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1. Which step to protect the patient from infection is of c. Use an antiseptic swab
special concern when preparing a mini-infusion pump to wipe the proximal injec-
to deliver an analgesic? tion port on the primary
tubing.
a. Ensure that the syringe is secure within the mini-in-
fusion pump.
b. Identify any history of allergic reaction to the pre-
scribed analgesic.
c. Use an antiseptic swab to wipe the proximal injection
port on the primary tubing.
d. Carefully depress the syringe plunger to fill the tub-
ing with medication.
2. What is the most important action the nurse can take a. Injecting the medication
to protect the patient when administering a narcotic at the prescribed rate
analgesic by IV bolus?
a. Injecting the medication at the prescribed rate
b. Observing the insertion site after giving the medica-
tion
c. Instructing the patient about side effects to report to
the nurse
d. Using an alcohol swab to wipe the insertion port on
the primary tubing
3. If the nurse does not see blood return when aspirating d. Assess the site for
the saline lock in preparation for an IV bolus medica- swelling or coolness while
tion, what is the next step? flushing the saline lock
with normal saline.
a. Attempt to aspirate the site again.
b. Prepare to access another IV site.
c. Assess the saline lock site for signs of phlebitis.
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, NUR 3028 Final exam IV sample questions
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d. Assess the site for swelling or coolness while flush-
ing the saline lock with normal saline.
4. What can the nurse do to help protect the patient from d. Check the IV site for
infiltration of IV medication? placement before and af-
ter the infusion.
a. Use the most proximal insertion port on the existing
primary tubing.
b. Ensure that the syringe has been securely loaded
into the mini-infusion pump.
c. Set the pump to deliver the medication over the
prescribed time period.
d. Check the IV site for placement before and after the
infusion.
5. What is the most important nursing intervention to b. Staying with the patient
ensure the patient's safety when initiating infusion of during the first few min-
an analgesic by mini-infusion pump? utes of the infusion
a. Checking the flow rate of the primary infusion
b. Staying with the patient during the first few minutes
of the infusion
c. Explaining the purpose of the medication to the
patient
d. Documenting the patient's expected response to the
analgesic
6. What is the best way to prevent infection and conserve b. Leave both the piggy-
resources when terminating an IV piggyback medica- back tubing and the bag
tion infusion in a patient who also has a primary fluid attached to the primary
infusion? line Y-site port until the
next scheduled dose.
a. Remove the tubing from the primary line Y-site port,
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