NUR 227 EXAM 2 UNIT IV-THERAPY|| ACCURATE
AND FREQUENTLY ASKED QUESTIONS AND 100%
CORRECT ANSWERS|| LATEST AND COMPLETE
UPDATE WITH VERIFIED SOLUTIONS GRADED A+||
SURE PASS!!
a patient is receiving IV therapy through a non-tunneled subclavian CVC. the
patient is reporting pain in the chest and shoulder. upon taking V.S, the nurse
notes: T-101.2; P-116 and thready; R-24 and dyspneic; BP has dropped to 86/48.
what complication would the nurse suspect?
systemic infection
a client has just undergone insertion of a central venous catheter at the bedside. the
nurse would be sure to check which results before initiating the flow rate of the
client's IV solution at 100 mL/hour?
chest x ray verification
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, experiencing chills, and apprehensive, with an
increased pulse rate. The intravenous (IV) bag has 400 mL remaining. The nurse
should take which action first?
slow the IV infusion
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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
infiltration
the nurse is inserting an IV line into a client's vein. after the initial stick, the nurse
continues to advance the catheter if:
blood return shows in the backflash chamber of the catheter
a physician has written a prescription to discontinue an IV line. the nurse obtains
which of the following supplies from the unit supply area for applying pressure to
the site after removing the IV catheter?
sterile 2x2 gauze
what are the indications for IV therapy?
-to supply fluid when clients are unable to take in an adequate volume of fluids by
mouth
-to provide salts and other electrolytes needed to maintain electrolyte imbalance
-to provide glucose (dextrose), the main fuel for metabolism
-to provide water-soluble vitamins and meds
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-to establish a lifeline for rapidly needed medications
what are the types of IV access?
-peripheral IV (PIV)
-central venous access/catheter (CVC/CVAD)
-peripherally inserted central catheter (PICC)
-midline (CVC)
peripheral IV
-over the needle catheter
-common sizes for adults are 20 and 22
-choose the most distal site
-avoid areas of flexion
14g
orange; massive trauma situations
16g
gray; trauma, surgeries, or multiple large-volume infusions