PN 4006 FINAL EXAM
The nurse is trying to get an intravenous (IV) line to last several days.
What responsibility does the nurse have related to the assessment and
maintenance of a peripheral IV site?
Select one:
a. Elevating the patient's arm to maintain the ordered flow
b. Padding the IV site for skin protection
c. Inspecting the insertion site on a regular schedule
d. Changing the site every day at the same time - ANSWERS-c.
Inspecting the insertion site on a regular schedule
The nurse is preparing to change the intravenous (IV) solution after
the current one infuses. What action is appropriate for the nurse to
take to provide for a smooth transition from the empty bag to the new
one?
Select one:
a. Hang another bag of the identical IV solution.
b. Change the tubing when preparing a new IV bag.
c. Allow IV fluid to empty into the upper part of the tubing.
d. Obtain the next solution bag approximately 1 hour ahead. -
ANSWERS-d. Obtain the next solution bag approximately 1 hour
ahead.
,The health care provider's order reads, "Administer 5% dextrose
solution with normal saline (D5NS) intravenously now." Which
should the nurse implement next?
Select one:
a. Infuse a bolus of D5NS to the patient now.
b. Regulate an intravenous (IV) infusion pump at 125 mL/hour.
c. Call the health care provider to clarify the order.
d. Perform venipuncture with a butterfly needle. - ANSWERS-c. Call
the health care provider to clarify the order.
The nurse observes that the patient's left cephalic intravenous (IV) site
is cool, swollen, and mildly tender, although the IV line is infusing at
the prescribed rate. Which action should the nurse take first?
Select one:
a. Instruct the patient to elevate his or her arm on two pillows.
b. Discontinue the IV infusion and start one in the right arm.
c. Apply a warm, moist compress to the IV site.
d. Reassess the IV site in 2 hours for any change. - ANSWERS-b.
Discontinue the IV infusion and start one in the right arm.
The nurse is caring for a patient with a peripheral intravenous (IV)
line. What should the nurse do during the IV site dressing change to
prevent accidental dislodgement of the IV catheter?
,Select one:
a. Stabilize the IV catheter until the tape is in place.
b. Place folded gauze under the IV catheter hub.
c. Wear clean gloves to remove the old dressing.
d. Clean in a circular motion away from the site. - ANSWERS-a.
Stabilize the IV catheter until the tape is in place.
The nurse infuses a unit of blood, but after 4 hours the blood infusion
is not complete. Which action should the nurse implement?
Select one:
a. Check the intravenous (IV) access for patency.
b. Increase the infusion rate of the blood.
c. Discontinue the blood infusion.
d. Assess the patient for an ABO mismatch. - ANSWERS-c.
Discontinue the blood infusion.
The nurse is caring for a patient with a peripheral intravenous access
that is used intermittently for medications but is not a continuous
infusion. Which technique should the nurse use for routine care of this
peripheral line?
Select one:
a. Flush with a low concentration of heparin.
, b. Elevate an infiltrated extremity.
c. Change the intravenous (IV) insertion site every day.
d. Flush with 0.9% saline solution. - ANSWERS-d. Flush with 0.9%
saline solution.
The nurse prepares to administer blood to the patient. Which is the
nurse's priority action?
Select one:
a .Determining patient history of autologous blood donations
b. Assessing patient baseline vital signs before the transfusion
c. Confirming the rate of the blood infusion with the health care
provider
d. Identifying patient blood type, cross-match, and blood product -
ANSWERS-d. Identifying patient blood type, cross-match, and blood
product
The nurse is trying to access the best insertion site on a patient. Which
principle would the nurse use to achieve this goal?
Select one:
a. Avoid using soft, bouncy veins.
b. Choose the patient's best proximal vein.
c. Choose a site large enough for adequate blood flow.
d. Use the smallest-gauge intravenous (IV) catheter. - ANSWERS-c.
Choose a site large enough for adequate blood flow.
The nurse is trying to get an intravenous (IV) line to last several days.
What responsibility does the nurse have related to the assessment and
maintenance of a peripheral IV site?
Select one:
a. Elevating the patient's arm to maintain the ordered flow
b. Padding the IV site for skin protection
c. Inspecting the insertion site on a regular schedule
d. Changing the site every day at the same time - ANSWERS-c.
Inspecting the insertion site on a regular schedule
The nurse is preparing to change the intravenous (IV) solution after
the current one infuses. What action is appropriate for the nurse to
take to provide for a smooth transition from the empty bag to the new
one?
Select one:
a. Hang another bag of the identical IV solution.
b. Change the tubing when preparing a new IV bag.
c. Allow IV fluid to empty into the upper part of the tubing.
d. Obtain the next solution bag approximately 1 hour ahead. -
ANSWERS-d. Obtain the next solution bag approximately 1 hour
ahead.
,The health care provider's order reads, "Administer 5% dextrose
solution with normal saline (D5NS) intravenously now." Which
should the nurse implement next?
Select one:
a. Infuse a bolus of D5NS to the patient now.
b. Regulate an intravenous (IV) infusion pump at 125 mL/hour.
c. Call the health care provider to clarify the order.
d. Perform venipuncture with a butterfly needle. - ANSWERS-c. Call
the health care provider to clarify the order.
The nurse observes that the patient's left cephalic intravenous (IV) site
is cool, swollen, and mildly tender, although the IV line is infusing at
the prescribed rate. Which action should the nurse take first?
Select one:
a. Instruct the patient to elevate his or her arm on two pillows.
b. Discontinue the IV infusion and start one in the right arm.
c. Apply a warm, moist compress to the IV site.
d. Reassess the IV site in 2 hours for any change. - ANSWERS-b.
Discontinue the IV infusion and start one in the right arm.
The nurse is caring for a patient with a peripheral intravenous (IV)
line. What should the nurse do during the IV site dressing change to
prevent accidental dislodgement of the IV catheter?
,Select one:
a. Stabilize the IV catheter until the tape is in place.
b. Place folded gauze under the IV catheter hub.
c. Wear clean gloves to remove the old dressing.
d. Clean in a circular motion away from the site. - ANSWERS-a.
Stabilize the IV catheter until the tape is in place.
The nurse infuses a unit of blood, but after 4 hours the blood infusion
is not complete. Which action should the nurse implement?
Select one:
a. Check the intravenous (IV) access for patency.
b. Increase the infusion rate of the blood.
c. Discontinue the blood infusion.
d. Assess the patient for an ABO mismatch. - ANSWERS-c.
Discontinue the blood infusion.
The nurse is caring for a patient with a peripheral intravenous access
that is used intermittently for medications but is not a continuous
infusion. Which technique should the nurse use for routine care of this
peripheral line?
Select one:
a. Flush with a low concentration of heparin.
, b. Elevate an infiltrated extremity.
c. Change the intravenous (IV) insertion site every day.
d. Flush with 0.9% saline solution. - ANSWERS-d. Flush with 0.9%
saline solution.
The nurse prepares to administer blood to the patient. Which is the
nurse's priority action?
Select one:
a .Determining patient history of autologous blood donations
b. Assessing patient baseline vital signs before the transfusion
c. Confirming the rate of the blood infusion with the health care
provider
d. Identifying patient blood type, cross-match, and blood product -
ANSWERS-d. Identifying patient blood type, cross-match, and blood
product
The nurse is trying to access the best insertion site on a patient. Which
principle would the nurse use to achieve this goal?
Select one:
a. Avoid using soft, bouncy veins.
b. Choose the patient's best proximal vein.
c. Choose a site large enough for adequate blood flow.
d. Use the smallest-gauge intravenous (IV) catheter. - ANSWERS-c.
Choose a site large enough for adequate blood flow.
