roller clamp
C)  Flexing the extremity above the insertion site
D)  Flushing the cannula with saline solution

Question 16

An intravenous infusion is not running. The insertion site looks normal. Which of the following actions by the nurse is appropriate to try to get it running again?

Accepted Answer

A)  Flush the catheter with 1 to 2 mL of heparin flush solution.
B)  Flush the catheter with 1 to 2 mL of normal saline solution.
C)  Reposition the extremity.
D)  Place gentle pressure on the bag of solution.

Question 17

When an intravenous catheter is being inserted on a newly admitted 22-year-old patient, which area should be used first?

Accepted Answer

A)  Upper arm
B)  Antecubital space
C)  Forearm
D)  Hand

Question 18

The nurse is observing a student change the dressing on a central line. Which of the following actions requires an immediate intervention?

Accepted Answer

A)  The student dons a mask and gloves when changing the dressing.
B)  The student instructs the patient to perform Valsalva's maneuver when the line is disconnected for a tubing change.
C)  The student places a sticker with the date, time, and initials on the dressing.
D)  The student positions the patient on the left side with head down to perform the procedure.

Question 19

A patient is in the intensive care unit with acute renal failure secondary to septic shock and is receiving intravenous fluids of 0.9% NaCl at 125 mL/hr. The patient develops crackles in the lungs, distended neck veins, 1+ pitting edema in the feet, and a 4-pound weight gain from the previous day. What nursing diagnosis is most appropriate to this situation?

Accepted Answer

A)  Imbalanced nutrition: greater than body requirements
B)  Excess fluid volume
C)  Decreased cardiac output
D)  Ineffective tissue perfusion: peripheral

Question 20

What type of solution is used to replace electrolytes and expand plasma volume?

Accepted Answer

A)  Isotonic solution
B)  Hypotonic solution
C)  Hypertonic solution
D)  Dextrose solution

Exam 7: Nursing Care of Patients Receiving Intravenous Therapy

The nurse assesses a patient receiving intravenous therapy and suspects fluid overload. Which of the following assessments should the nurse perform first?

Correct Answer
verified
A

The nurse is preparing to start a peripheral IV infusion. Which of the following techniques could be used to help ensure success with the venipuncture? (Select all that apply.?

Correct Answer
verified

Which fluid shift occurs when a hypertonic intravenous solution is administered?

Correct Answer
verified

Which of the following are systemic complications of peripheral intravenous therapy? (Select all that apply.?

Correct Answer
verified

As soon as the nurse begins to insert an intravenous catheter in the patient's antecubital space, blood begins to spurt from the site. What should the nurse do first?

Correct Answer
verified

A nurse is infusing an intravenous antibiotic medication. It is ordered as 100 mg in 50 mL D5W to be infused over 20 minutes. How many drops per minute should be delivered using tubing that delivers 15 gtt per mL? ________________drops per minute

Correct Answer
verified

An intravenous (IV) insertion site begins to leak. The tape over the site is wet. What should the nurse do first?

Correct Answer
verified

A patient has been on total parenteral nutrition (TPN) for 3 weeks after an episode of severe gastrointestinal bleeding. The physician plans to discontinue TPN. What order should the nurse anticipate?

Correct Answer
verified
C

Which patients are most likely to need continuous intravenous therapy? (Select all that apply.?

Correct Answer
verified

The LPN enters a patient's room and notes a white precipitate forming in the IV tubing at the site where an antibiotic is piggybacked in. Which of the following actions is appropriate first?

Correct Answer
verified

An angiocatheter site in a patient's left forearm has become reddened and tender. What should the nurse do first?

Correct Answer
verified

When is it appropriate to use the SASH (saline-administer medication-saline-heparin) technique for administering intravenous (IV) medications?

Correct Answer
verified

When assessing a patient with an intravenous line in the right arm, the LPN notices that the skin near the infusion site is taut and cool, and when the arm is lowered, it appears to swell. What is most likely occurring?

Correct Answer
verified
C

A patient is receiving an intravenous (IV) solution delivered by an electronic control device. The alarm begins sounding, and the display panel indicates occlusion. The nurse pushes the alarm silence button, but the alarm quickly resumes. Which of the following actions should be taken first?

Correct Answer
verified

Which of the following factors can slow the flow rate of a gravity solution?

Correct Answer
verified

An intravenous infusion is not running. The insertion site looks normal. Which of the following actions by the nurse is appropriate to try to get it running again?

Correct Answer
verified

When an intravenous catheter is being inserted on a newly admitted 22-year-old patient, which area should be used first?

Correct Answer
verified

The nurse is observing a student change the dressing on a central line. Which of the following actions requires an immediate intervention?

Correct Answer
verified

Correct Answer
verified

What type of solution is used to replace electrolytes and expand plasma volume?

Correct Answer
verified

Exam 7: Nursing Care of Patients Receiving Intravenous Therapy

The nurse assesses a patient receiving intravenous therapy and suspects fluid overload. Which of the following assessments should the nurse perform first?

Correct AnswerverifiedA

The nurse is preparing to start a peripheral IV infusion. Which of the following techniques could be used to help ensure success with the venipuncture? (Select all that apply.?

Correct AnswerverifiedShow Answer

Which fluid shift occurs when a hypertonic intravenous solution is administered?

Correct AnswerverifiedShow Answer

Which of the following are systemic complications of peripheral intravenous therapy? (Select all that apply.?

Correct AnswerverifiedShow Answer

As soon as the nurse begins to insert an intravenous catheter in the patient's antecubital space, blood begins to spurt from the site. What should the nurse do first?

Correct AnswerverifiedShow Answer

A nurse is infusing an intravenous antibiotic medication. It is ordered as 100 mg in 50 mL D5W to be infused over 20 minutes. How many drops per minute should be delivered using tubing that delivers 15 gtt per mL? ________________drops per minute

Correct AnswerverifiedShow Answer

An intravenous (IV) insertion site begins to leak. The tape over the site is wet. What should the nurse do first?

Correct AnswerverifiedShow Answer

A patient has been on total parenteral nutrition (TPN) for 3 weeks after an episode of severe gastrointestinal bleeding. The physician plans to discontinue TPN. What order should the nurse anticipate?

Correct AnswerverifiedC

Which patients are most likely to need continuous intravenous therapy? (Select all that apply.?

Correct AnswerverifiedShow Answer

The LPN enters a patient's room and notes a white precipitate forming in the IV tubing at the site where an antibiotic is piggybacked in. Which of the following actions is appropriate first?

Correct AnswerverifiedShow Answer

An angiocatheter site in a patient's left forearm has become reddened and tender. What should the nurse do first?

Correct AnswerverifiedShow Answer

When is it appropriate to use the SASH (saline-administer medication-saline-heparin) technique for administering intravenous (IV) medications?

Correct AnswerverifiedShow Answer

When assessing a patient with an intravenous line in the right arm, the LPN notices that the skin near the infusion site is taut and cool, and when the arm is lowered, it appears to swell. What is most likely occurring?

Correct AnswerverifiedC

A patient is receiving an intravenous (IV) solution delivered by an electronic control device. The alarm begins sounding, and the display panel indicates occlusion. The nurse pushes the alarm silence button, but the alarm quickly resumes. Which of the following actions should be taken first?

Correct AnswerverifiedShow Answer

Which of the following factors can slow the flow rate of a gravity solution?

Correct AnswerverifiedShow Answer

An intravenous infusion is not running. The insertion site looks normal. Which of the following actions by the nurse is appropriate to try to get it running again?

Correct AnswerverifiedShow Answer

When an intravenous catheter is being inserted on a newly admitted 22-year-old patient, which area should be used first?

Correct AnswerverifiedShow Answer

The nurse is observing a student change the dressing on a central line. Which of the following actions requires an immediate intervention?

Correct AnswerverifiedShow Answer

Correct AnswerverifiedShow Answer

What type of solution is used to replace electrolytes and expand plasma volume?

Correct AnswerverifiedShow Answer

Correct Answer
verified
A

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C

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C

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