Med surg Capstone Questions with 100% Correct Answers

You are a nurse starting your shift. You are doing a bedside report with the off-going nurse, when you realize that the patient's peripheral IV site looks sort of shiny. You check for a blood return, and find there is none. Plus, you have difficulty flushing. The patient states that the IV burns when you flush it. The NEXT thing you do is: Correct Answer Find out what was running through the IV; if it was a vesicant, then the IV will need immediate care You have just assumed care of King Valium, a new patient to your floor. He has a history of IV drug abuse, and is admitted with endocarditis. The off-going nurse reported to you that Mr. Valium has had fevers up to 103.4, has been alternating between chilling and sweating, and is complaining of feeling terrible. She attempted to start an IV, but was unsuccessful, so the patient has not yet had his first dose of IV antibiotic. You know that the first thing you will need to do for Mr. Valium is: Correct Answer Assess the patient's arms for a possible IV spot. If there is a good spot, start the IV. If there is not, then call in more experienced help. You are doing bedside report of a patient that is receiving a set rate of "renal dose dopamine". You notice that this is running via a peripheral IV. The next thing you do is: Correct Answer Check the IV site for signs of infiltration John Deer is a 48-year old male who just had a leg amputation performed 24 hours ago. He is having excruciating pain and requests some pain medication. You bring the Morphine 2 mg to his room to give him IVP, as ordered. Before administering the medication to the patient, you assess his RIJ central line, and find that it will flush, but there is no blood return from the first port you check. The NEXT thing you will do is: Correct Answer Reposition the patient and check again for blood return. A patient who was involved in a high-speed motor vehicle crash has just arrived in the ED. You are the nurse who will be placing the IV catheter. You choose which size catheter? Correct Answer 18 g because blood and IVF will need to be administered quickly According to Crimlisk, Johnstone, and Sanchez (2009), the mnemonic CATS PRRR helps nurses remember to routinely check IV medications for: Correct Answer Compatibilities, allergies, tubing correct, site checked, pump safety checked, right rate, release clamps, return and reassess the patient. A patient is scheduled to get a unit of Packed Red Blood Cells (PRBCs) because of anemia of chronic disease. What is the smallest sized IV catheter that can be used in this patient to administer the blood? Correct Answer 22 g