NURA 1500 - IV THERAPY (study guide questions) Exam Questions With 100% Correct Answers.

1. The nurse is preparing to start an infusion of 10% dextrose. Why would the nurse infuse the solution through a central line? a. Osmolarity of the solution could cause phlebitis or thrombosis. b. The patient could be at risk for fluid overload. c. Viscosity of the solution would slow the infusion. d. The solution should not be mixed with other drugs or solutions. - a. Osmolarity of the solution could cause phlebitis or thrombosis. 2. A patient is in the hospital for his first chemotherapy treatment for lung cancer. Which IV access methods are appropriate for this patient? (Select all that apply.) a. Peripheral IV access b. Peripherally inserted central catheter (PICC) c. Dialysis catheter d. Tunneled central venous catheter e. Implanted port f. Intraarterial catheter - b. Peripherally inserted central catheter (PICC) d. Tunneled central venous catheter e. Implanted port 3. A patient has a peripherally inserted central catheter (PICC) placed and is ordered to receive IV cisplatin (Platinol). The drug has infiltrated into the tissue and redness is observed in the right lower side of the neck. What is the *nurse's first action*? a. Apply cold compresses to the site of swelling. b. Stop the infusion and disconnect the IV line from the administration set.c. Aspirate the drug from the IV access device. d. Monitor the patient and document. - b. Stop the infusion and disconnect the IV line from the administration set. 4. The nurse is preparing to give a patient IV drug therapy. What information does the nurse need before administering the drug? (Select all that apply.) a. Indications, contraindications, and precautions for IV therapy b. Appropriate dilution, pH, and osmolarity of solution c. Rate of infusion and dosage of drugs d. Compatibility with other IV medications e. Percentage of adverse events for the drug f. Specifics of monitoring because of immediate effect - a. Indications, contraindications, and precautions for IV therapy b. Appropriate dilution, pH, and osmolarity of solution c. Rate of infusion and dosage of drugs d. Compatibility with other IV medications f. Specifics of monitoring because of immediate effect 5. The charge nurse is reviewing IV therapy orders. What information must be included in each order? (Select all that apply.) a. Specific type of solution b. Rate of administration c. Specific drug dose to be added to the solution d. Method for diluting drugs for the solution e. Specific type of administration equipment f. Frequency of drug administration - a. Specific type of solution b. Rate of administration c. Specific drug dose to be added to the solutionf. Frequency of drug administration 6. The nurse must insert a short peripheral IV catheter. In order to decrease the risk of deep vein thrombosis or phlebitis, which vein does the nurse choose for the infusion site? a. Wrist b. Foot c. Forearm d. Antecubital - c. Forearm 7. A patient requires IV therapy via a peripheral line. What considerations does the nurse use when inserting the peripheral IV (Select all that apply.) a. Use either an upper or lower extremity for the insertion site. b. Start with more distal sites, such as the hand veins. c. Start with more proximal sites, such as the forearm. d. Choose the patient's nondominant arm. e. Do not use the arm if the patient had a mastectomy on that side. f. If the vein is hard and cordlike, use an indirect approach. g. Avoid placing an IV over the palm side of the wrist. - b. Start with more distal sites, such as the hand veins. c. Start with more proximal sites, such as the forearm. d. Choose the patient's nondominant arm. e. Do not use the arm if the patient had a mastectomy on that side. g. Avoid placing an IV over the palm side of the wrist. 9. Which items does the nurse include in the documentation after completing the insertion of a PICC (Select all that apply.) a. Type of dressing appliedb. Response of the family to IV access c. Type of IV access device used d. How long it took to place the IV access e. Location and vein that was used for insertion f. Length of catheter, the insertion site, and tip location. - a. Type of dressing applied c. Type of IV access device used e. Location and vein that was used for insertion f. Length of catheter, the insertion site, and tip location