CH 7 Intravenous therapy
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Questions and Answers

A nurse is preparing to hang a gravity infusion for a patient who is dehydrated, At what level should the solution be placed for the best results

  • Parallel with the IV site
  • 3 feet above the level of the heart (correct)
  • 6 inches above the IV site
  • Below the level of the heart

The nurse suspects the patient has developed septicemia as a complication of peripheral IV therapy. Which signs and symptoms support the nurse's suspicion

  • Sharp pain at the site
  • Fever and chills (correct)
  • Coolness of skin at the site
  • Resistance during flushing

The nurse is caring for a patient who is receiving parenteral nutrition(PN). What condition should the nurse monitor for?

  • Hyperglycemia (correct)
  • Hypertension
  • Respiratory distress
  • Cardiac dysrhythmias

For which patient would a port be most beneficial?

<p>A patient receiving long-term antibiotics (D)</p> Signup and view all the answers

Which patient would benefit most from a subcutaneous infusion?

<p>An older adult patient with poor venous access receiving normal saline (A)</p> Signup and view all the answers

upon entering a patient's room, the licensed practical nurse/licensed vocational nurse(LPN/LVN) notes coolness of the skin at the IV site and a sluggish infusion rate. What should the nurse do first?

<p>Stop the infusion (A)</p> Signup and view all the answers

The LPN/LVN is assessing a patient receiving IV therapy and notes hypertension and shortness of breath. Which action should the nurse take?

<p>Notify the registered nurse(RN)immediately (A)</p> Signup and view all the answers

The nurse is preparing to administer IV fluid to a patient using a microdrop set. Which tubing will the nurse select?

<p>60 gtt/mL (D)</p> Signup and view all the answers

The nurse is caring for a patient with a peripheral IV catheter with an intermittent infusion. What action should the nurse take to help maintain patency of the cannula?

<p>Perform a regularly scheduled flush (B)</p> Signup and view all the answers

The nurse observes an assistive personnel(AP) obtaining a blood pressure in the same arm where an IV is infusing. What action should the nurse take?

<p>Ask the AP not to do it because it can impact patency of the cannula (B)</p> Signup and view all the answers

The nurse is delivering a piggyback medication into a new IV catheter into the patient's arm. What type of solution is used when flushing the IV after confirming patency?

<p>0.9% normal saline (A)</p> Signup and view all the answers

The nurse is preparing to deliver a new medication via an electronic infusion device. Which medication must be delivered by this flow control device?

<p>Chemotherapy (C)</p> Signup and view all the answers

A nurse notes that a gravity infusion of the patient's peripheral IV(PIV)often fluctuates in the rate without an adjustment by the nurse. What should the nurse consider?

<p>The PIV is in a joint area (D)</p> Signup and view all the answers

The nurse is preparing to administer hypertonic solution. Which fluids may be ordered?(Select all that apply)

<p>5% dextrose in 0.9% sodium chloride(D5NS) (A), Albumin 25% (B), 3% sodium chloride (C), 5% dextrose in lactated ringer solution (D)</p> Signup and view all the answers

The nurse is caring for a patient with a nontunneled central venous access device who is receiving a continuous IV infusion and develops sudden dyspnea, chest pain, and change in mental status. Which actions should the nurse take?(Select all that apply)

<p>Notify the health care provider(HCP) (A), Administer oxygen as ordered (C), Monitor vital signs (D)</p> Signup and view all the answers

The LPN/LVN has a patient receiving a medication IV push. What should the nurse do prior to administering the medication?(Select all that apply)

<p>Inform the RN of the medication (A), Observe the patient for desired or adverse effects of the medication (D)</p> Signup and view all the answers

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