IV Therapy Quiz
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1. Which actions by the Check the name on the armband with the name on the medication.
nurse will most likely Compare the date of birth on the client's medical record to the date of
ensure that the correct birth on the client's armband.
client receives a medica-
tion? Select all that apply. Two sources of identification must be confirmed before administering
medication to a client. A source of information can be the client's record
number, name, or date of birth, as noted on the client's armband.
A client may be confused or hard of hearing and may give a wrong
name or answer to a wrong name, thus having the client state his or
her name or respond to his or her name is not safe practice. Client
recognition is not sufficient identification for administering medication.
Clients change rooms frequently, so a room number is not a source of
identification for administering medication.
2. A client is receiving TPN Secure all connections of the system.
administered through a
central line. What should Complications associated with administration of TPN through a central
the nurse do to pre- line include infection and air embolism. To prevent these complications,
vent complications asso- strict aseptic technique is used for all dressing changes, the insertion
ciated with this infusion? site is covered with an air-occlusive dressing, and all connections of
the system must be secure. Ambulation and activities of daily living are
encouraged and not limited during the administration of TPN.
3. total parenteral nutrition nutrient-complete solution given directly into bloodstream when per-
(TPN) son cannot eat by mouth
4. The nurse finds an un- Send it to the pharmacy.
opened bag of IV 50%
dextrose in a sink on The nurse should send the unopened bag of IV 50% dextrose found
the nursing unit. What in the sink to the pharmacy. A concentrated medication such as 50%
should the nurse do with dextrose could be lethal if inadvertently administered and should not
the IV bag? be stored outside the pharmacy. An incident report is not necessary in
, IV Therapy Quiz
Study online at https://quizlet.com/_8a02zu
this situation. The sharps container is not the appropriate method for
disposal of this medication.
5. Total parenteral nutri- Handle TPN using strict aseptic technique.
tion (TPN) is prescribed
for a client who has TPN is a hypertonic, high-calorie, high-protein IV fluid that should be
recently had a small provided for clients who do not have functional gastrointestinal track
and large bowel resec- motility, in order to better meet metabolic needs of the client, and to
tion and who is current- support optimal nutrition and healing. TPN is prescribed once daily,
ly not taking anything by based on the client's current electrolyte and fluid balance, and must be
mouth. What should the handled with strict aseptic technique (due to the high glucose content,
nurse do to safely admin- it is a perfect medium for bacterial growth). Also, because of the high
ister the TPN? tonicity, TPN must be administered through a central venous access, not
a peripheral IV line. There is no specific need to auscultate for bowel
sounds to determine whether TPN can safely be administered.
6. A nurse is caring for a Intramuscular (IM)
client with a history of
GI bleeding, sickle cell A client with a platelet count of 22,000 mm3 bleeds easily. The nurse
anemia, and a platelet should avoid using the IM route because the area is highly vascular. The
count of 22,000 mm3. client may bleed readily when penetrated by a needle, and it may be
The client, who is de- difficult for the nurse to stop the bleeding. The client's existing IV access
hydrated and receiving would be the best route, especially because IV morphine is effective
dextrose 5% in half-nor- almost immediately. Oral and s.q. routes are preferred over IM, but they
mal saline solution at are less effective for acute pain management than IV.
150 ml/hour, reports hav-
ing severe bone pain and
is scheduled to receive
a dose of morphine sul-
fate. For which adminis-
tration route should the
nurse question an order?
, IV Therapy Quiz
Study online at https://quizlet.com/_8a02zu
7. The neonate has a pre- 13
scribed IV rate of 8 mL/h.
Fluid totals are record- 1000 to 1030 = 4 mL (hourly rate 8), 1030 to 1100 = 3 mL (hourly rate
ed every 2 hours on the 6 mL), 1100 to 1200 = 6 mL (hourly rate 6 mL). 4 + 3 + 6 = 13.
even hours. There is a
new prescription written
at 1030 to decrease the
IV rate to 6 mL/h. What
is the fluid total to be
infused and recorded at
1200? Record your an-
swer using a whole num-
ber.
8. While performing slow the I.V. flow rate and hang the appropriate solution.
rounds, a nurse finds
that a client is receiv- When a client is getting the wrong I.V. solution, the nurse should main-
ing the wrong I.V. solu- tain the access and start the proper solution. The nurse doesn't have to
tion. The nurse's initial remove the catheter. Doing so would subject the client to unnecessary
response should be to needle sticks. Waiting until the next bottle is due is inappropriate and
places the client at risk for problems and the nurse in legal jeopardy.
After starting the correct solution, the nurse should complete an inci-
dent report describing the specific error.
9. When caring for a client Verify patency of the line by the presence of a blood return at regular
with a central venous intervals.
line, which nursing ac- Inspect the insertion site for swelling, erythema, or drainage.
tions should be imple- If unable to aspirate blood, reposition the client and encourage the
mented in the plan of client to cough.
care for chemotherapy Contact the health care provider about verifying placement if the status
administration? Select all is questionable.
that apply.
Study online at https://quizlet.com/_8a02zu
1. Which actions by the Check the name on the armband with the name on the medication.
nurse will most likely Compare the date of birth on the client's medical record to the date of
ensure that the correct birth on the client's armband.
client receives a medica-
tion? Select all that apply. Two sources of identification must be confirmed before administering
medication to a client. A source of information can be the client's record
number, name, or date of birth, as noted on the client's armband.
A client may be confused or hard of hearing and may give a wrong
name or answer to a wrong name, thus having the client state his or
her name or respond to his or her name is not safe practice. Client
recognition is not sufficient identification for administering medication.
Clients change rooms frequently, so a room number is not a source of
identification for administering medication.
2. A client is receiving TPN Secure all connections of the system.
administered through a
central line. What should Complications associated with administration of TPN through a central
the nurse do to pre- line include infection and air embolism. To prevent these complications,
vent complications asso- strict aseptic technique is used for all dressing changes, the insertion
ciated with this infusion? site is covered with an air-occlusive dressing, and all connections of
the system must be secure. Ambulation and activities of daily living are
encouraged and not limited during the administration of TPN.
3. total parenteral nutrition nutrient-complete solution given directly into bloodstream when per-
(TPN) son cannot eat by mouth
4. The nurse finds an un- Send it to the pharmacy.
opened bag of IV 50%
dextrose in a sink on The nurse should send the unopened bag of IV 50% dextrose found
the nursing unit. What in the sink to the pharmacy. A concentrated medication such as 50%
should the nurse do with dextrose could be lethal if inadvertently administered and should not
the IV bag? be stored outside the pharmacy. An incident report is not necessary in
, IV Therapy Quiz
Study online at https://quizlet.com/_8a02zu
this situation. The sharps container is not the appropriate method for
disposal of this medication.
5. Total parenteral nutri- Handle TPN using strict aseptic technique.
tion (TPN) is prescribed
for a client who has TPN is a hypertonic, high-calorie, high-protein IV fluid that should be
recently had a small provided for clients who do not have functional gastrointestinal track
and large bowel resec- motility, in order to better meet metabolic needs of the client, and to
tion and who is current- support optimal nutrition and healing. TPN is prescribed once daily,
ly not taking anything by based on the client's current electrolyte and fluid balance, and must be
mouth. What should the handled with strict aseptic technique (due to the high glucose content,
nurse do to safely admin- it is a perfect medium for bacterial growth). Also, because of the high
ister the TPN? tonicity, TPN must be administered through a central venous access, not
a peripheral IV line. There is no specific need to auscultate for bowel
sounds to determine whether TPN can safely be administered.
6. A nurse is caring for a Intramuscular (IM)
client with a history of
GI bleeding, sickle cell A client with a platelet count of 22,000 mm3 bleeds easily. The nurse
anemia, and a platelet should avoid using the IM route because the area is highly vascular. The
count of 22,000 mm3. client may bleed readily when penetrated by a needle, and it may be
The client, who is de- difficult for the nurse to stop the bleeding. The client's existing IV access
hydrated and receiving would be the best route, especially because IV morphine is effective
dextrose 5% in half-nor- almost immediately. Oral and s.q. routes are preferred over IM, but they
mal saline solution at are less effective for acute pain management than IV.
150 ml/hour, reports hav-
ing severe bone pain and
is scheduled to receive
a dose of morphine sul-
fate. For which adminis-
tration route should the
nurse question an order?
, IV Therapy Quiz
Study online at https://quizlet.com/_8a02zu
7. The neonate has a pre- 13
scribed IV rate of 8 mL/h.
Fluid totals are record- 1000 to 1030 = 4 mL (hourly rate 8), 1030 to 1100 = 3 mL (hourly rate
ed every 2 hours on the 6 mL), 1100 to 1200 = 6 mL (hourly rate 6 mL). 4 + 3 + 6 = 13.
even hours. There is a
new prescription written
at 1030 to decrease the
IV rate to 6 mL/h. What
is the fluid total to be
infused and recorded at
1200? Record your an-
swer using a whole num-
ber.
8. While performing slow the I.V. flow rate and hang the appropriate solution.
rounds, a nurse finds
that a client is receiv- When a client is getting the wrong I.V. solution, the nurse should main-
ing the wrong I.V. solu- tain the access and start the proper solution. The nurse doesn't have to
tion. The nurse's initial remove the catheter. Doing so would subject the client to unnecessary
response should be to needle sticks. Waiting until the next bottle is due is inappropriate and
places the client at risk for problems and the nurse in legal jeopardy.
After starting the correct solution, the nurse should complete an inci-
dent report describing the specific error.
9. When caring for a client Verify patency of the line by the presence of a blood return at regular
with a central venous intervals.
line, which nursing ac- Inspect the insertion site for swelling, erythema, or drainage.
tions should be imple- If unable to aspirate blood, reposition the client and encourage the
mented in the plan of client to cough.
care for chemotherapy Contact the health care provider about verifying placement if the status
administration? Select all is questionable.
that apply.
