IV therapy NCLEX questions with 100% Correct Answers 2024

IV therapy NCLEX questions with 100% Correct Answers 2024 2. Slow the IV infusion -Answer-A client had a 1000 mL bag of 5% dextrose in 0.9% sodium chloride hung at 3pm. The nurse making rounds at 3:45 pm finds that the client is complaining of a pounding headache and is dyspneic, is experiencing chills, and is apprehensive, with an increased pulse rate. The IV bag has 400 mL remaining. The nurse should take which action first? 1. Call the physician 2. Slow the IV infusion 3. Sit the client up in bed 4. Remove the IV catheter 1.Rotate the bag gently -Answer-The nurse has a prescription to hang an IV bag of 1000 mL 5% dextrose in water with 20 mEq potassium chloride. The nurse should plan to do which of the following immediately after injecting the potassium chloride in to the port of the IV bag? 1. Rotate the bag gently. 2. Attach the tubing to the client 3. Prime the tubing with the IV solution Check the solution for yellowish discoloration 4. Circulatory overload -Answer-A client with the recent diagnosis of MI and impaired renal function is recuperating on the step-down cardiac unit. The client's blood pressure has been borderline low and IV fluids have been infusing at 100 mL /hr via a central line catheter in the right internal jugular for approx 24 hours to increase renal output and maintain the blood pressure. Upon entering the client's room, the nurse notes that the client is breathing rapidly and is coughing. The nurse determines that the client is most likely experiencing which complication of IV therapy. 1. Hematoma 2. Air embolism 3. Systemic infection 4. Circulatory overload 3. Infiltration -Answer-The nurse is making initial rounds on the nursing unit to assess the condition of assigned clients. The nurse notes that a client's IV site is cool, pale, and swollen, and the solution is not infusing. The nurse concludes that which of the following complications has occurred. 1. Infection 2. Phlebitis 3. Infiltration 4. Thrombosis 4. Blood return shows in the backflash chamber of the catheter. -Answer-The nurse is inserting an IV line into a client's vein. After the initial stick, the nurse continues to advance the catheter if: 1. The catheter advances easily 2. The vein is distended under the needle 3. The client does not complain of discomfort 4. Blood return shows in the backflash chamber of the catheter. 1. Phlebitis of the vein -Answer-The nurse nostes that the site of a client's peripheral IV catheter is reddened, warm, painful, and slightly edematous proximal to the insertion point of the IV catheter. After taking appropriate steps to care for the client, the nurse documents in the medical record that the client experience