Podcast
Questions and Answers
Which of the following IV solutions is classified as hypotonic?
Which of the following IV solutions is classified as hypotonic?
- 3% Sodium Chloride (NaCl)
- 5% Dextrose water (D5W)
- 0.9% Normal Saline
- 0.45% Sodium Chloride (NaCl) (correct)
A patient requires an IV solution that will not cause any fluid shift. Which of the following solutions is most appropriate?
A patient requires an IV solution that will not cause any fluid shift. Which of the following solutions is most appropriate?
- 3% Sodium Chloride (NaCl)
- 5% Dextrose 0.45% Sodium Chloride (D5 0.45%NaCl)
- 0.9% Normal Saline (correct)
- 0.45% Sodium Chloride (NaCl)
A patient is experiencing electrolyte imbalances. Which IV solution would be most appropriate to help replace electrolytes?
A patient is experiencing electrolyte imbalances. Which IV solution would be most appropriate to help replace electrolytes?
- Albumin
- 0.45% Sodium Chloride (NaCl)
- 5% Dextrose water (D5W)
- 3% Sodium Chloride (NaCl) (correct)
Which of the following is a colloid solution used as a plasma volume expander?
Which of the following is a colloid solution used as a plasma volume expander?
During IV pump troubleshooting, which of the following actions should the nurse perform first?
During IV pump troubleshooting, which of the following actions should the nurse perform first?
Which of the following actions is most important for preventing infection during IV therapy?
Which of the following actions is most important for preventing infection during IV therapy?
A central line catheter has become occluded. What is the initial nursing intervention?
A central line catheter has become occluded. What is the initial nursing intervention?
Which of the following actions can help prevent catheter damage or breakage?
Which of the following actions can help prevent catheter damage or breakage?
A patient has a suspected central line-associated bloodstream infection (CLASBI). After notifying the provider, which intervention should the nurse perform next?
A patient has a suspected central line-associated bloodstream infection (CLASBI). After notifying the provider, which intervention should the nurse perform next?
What is the priority action to prevent dislodgement of a central venous catheter?
What is the priority action to prevent dislodgement of a central venous catheter?
A patient reports pain and erythema along the vein during an IV infusion. Which complication is most likely occurring?
A patient reports pain and erythema along the vein during an IV infusion. Which complication is most likely occurring?
Which of the following is a cause of mechanical phlebitis?
Which of the following is a cause of mechanical phlebitis?
A patient is receiving an IV infusion, and the solution inadvertently infuses into the tissue surrounding the vein. What is this complication called?
A patient is receiving an IV infusion, and the solution inadvertently infuses into the tissue surrounding the vein. What is this complication called?
What is a critical nursing action when a patient experiences extravasation of a vesicant medication?
What is a critical nursing action when a patient experiences extravasation of a vesicant medication?
A patient receiving a blood transfusion develops acute respiratory distress and tachycardia. What type of reaction is the patient most likely experiencing?
A patient receiving a blood transfusion develops acute respiratory distress and tachycardia. What type of reaction is the patient most likely experiencing?
A patient with low sodium levels is ordered 3% NaCl. Which of the following conditions is most likely present in this patient?
A patient with low sodium levels is ordered 3% NaCl. Which of the following conditions is most likely present in this patient?
A patient exhibits muscle spasms and Chvostek's sign. Which electrolyte imbalance is likely occurring?
A patient exhibits muscle spasms and Chvostek's sign. Which electrolyte imbalance is likely occurring?
Which of the following nursing interventions is most important for a patient with hypermagnesemia?
Which of the following nursing interventions is most important for a patient with hypermagnesemia?
A patient with hypokalemia is prescribed IV potassium. What is the most important nursing consideration when administering IV potassium?
A patient with hypokalemia is prescribed IV potassium. What is the most important nursing consideration when administering IV potassium?
A patient with fluid volume deficit (FVD) is at risk for postural hypotension. Which nursing action is most important when assisting this patient?
A patient with fluid volume deficit (FVD) is at risk for postural hypotension. Which nursing action is most important when assisting this patient?
A patient with a sodium level of 120 mEq/L is prescribed a fluid restriction. What is the primary reason for this intervention?
A patient with a sodium level of 120 mEq/L is prescribed a fluid restriction. What is the primary reason for this intervention?
A patient with hypernatremia is ordered 0.45% NaCl. What is the primary goal of administering this solution?
A patient with hypernatremia is ordered 0.45% NaCl. What is the primary goal of administering this solution?
A patient is prescribed oral calcium supplements for hypocalcemia. What additional instruction should the nurse provide to enhance calcium absorption?
A patient is prescribed oral calcium supplements for hypocalcemia. What additional instruction should the nurse provide to enhance calcium absorption?
A patient is receiving IV fluids and develops crackles in the lungs. Which electrolyte imbalance is most likely contributing to this clinical finding?
A patient is receiving IV fluids and develops crackles in the lungs. Which electrolyte imbalance is most likely contributing to this clinical finding?
The nurse is caring for a patient with hypermagnesemia. What is the priority nursing intervention related to cardiac monitoring for this patient?
The nurse is caring for a patient with hypermagnesemia. What is the priority nursing intervention related to cardiac monitoring for this patient?
A patient with hypophosphatemia is receiving IV phosphate replacement. Which assessment finding indicates a potential complication of this therapy?
A patient with hypophosphatemia is receiving IV phosphate replacement. Which assessment finding indicates a potential complication of this therapy?
A patient with hypochloremia is ordered 0.9% NaCl. What is the rationale for administering this particular IV solution?
A patient with hypochloremia is ordered 0.9% NaCl. What is the rationale for administering this particular IV solution?
A patient with hyperkalemia is prescribed sodium bicarbonate. What is the primary goal of administering this medication?
A patient with hyperkalemia is prescribed sodium bicarbonate. What is the primary goal of administering this medication?
A patient receiving a blood transfusion develops flank pain, and the nurse suspects an acute hemolytic reaction. After stopping the transfusion, what is the next priority nursing action?
A patient receiving a blood transfusion develops flank pain, and the nurse suspects an acute hemolytic reaction. After stopping the transfusion, what is the next priority nursing action?
The nurse is preparing to administer a unit of packed red blood cells. Identify the ONLY IV solution compatible with blood products?
The nurse is preparing to administer a unit of packed red blood cells. Identify the ONLY IV solution compatible with blood products?
A nurse is teaching a patient about central venous catheter care upon discharge. What key point should the nurse emphasize regarding infection prevention?
A nurse is teaching a patient about central venous catheter care upon discharge. What key point should the nurse emphasize regarding infection prevention?
A patient with a central line reports discomfort in the arm on the side of the insertion. What action should the nurse perform FIRST?
A patient with a central line reports discomfort in the arm on the side of the insertion. What action should the nurse perform FIRST?
A patient is receiving a vesicant medication through a peripheral IV, and the nurse suspects extravasation. What is the FIRST action the nurse should take?
A patient is receiving a vesicant medication through a peripheral IV, and the nurse suspects extravasation. What is the FIRST action the nurse should take?
The nurse assesses a patient's IV site and notes redness, warmth, and palpable cord along the vein, which intervention should the nurse implement FIRST?
The nurse assesses a patient's IV site and notes redness, warmth, and palpable cord along the vein, which intervention should the nurse implement FIRST?
A patient is prescribed IV potassium. What is the MOST important safety measure the nurse should implement during administration?
A patient is prescribed IV potassium. What is the MOST important safety measure the nurse should implement during administration?
What is the PRIMARY reason for using a 10 mL syringe to flush a central venous catheter instead of a smaller syringe?
What is the PRIMARY reason for using a 10 mL syringe to flush a central venous catheter instead of a smaller syringe?
A patient receiving TPN suddenly develops a fever, chills, and elevated blood glucose. What complication should the nurse suspect FIRST?
A patient receiving TPN suddenly develops a fever, chills, and elevated blood glucose. What complication should the nurse suspect FIRST?
A nurse is preparing to administer TPN via a central line. What is the MOST important step to ensure the correct administration?
A nurse is preparing to administer TPN via a central line. What is the MOST important step to ensure the correct administration?
The nurse receives an order to administer a hypertonic solution. Which of the following is an important nursing consideration when administering hypertonic solutions?
The nurse receives an order to administer a hypertonic solution. Which of the following is an important nursing consideration when administering hypertonic solutions?
The nurse is caring for a patient receiving a blood transfusion. Which of the following findings requires immediate intervention?
The nurse is caring for a patient receiving a blood transfusion. Which of the following findings requires immediate intervention?
A patient with a sodium level of 155 mEq/L is prescribed 0.45% NaCl. Why did the provider order this IV solution?
A patient with a sodium level of 155 mEq/L is prescribed 0.45% NaCl. Why did the provider order this IV solution?
A patient with a central line is receiving TPN and develops a fever, chills, and elevated blood glucose levels. What complication should the nurse suspect?
A patient with a central line is receiving TPN and develops a fever, chills, and elevated blood glucose levels. What complication should the nurse suspect?
A patient with end-stage renal disease and hyperkalemia is prescribed sodium bicarbonate. What is the primary goal of administering this medication?
A patient with end-stage renal disease and hyperkalemia is prescribed sodium bicarbonate. What is the primary goal of administering this medication?
The nurse assesses a patient's IV site and notes redness, warmth, and palpable cord along the vein. After discontinuing the IV, what intervention should the nurse implement?
The nurse assesses a patient's IV site and notes redness, warmth, and palpable cord along the vein. After discontinuing the IV, what intervention should the nurse implement?
The nurse is preparing to administer TPN via a central line. What is the most important step to ensure correct administration?
The nurse is preparing to administer TPN via a central line. What is the most important step to ensure correct administration?
A patient is receiving a blood transfusion. Which of the following findings requires immediate intervention?
A patient is receiving a blood transfusion. Which of the following findings requires immediate intervention?
Which of the following interventions is appropriate for a patient experiencing an occlusion of a central venous catheter?
Which of the following interventions is appropriate for a patient experiencing an occlusion of a central venous catheter?
A patient reports discomfort in the arm on the side of the central line insertion. What action should the nurse perform first?
A patient reports discomfort in the arm on the side of the central line insertion. What action should the nurse perform first?
A patient with hypocalcemia is prescribed oral calcium supplements. What additional instruction should the nurse provide to enhance calcium absorption?
A patient with hypocalcemia is prescribed oral calcium supplements. What additional instruction should the nurse provide to enhance calcium absorption?
A patient receiving IV fluids develops crackles in the lungs. Which electrolyte imbalance is most likely contributing to this clinical finding?
A patient receiving IV fluids develops crackles in the lungs. Which electrolyte imbalance is most likely contributing to this clinical finding?
Following the insertion of a central venous catheter, the nurse auscultates the patient's lungs and notes decreased breath sounds on the left side. What complication does this most likely indicate?
Following the insertion of a central venous catheter, the nurse auscultates the patient's lungs and notes decreased breath sounds on the left side. What complication does this most likely indicate?
A patient with a serum sodium level of 152 mEq/L is being treated for hypernatremia. The physician orders an IV infusion of 0.45% NaCl. Which assessment finding would indicate the treatment is effective?
A patient with a serum sodium level of 152 mEq/L is being treated for hypernatremia. The physician orders an IV infusion of 0.45% NaCl. Which assessment finding would indicate the treatment is effective?
A patient with hypokalemia is prescribed oral potassium supplements. Which food would the nurse encourage the patient to consume to increase potassium intake?
A patient with hypokalemia is prescribed oral potassium supplements. Which food would the nurse encourage the patient to consume to increase potassium intake?
A nurse reviews the electrolyte results for a patient and notes a serum calcium level of 7.9 mg/dL. Which assessment finding would the nurse correlate with this electrolyte imbalance?
A nurse reviews the electrolyte results for a patient and notes a serum calcium level of 7.9 mg/dL. Which assessment finding would the nurse correlate with this electrolyte imbalance?
A patient with hypermagnesemia is being treated with loop diuretics. What electrolyte imbalance should the nurse monitor for when administering loop diuretics?
A patient with hypermagnesemia is being treated with loop diuretics. What electrolyte imbalance should the nurse monitor for when administering loop diuretics?
The nurse is caring for a patient receiving IV phosphate replacement for hypophosphatemia. Which assessment finding requires the nurse to immediately stop the infusion?
The nurse is caring for a patient receiving IV phosphate replacement for hypophosphatemia. Which assessment finding requires the nurse to immediately stop the infusion?
A patient with a serum chloride level of 90 mEq/L is admitted to the hospital. Which IV solution would the nurse anticipate administering to correct this electrolyte imbalance?
A patient with a serum chloride level of 90 mEq/L is admitted to the hospital. Which IV solution would the nurse anticipate administering to correct this electrolyte imbalance?
The nurse is administering a blood transfusion. Fifteen minutes after the infusion starts, the patient reports chills, flank pain, and nausea. What is the priority nursing action?
The nurse is administering a blood transfusion. Fifteen minutes after the infusion starts, the patient reports chills, flank pain, and nausea. What is the priority nursing action?
A patient receiving a blood transfusion develops hives and itching. Which type of transfusion reaction is the patient most likely experiencing?
A patient receiving a blood transfusion develops hives and itching. Which type of transfusion reaction is the patient most likely experiencing?
The nurse is preparing to administer a unit of packed red blood cells. Which action is essential to ensure patient safety?
The nurse is preparing to administer a unit of packed red blood cells. Which action is essential to ensure patient safety?
A patient with a central venous catheter (CVC) is being discharged. Which instruction should the nurse include in the patient's discharge teaching to prevent infection?
A patient with a central venous catheter (CVC) is being discharged. Which instruction should the nurse include in the patient's discharge teaching to prevent infection?
The nurse assesses a patient with a central line and notes that the patient's arm on the side of the insertion is swollen. What action should the nurse take first?
The nurse assesses a patient with a central line and notes that the patient's arm on the side of the insertion is swollen. What action should the nurse take first?
A nurse is caring for a patient receiving total parenteral nutrition (TPN) through a central line. Which laboratory value requires immediate notification of the provider?
A nurse is caring for a patient receiving total parenteral nutrition (TPN) through a central line. Which laboratory value requires immediate notification of the provider?
A patient on TPN develops a sudden onset of fever, chills, and increased white blood cell count. What complication should the nurse suspect?
A patient on TPN develops a sudden onset of fever, chills, and increased white blood cell count. What complication should the nurse suspect?
The nurse is preparing to administer TPN via a central line. What nursing action is most important to prevent complications?
The nurse is preparing to administer TPN via a central line. What nursing action is most important to prevent complications?
A patient develops redness, pain, and a palpable cord along the vein during a peripheral IV infusion. After discontinuing the IV, which nursing intervention is appropriate?
A patient develops redness, pain, and a palpable cord along the vein during a peripheral IV infusion. After discontinuing the IV, which nursing intervention is appropriate?
The nurse is preparing to administer IV potassium. Which assessment should the nurse prioritize before initiating the infusion?
The nurse is preparing to administer IV potassium. Which assessment should the nurse prioritize before initiating the infusion?
The nurse notes that a patient's peripheral IV site is cool to the touch with associated swelling. What complication is the patient most likely experiencing?
The nurse notes that a patient's peripheral IV site is cool to the touch with associated swelling. What complication is the patient most likely experiencing?
The nurse is educating a patient on the signs and symptoms of fluid volume overload. Which manifestation requires the patient to notify the healthcare provider?
The nurse is educating a patient on the signs and symptoms of fluid volume overload. Which manifestation requires the patient to notify the healthcare provider?
The nurse assesses a patient with fluid volume deficit and notes orthostatic hypotension. Which nursing intervention is most important for this patient?
The nurse assesses a patient with fluid volume deficit and notes orthostatic hypotension. Which nursing intervention is most important for this patient?
The nurse has delegated the task of taking vital signs to an unlicensed assistive personnel (UAP). Which situation requires the nurse to reassess the delegation?
The nurse has delegated the task of taking vital signs to an unlicensed assistive personnel (UAP). Which situation requires the nurse to reassess the delegation?
A patient is prescribed an IV infusion of 1.5 liters of normal saline to be administered at a rate of 100 mL/hr. After 6 hours, how much fluid remains to be infused?
A patient is prescribed an IV infusion of 1.5 liters of normal saline to be administered at a rate of 100 mL/hr. After 6 hours, how much fluid remains to be infused?
A medication order reads: 'Administer 500 mg of drug X in 250 mL of D5W over 4 hours.' The IV tubing drop factor is 15 gtt/mL. What is the correct IV flow rate in drops per minute?
A medication order reads: 'Administer 500 mg of drug X in 250 mL of D5W over 4 hours.' The IV tubing drop factor is 15 gtt/mL. What is the correct IV flow rate in drops per minute?
A patient is receiving an IV infusion of 1000 mL Lactated Ringers at 75 mL/hr. How long will the infusion take to complete?
A patient is receiving an IV infusion of 1000 mL Lactated Ringers at 75 mL/hr. How long will the infusion take to complete?
A physician orders 3000 mL of normal saline to infuse at 150 mL per hour. After 8 hours, what volume of IV fluid should remain in the bag?
A physician orders 3000 mL of normal saline to infuse at 150 mL per hour. After 8 hours, what volume of IV fluid should remain in the bag?
A physician orders 1500 mL of D5W to infuse at 50 mL/hr. How many hours will the IV infusion run?
A physician orders 1500 mL of D5W to infuse at 50 mL/hr. How many hours will the IV infusion run?
A patient is prescribed 1000 mL of IV fluid to be infused over 8 hours. Using a 15 gtt/mL IV tubing, what is the required flow rate in drops per minute?
A patient is prescribed 1000 mL of IV fluid to be infused over 8 hours. Using a 15 gtt/mL IV tubing, what is the required flow rate in drops per minute?
A patient needs to receive 1200 mL of normal saline. If the IV is set to infuse at 75 mL/hr, how long will it take for the entire volume to infuse?
A patient needs to receive 1200 mL of normal saline. If the IV is set to infuse at 75 mL/hr, how long will it take for the entire volume to infuse?
A doctor orders 500 mL of normal saline to be infused over 5 hours. The available IV tubing delivers 20 drops per milliliter (gtt/mL). How many drops per minute should be administered?
A doctor orders 500 mL of normal saline to be infused over 5 hours. The available IV tubing delivers 20 drops per milliliter (gtt/mL). How many drops per minute should be administered?
A patient is receiving 1000 mL of a solution at a rate of 50 mL/hr when the order is changed to 75 mL/hr. How much sooner (in hours) will the infusion be completed?
A patient is receiving 1000 mL of a solution at a rate of 50 mL/hr when the order is changed to 75 mL/hr. How much sooner (in hours) will the infusion be completed?
A physician orders the administration of 1 liter of intravenous fluids. If the drop factor is 10 gtt/mL and the fluids are to run over 8 hours, what is the correct flow rate in drops per minute?
A physician orders the administration of 1 liter of intravenous fluids. If the drop factor is 10 gtt/mL and the fluids are to run over 8 hours, what is the correct flow rate in drops per minute?
A patient is prescribed 12 mg of dexamethasone. If the available tablets are 3 mg each, how many tablets should the nurse administer?
A patient is prescribed 12 mg of dexamethasone. If the available tablets are 3 mg each, how many tablets should the nurse administer?
An IV infusion of diltiazem is running at 45 mL/hour. The diltiazem solution contains 100 mg in 250 mL. How many milligrams of diltiazem is the patient receiving per hour?
An IV infusion of diltiazem is running at 45 mL/hour. The diltiazem solution contains 100 mg in 250 mL. How many milligrams of diltiazem is the patient receiving per hour?
A patient is ordered to receive 10 units of insulin. The insulin vial is labeled as 200 units/mL. How many milliliters of insulin should the nurse administer?
A patient is ordered to receive 10 units of insulin. The insulin vial is labeled as 200 units/mL. How many milliliters of insulin should the nurse administer?
A patient is prescribed a combination tablet that contains 5 mg of oxycodone and 325 mg of acetaminophen. The order is for 15 mg of oxycodone. How many tablets should be administered?
A patient is prescribed a combination tablet that contains 5 mg of oxycodone and 325 mg of acetaminophen. The order is for 15 mg of oxycodone. How many tablets should be administered?
The physician orders 1500 mL of normal saline to infuse at a rate of 60 mL/hr. How long will the IV infusion run?
The physician orders 1500 mL of normal saline to infuse at a rate of 60 mL/hr. How long will the IV infusion run?
An IV infusion of amiodarone is set to run at 60 mL/hour. The infusion contains 450 mg of amiodarone in 250 mL of D5W. How many milligrams of amiodarone are being administered per hour?
An IV infusion of amiodarone is set to run at 60 mL/hour. The infusion contains 450 mg of amiodarone in 250 mL of D5W. How many milligrams of amiodarone are being administered per hour?
A patient is ordered to receive 5 mg of Zofran IV. The Zofran solution is available in a concentration of 4 mg/mL. How many milliliters should you administer?
A patient is ordered to receive 5 mg of Zofran IV. The Zofran solution is available in a concentration of 4 mg/mL. How many milliliters should you administer?
A patient is to receive 750 mL of NS over 6 hours. What is the infusion rate in mL/hr?
A patient is to receive 750 mL of NS over 6 hours. What is the infusion rate in mL/hr?
A patient is prescribed an IV insulin infusion at 8 units/hour. The insulin infusion bag contains 125 units of insulin in 250 mL of normal saline. What is the infusion rate in mL/hr?
A patient is prescribed an IV insulin infusion at 8 units/hour. The insulin infusion bag contains 125 units of insulin in 250 mL of normal saline. What is the infusion rate in mL/hr?
A pediatric patient weighs 30 kg. The order is for oral Zofran at a dose of 0.15 mg/kg. The Zofran solution available is 5 mg/10 mL. How many milliliters should be administered?
A pediatric patient weighs 30 kg. The order is for oral Zofran at a dose of 0.15 mg/kg. The Zofran solution available is 5 mg/10 mL. How many milliliters should be administered?
A patient is prescribed amoxicillin 500 mg orally every 6 hours. The pharmacy dispenses amoxicillin 250 mg capsules. How many capsules should the nurse administer per dose?
A patient is prescribed amoxicillin 500 mg orally every 6 hours. The pharmacy dispenses amoxicillin 250 mg capsules. How many capsules should the nurse administer per dose?
The provider orders ondansetron (Zofran) 8 mg IV push for a patient experiencing nausea. The available Zofran is 2 mg/mL. How many mL should the nurse administer?
The provider orders ondansetron (Zofran) 8 mg IV push for a patient experiencing nausea. The available Zofran is 2 mg/mL. How many mL should the nurse administer?
A provider orders hydromorphone 1.5 mg IV push for a patient reporting severe pain. The available hydromorphone is 2 mg/mL. How many mL should the nurse administer?
A provider orders hydromorphone 1.5 mg IV push for a patient reporting severe pain. The available hydromorphone is 2 mg/mL. How many mL should the nurse administer?
A child who weighs 44 lbs is prescribed cefazolin 25 mg/kg/day divided into three doses. The pharmacy provides cefazolin oral suspension labeled 250 mg/5 mL. How many mL should the nurse administer per dose?
A child who weighs 44 lbs is prescribed cefazolin 25 mg/kg/day divided into three doses. The pharmacy provides cefazolin oral suspension labeled 250 mg/5 mL. How many mL should the nurse administer per dose?
A patient is prescribed ibuprofen 10 mg/kg orally every 6 hours for pain. The patient weighs 132 lbs. The ibuprofen suspension is labeled 100 mg/5 mL. How many mL should the nurse administer per dose?
A patient is prescribed ibuprofen 10 mg/kg orally every 6 hours for pain. The patient weighs 132 lbs. The ibuprofen suspension is labeled 100 mg/5 mL. How many mL should the nurse administer per dose?
A provider orders acetaminophen 10 mg/kg orally every 6 hours for a child who weighs 33 lbs. The acetaminophen syrup is available at a concentration of 160 mg/5 mL. What is the correct volume to administer per dose?
A provider orders acetaminophen 10 mg/kg orally every 6 hours for a child who weighs 33 lbs. The acetaminophen syrup is available at a concentration of 160 mg/5 mL. What is the correct volume to administer per dose?
A patient is receiving dextrose 5% in water (D5W) at a rate of 125 mL per hour via gravity flow using tubing calibrated at 20 gtt/mL. What is the flow rate in drops per minute?
A patient is receiving dextrose 5% in water (D5W) at a rate of 125 mL per hour via gravity flow using tubing calibrated at 20 gtt/mL. What is the flow rate in drops per minute?
A patient is to receive 750 mL of normal saline (NS) over 6 hours using a microdrip set (60 gtt/mL). What is the infusion rate in drops per minute?
A patient is to receive 750 mL of normal saline (NS) over 6 hours using a microdrip set (60 gtt/mL). What is the infusion rate in drops per minute?
At the beginning of the shift, a nurse notes 450 mL left to infuse in a patient's IV bag. The IV is infusing at 75 mL/hr. How much longer will the IV run?
At the beginning of the shift, a nurse notes 450 mL left to infuse in a patient's IV bag. The IV is infusing at 75 mL/hr. How much longer will the IV run?
A provider orders cefazolin 1 gram (g) in 100 mL of normal saline (NS) IVPB over 30 minutes using IV tubing with a calibration of 10 gtt/mL. What is the flow rate in gtt/min?
A provider orders cefazolin 1 gram (g) in 100 mL of normal saline (NS) IVPB over 30 minutes using IV tubing with a calibration of 10 gtt/mL. What is the flow rate in gtt/min?
Flashcards
Hypotonic Solutions
Hypotonic Solutions
Hydrates cells; examples include 0.45% Sodium Chloride and 5% Dextrose water.
Isotonic Solutions
Isotonic Solutions
No fluid shift; examples include 0.9% Normal Saline, Lactated Ringers, and 5% Dextrose water.
Hypertonic Solutions
Hypertonic Solutions
Replaces electrolytes; examples include 3% Sodium Chloride and 5% Dextrose 0.45% Sodium Chloride.
Colloid Solutions
Colloid Solutions
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Preventing IV Complications
Preventing IV Complications
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Occlusion Interventions
Occlusion Interventions
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Preventing Catheter Damage
Preventing Catheter Damage
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Preventing Infection (CLASBI)
Preventing Infection (CLASBI)
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Preventing Dislodgement
Preventing Dislodgement
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Interventions for Dislodgement
Interventions for Dislodgement
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Phlebitis
Phlebitis
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Extravasation
Extravasation
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Preventing Extravasation
Preventing Extravasation
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Fluid Overload
Fluid Overload
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Allergies to medications
Allergies to medications
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Acute Hemolytic Reaction
Acute Hemolytic Reaction
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Hyponatremia
Hyponatremia
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Hypernatremia
Hypernatremia
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Hypocalcemia
Hypocalcemia
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Hypercalcemia
Hypercalcemia
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IV Tubing Check
IV Tubing Check
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Circulatory Overload Actions
Circulatory Overload Actions
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Fluid Volume Deficit Labs
Fluid Volume Deficit Labs
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Treating FVD
Treating FVD
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Hypomagnesemia Actions
Hypomagnesemia Actions
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Hypercalcemia Treatment
Hypercalcemia Treatment
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Supervising Line Insertion
Supervising Line Insertion
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Phlebitis Prevention
Phlebitis Prevention
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Transfusion Reaction
Transfusion Reaction
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Right Task
Right Task
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IV placement Consideration
IV placement Consideration
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Occlusions
Occlusions
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IV Patency Check
IV Patency Check
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Chemical Phlebitis
Chemical Phlebitis
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Mechanical Phlebitis
Mechanical Phlebitis
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Bacterial Phlebitis
Bacterial Phlebitis
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Allergic Reaction during Transfusion
Allergic Reaction during Transfusion
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Febrile Nonhemolytic Transfusion Reaction
Febrile Nonhemolytic Transfusion Reaction
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Lasix
Lasix
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Blood Transfusion: Nurse Responsibilities
Blood Transfusion: Nurse Responsibilities
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Pt Education, Central Line/Port
Pt Education, Central Line/Port
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TPN Components
TPN Components
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Body's Fluid Regulators
Body's Fluid Regulators
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Hypermagnesemia Treatment
Hypermagnesemia Treatment
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IV Push Medication Checks
IV Push Medication Checks
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IV Bolus
IV Bolus
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Delegation Duties
Delegation Duties
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Ethics for Nurses
Ethics for Nurses
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IV Pump Troubleshooting
IV Pump Troubleshooting
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Priority Nursing Action
Priority Nursing Action
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Central Line Management
Central Line Management
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Peripheral IV Duration
Peripheral IV Duration
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Midline IV duration
Midline IV duration
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Port
Port
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Clinical Manifestations: Extravasation
Clinical Manifestations: Extravasation
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Lasix Administration
Lasix Administration
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Circulatory Overload Interventions
Circulatory Overload Interventions
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Circulatory Overload
Circulatory Overload
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TPN Monitoring
TPN Monitoring
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FVD Labs
FVD Labs
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Older Adults: IV Placement
Older Adults: IV Placement
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IV potassium
IV potassium
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Flow Rate
Flow Rate
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Infusion Rate
Infusion Rate
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Microdrip Tubing
Microdrip Tubing
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Concentration
Concentration
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IV Push
IV Push
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Total Parenteral Nutrition (TPN)
Total Parenteral Nutrition (TPN)
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Unit Conversion
Unit Conversion
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Reconstitution
Reconstitution
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Smart Pump
Smart Pump
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Piggyback Infusion
Piggyback Infusion
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IV Drip
IV Drip
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Smart IV pump
Smart IV pump
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Medication Concentration
Medication Concentration
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Dosage Calculation
Dosage Calculation
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Drop Factor (gtt/mL)
Drop Factor (gtt/mL)
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Weight Conversion
Weight Conversion
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Calculating Infusion Rate
Calculating Infusion Rate
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Drug Reconstitution
Drug Reconstitution
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Scored Tablets
Scored Tablets
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IV Push (IVP)
IV Push (IVP)
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Units/mL
Units/mL
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Study Notes
- To administer Amoxicillin 375 mg orally every 8 hours using 125 mg scored tablets, give 3 tablets per dose.
- To administer Zofran 12 mg orally three times a day from a 4mg/mL solution, administer 3 mL per dose.
- To administer Morphine 2 mg IV push from a 10 mg/mL solution, administer 0.2 mL.
- To administer Fortaz 50 mg/kg orally three times a day to a 29.5 kg child, using a 100 mg/mL suspension, administer 14.8 mL per dose.
- To administer Ceclor 45 mg/kg/day orally in 3 doses to a 65 lbs patient, using a 125 mg/mL solution, administer 3.5 mL per dose.
- To administer acetaminophen 15 mg/kg orally every 4 hours to a 12 lbs patient, using a 160 mg/5 mL syrup, administer 2.6 mL per dose.
- For a patient receiving LR at 150 mL per hour via gravity flow with tubing calibrated at 15 gtt/mL, the flow rate is 38 drops per minute.
- To infuse 500 mL of NS over 10 hours using a microdrip set (60 gtt/mL), the infusion rate is 50 gtt/min.
- With 300 mL left to infuse at 84 mL/hr, the IV will run for approximately 3 hours and 34 minutes.
- With 300 mL remaining and infusing at 125 mL/hr, it will take approximately 2 hours to empty the bag.
- To administer Keflex 2 g in 150 mL of D5W IVPB over 60 minutes using IV tubing with a calibration of 15 gtt/mL, the flow rate is 38 gtt/min.
- To administer Heparin 950 units/hr from a bag labeled 25,000 units in 1L of D5W, infuse 38 mL/hr.
- With a Heparin drip infusing at 15 mL/hr from a bag containing 25,000 units in 250 mL, the patient receives 1500 units/hr.
- To administer 1 L of LR at a rate of 188 mL/hr, it will take approximately 5 hours to infuse.
- To administer 1 L of D5W over 15 hours, the infusion rate is 67 mL/hr.
- To administer 1 g of Ancef in 100 mL NS over 30 minutes, the infusion rate should be set to 200 mL/hr.
- With a Lidocaine drip infusing at 10 mL/hr, mixed as 1 g in 250 mL of D5W, the patient receives 0.7 mg/min.
- To administer Digoxin 125 mcg, using a solution of 500 mcg in 2 mL, add 0.5 mL of Digoxin to 100 mL of NS.
- To administer Morphine 2 mg IV push from a 2 mg/mL solution, administer 1 mL.
- To administer 40 mg of protonix from a solution of 80mg/10mL NS, administer 5 mL.
- A child needs 10 mg/kg of ibuprofen and weighs 25 kg, administer 25 mL of a 100 mg/10 mL solution.
- For a 200 mg ibuprofen order with a 60 mg/5 mL solution, administer 16.7 mL.
- To infuse 1 liter of IV fluid over 8 hours, the rate is 125 mL/hr.
- With insulin infusing at 60 mL/hour from a solution of 50 units in 500 mL normal saline, 6 units of insulin are given per hour.
- A patient prescribed 15 mL of a 30 mg/10 mL oral liquid medication receives 45 mg of medication.
- For an IM medication at 5 mg/kg in a 60 kg patient, administer 300 mg.
- To administer 300 mg of an IM medication with a concentration of 500 mg/2 mL, give 1.2 mL.
- To infuse 1,000 mL of NS over 8 hours, the infusion rate is 125 mL/hr.
- With an amiodarone infusion at 75 mL/hour, containing 300 mg in 500 mL D5W, 45 mg of amiodarone are administered per hour.
- To administer 1200 mL of LR over 10 hours, set the infusion pump to 120 mL/hr.
- To administer NS at 100 mL/hr for 6 hours, the total volume is 600 mL.
- To administer 2 liters of NS over 12 hours, the infusion rate is 167 mL/hr.
- To infuse 1,000 mL of NS over 4 hours, the infusion rate is 250 mL/hr.
- For an IV insulin infusion of 10 units/hour, with 100 units in 250 mL normal saline, infuse at 25 mL/hr.
- To administer 8 units of insulin from a vial labeled as 100 units/mL, administer 0.08 mL.
- A patient prescribed a combination tablet with 10 mg oxycodone and 325 mg acetaminophen, with an order for 20 mg oxycodone and 650 mg acetaminophen, should receive 2 tablets.
- To administer 4 mg of Zofran IV with a concentration of 2 mg/mL, administer 2 mL.
- For a pediatric patient with a Zofran dosage of 0.1 mg/kg, weighing 20 kg, with a Zofran solution of 4 mg/8 mL, administer 4 mL.
- To administer 8 mg of dexamethasone with tablets available at 2 mg each, give 4 tablets.
- An IV diltiazem infusion set at 30 mL/hour, with a solution of 75 mg in 250 mL, administers 9 mg of diltiazem per hour.
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