RATED ANSWERS 2025/2026 LATEST UPDATE/GET A+
The registered nurse is reinforcing to a nursing student the teachings regarding the
maintenance of intravenous (IV) flow rate when a polyvinyl chloride container is used for
infusion. Which statements by the nurse indicate effective understanding? Select all that
apply.
A. "I will monitor the drip rate every 3 hours."
B. "I will mark the date and time on the container."
C. "I will insert the volume-control device spike to the IV container."
D. "I will observe the patient for signs of overhydration and dehydration."
E. "I will instruct the patient to avoid raising the arm with the IV line." - C. D. E
The nurse is assigned to administer intravenous (IV) infusion. Which action if performed
by the nurse shows a need for further learning regarding IV infusion?
A. Compressing the drip chamber and releasing the fluid
B.Connecting the extension tubing with the injection port
C.Inserting the spike into the port of the IV bag with a twisting motion
D.Placing the roller clamp of the IV tubing 2 to 5 cm above the drip chamber - D.
What are the typical signs of phlebitis in a patient with an intravenous line? Select all
that apply.
A.Heat
B. Swelling
C. Paleness
D. Erythema
E. Tenderness - A,D, E
A patient on intravenous (IV) therapy reports mild pain and numbness at the puncture
site. The nurse finds edema 16 cm in size. Which grade according to the infiltration
scale is given to the patient?
A. Grade 1
B. Grade 2
C. Grade 3
D. Grade 4 - C.
While caring for a patient who is on intravenous (IV) therapy, the nurse finds that the
skin around the catheter site is taut, blanched, cool to the touch, and edematous. Which
complication is evident?
, A. Phlebitis
B. Bleeding
C. Infiltration
D. Local infection - C.
A patient has acute intravascular hemolysis as an adverse effect of transfusion reaction.
Which nursing intervention will be beneficial?
A.Administration of diuretics
B. Administration of antibiotics
C. Administration of antihistamines
D. Administration of glucocorticoids - A.
To maintain the urinary flow rate, the nurse must administer diuretics to a patient with
acute intravascular hemolysis as an adverse effect of transfusion reaction. Antibiotics
are required if the patient develops sepsis. Administration of antihistamines is beneficial
if the patient has an allergic reaction. Administration of glucocorticoids would be
beneficial if the patient has sepsis.
Which complication of intravenous (IV) therapy indicates the need for pressure at the
site?
A. Bleeding
B. Phlebitis
C. Infection
D. Fluid overload - A.
Which nursing action is beneficial to deliver a small amount of fluid to a pediatric patient
who is on intravenous (IV) therapy?
A. Monitoring the drip rate every 2 hours
B. Placing the patient in Fowler's position
C. Inserting the volume-control device spike into the container
D. Placing the intravenous container 36 inches above the IV site - C.
When delivering a small amount of fluid to a pediatric patient who is on IV therapy,
inserting the volume-control device spike into the container promotes the slow infusion
of the fluid. The drip rate should be monitored every hour to maintain the flow rate. The
patient is placed in Fowler's position if symptoms of overhydration occur. The IV
container is placed 36 inches above the IV site in adults to regulate the flow rate.
Which complication of intravenous (IV) therapy occurs due to a dislodged catheter?
A. Phlebitis
B. Infection
C. Infiltration
D.Circulatory overload - C.
The nurse is reinforcing to a nursing student the teachings regarding the management
of transfusion reactions. Which statements by the nurse indicate effective understanding
regarding a febrile nonhemolytic reaction in a thrombocytopenic patient? Select all that
apply.