IV THERAPY: EXAM 1 Questions and Answers 2024

IV THERAPY: EXAM 1 Questions and Answers 2024 A nurse finds a patient's IV insertion site red, warm, and slightly edematous. Which of the following actions should the nurse perform first? a. Check for a blood return b. Elevate the extremity c. Discontinue the IV line d. Apply warm, moist heat -Answer-c a nurse has just initiated a new peripheral IV infusion with 5% dextrose in water for continuous infusion. how often should the nurse plan to replace the primary infusion tubing? a. every 24 hours b. every 48 hours c. every 72 hours d. every 96 hours -Answer-d A nurse has just inserted a peripheral IV catheter for a continuous infusion. To secure the catheter, the nurse should: a. leave the connection between the hub & the tubing uncovered b. wrap tape around the circumference of the patient's arm c. tape the IV catheter's hub securely to the patient's skin d. place a piece of paper tape over the insertion site -Answer-a which of the following is an important nursing action when converting an IV infusion to a saline lock? a. open the roller clamp of the primary infusion to prime the saline lock b. apply pressure with a syringe to clear resistance in the IV catheter c. attach secondary tubing to allow mobility d. flush the IV catheter to confirm patency -Answer-d A nurse who has just initiated an IV infusion explains to the patient that complications are possible and that she will monitor the infusion regularly. The nurse should teach the patient that which of the following findings is an indication of early infiltration? a. moisture b. bruising c. tingling d. coolness -Answer-d a nurse is initiating a peripheral IV infusion punctures the skin & selected vein and observes blood return in the flashback chamber of the IV catheter. which of the following actions should the nurse perform next? a. secure the catheter to the skin with a transparent dressing b. lower the catheter until it is almost flush with the skin c. advance the catheter about 1/4 inch into the vein d. remove the stylet slowly from the lumen of the catheter -Answer-b a nurse is removing an IV catheter from a patient whose IV infusion has been discontinued. which of the following actions is appropriate? a. apply firm pressure over the vein b. leave the roller clamp slightly open c. pull the catheter straight back from the insertion site d. lift the hub slightly upward away from the skin -Answer-c a patient in early stage renal failure is prescribed an infusion of 0.45% sodium chloride. this type of solution is appropriate because it a. pulls fluid from the cells and increases vascular volume b. dilutes extracellular fluid and rehydrates the cells c. replaces extracellular volume and maintains intravascular volume d. draws fluid into blood vessels and reduces interstitial compartments -Answer-b a nurse is discontinuing an IV infusion. for which of the following reasons is it important to verify and document the integrity & condition of the IV catheter? a. a broken-off catheter tip indicates the risk for an embolus b. catheter erosion indicates that it was left in place too long c. blood within the catheter could indicate clot formation d. discoloration of the catheter could be a sign of phlebitis -Answer-a Which of the following sites should be avoided for IV insertion? (Select all that apply.) a) Dorsal surface of the hand of a middle-aged adult b) Inner arm c) Foot of an adult d) Site distal to a previous venipuncture site e) Inner wrist f) Areas of venous bifurcation g) Foot of a child h) The left arm of a patient who has a history of a left mastectomy i) Site proximal to a previous venipuncture site j) The antecubital fossa k) Sclerosed or hardened cordlike veins l) Side of paralysis m) Extremity with a dialysis shunt -Answer-c,d,h,j,k,l,m The nurse is aware there are certain precautions to take when administering potassium chloride (KCl) intravenously. Which of the following would place the patient at risk for injury? a) Before administering an IV solution containing potassium, the nurse verifies the patient has adequate urine output. b) After determining the IV site is patent and without signs of complication, the nurse administers the potassium chloride by IV push. c) The nurse obtains a physician's order for the required additives of the IV solution. d) The nurse notifies the physician if the patient's serum potassium level is above normal limits. -Answer-b what catheter size for an infant requiring IV fluids -Answer-24 or 26 gauge what catheter size for an adult patient schedule for major surgery -Answer-16 or 18 gauge