IV Therapy Chapter 7 Med Surg I Exam with 100% Correct Answers

IV Therapy Chapter 7 Med Surg I Exam with 100% Correct Answers 2 -Answer-which is the best resource for the nurse who has a question about the process and implementation of IV therapy for a specific patient? 1. an experience nurse 2. institution policy 3. the physician 4. INS Standards of practice 1, 2, 3, 4, 6 -Answer-Which patient have a need for IV therapy? Select all that apply. 1. an 88-year old man admitted to hospital with dehydration 2. a 21-year old woman with an eating disorder and severe weight loss 3. a 58-year old woman with pneumonia who has been unresponsive to oral antibiotics 4. a 37-year old man recovering from a fall and broken arm 5. a 4-year old bought to the emergency room because of prolonged vomiting 6. a patient with fluid overload who requires fast acting diuretic therapy 1 -Answer-a patient requires that an IV not be imitated in his hand, which site is the next best choice 1. forearm 2. antecubital fossa 3. upper arm 4. lower extremity 2, 5, 6, 1, 3, 8, 9, 4, 7 -Answer-place the steps for insertion of a peripheral IV cannula in chronological order. Use all the options 1. put on gloves 2. check HCP's order 3. prepare insertion site 4. label the dressing 5. perform hand hygiene 6. dilate the vein 7. document the procedure 8. insert the cannula 9. stabilize the site with tape 3 -Answer-the nurse must initiate an infusion of a 21-year-old man who has a history of sclerosed veins due to IV drug abuse or misuse, and multiple tattoos over both arms. what would be the best approach to able to visualize an initiate a peripheral IV? 1. place the arm in dependent position 2. use a blood pressure cuff 3. use a multiple tourniquet technique 4. have another nurse hold the patients arm 2 -Answer-a patient receiving IV therapy via a central line develops hypotension, cyanosis and dyspnea. the nurse notes a crack in IV tubing. Which of the following actions should the nurse take first? 1. have the RN call the HCP 2. clamp the tubing and administer oxygen 3. raise the head of the bed 4. slow the infusion and lay the patient flat 4 -Answer-which of the following solutions can be administered with a blood component? 1. lactated ringer's solution 2. D5/0.2% NS 3. D5/0.45% NS 4. 0.9% NS 3 -Answer-While assessing a patient, the nurse notes a silicone catheter taped to his chest and can feel the catheter under the skin. this type of catheter would be a: 1. peripherally inserted central catheter 2. implanted port 3. tunneled catheter 4. non tunneled catheter 33 gtt per minute -Answer-the HCP orders 5% dextrose in water at 100 mL per hour. What is the drip rate using tubing with a drop factor of 20? Round to the nearest whole number. in gtt per minute 83 mL per hour -Answer-a patient is to receive 1000mL normal saline over 12 hours. how many milliliter per hour should be set on the EID? round to nearest whole number 2 -Answer-which vein should be use first when initiating IV therapy? 1. juglar 2. basilic 3. brachiocephalic 4. axillary 3 -Answer-when preparing a site for venipuncture which chlorhexidine gluconate, how long must the are be cleaned?