N308 Med Admin 4 (Exam 1) With
Complete Solutions
A nurse is caring for a patient with a peripherally inserted central catheter (PICC
line). Which of the following is true about this type of IV route? - ANSWER A PICC
line is a long catheter inserted through the veins of the antecubital fossa.
A nurse is about to administer an intravenous medication directly into the vein.
The nurse should understand that a disadvantage of parenterally administering
medications is that they: - ANSWER are irreversible
A nurse is assessing a patient receiving IV normal saline at 125 ml/hr. Which of
the following should the nurse recognize as a possible complication related to
the IV therapy? - ANSWER Patient reports cough and shortness of breath.
A patient was admitted to the hospital for the same day surgery and has orders
for continuous IV therapy. Before performing a venipuncture, the nurse should -
ANSWER Inspect the IV solution for color, clarity, and expiration date.
A nurse is caring for a patient who is receiving D5W with 20 mEq of KLC at 75
ml/hr. The provider has prescribed 1 g ceftriaxone (Rocephin) IV. When
preparing to administer this medication by IV piggybackm which of the following
data is the highest priority for the nurse to collect? - ANSWER The medications
compatibility with the primary IV solution
A nurse is caring for a patient receiving 0.9%sodium chloride (normal saline) at
75 ml/hr through a triple lumen central venous catheter. The pump is alarming
that there is an occlusion. Which of the following is the first thing the nurse
should do? - ANSWER Check the line at or above the hub for kinked tubing that
is creating a resistance to flow
nurse administers the first dose of a patient's prescribed antibiotic via IV
piggyback. During the first 10 to 15 min of administration of the medication, the
nurse gives priority to which of the following assessments? - ANSWER Patient
for systemic allergic reaction.
any substance, such as a flavoring agent, preservative, or vitamin, added to
another substance (such as a food or drug) that is to be ingested - ANSWER
addictive
a small, sealed, single-use glass or plastic container containing sterile
parenteral medications or solutions - ANSWER ampule
,to withdraw or remove, via a syringe or other apparatus; as a noun, the
substance or material obtained by aspiration, as in gastric aspirate; also refers
to inadvertently inhaling fluid or other substances into the lungs - ANSWER
aspirate
a concentrated dose of medication injected directly into the systemic circulation
via an intravenous (IV) line; also called an IV push - ANSWER bolus
a tube inserted into a vessel, duct, or cavity - ANSWER cannula
a plasma expander; a protein-containing fluid infused intravenously to help
restore circulating blood volume - ANSWER colloid
harmonious coexistence; used to refer to two or more medications or solutions
that can be given simultaneously or mixed without changing the effects of each
other or causing any new responses not seen with any of the drugs or solutions
administered alone - ANSWER compatability
salt that dissolves readily into true solutions, such as in intravenous solutions -
ANSWER cystalloid
a diluting agent, such as a sterile fluid used to prepare a powdered form of
medication for injection - ANSWER diluent
a chemical substance that develops an electrical charge and can conduct an
electrical current when placed in water, such as sodium and potassium -
ANSWER electrolyte
device that delivers intravenous fluids via positive pressure at a specific preset
rate - ANSWER electronic infusion pump
a length of intravenous tubing added to an intravenous line to allow the patient
greater mobility while still keeping the line stable - ANSWER extension tubing
seepage or introduction of fluid, such as intravenous fluid, into the tissues
surrounding a blood vessel; similar to infiltration - ANSWER extravasation
a special type of needle required when drawing up certain types of medications
to keep small particles of medication or rubber or glass (from a vial or ampule)
from entering the syringe and being injected along with the intended solution -
ANSWER filter needle
referring to a solution that has a higher osmolarity than body fluids have -
ANSWER hypertonic
, introduction into the subcutaneous tissues of fluids, such as normal saline
solution, to help correct dehydration from inadequate intake or loss of fluid and
sodium - ANSWER hypodermoclysis
referring to a solution that has a lower osmolarity than body fluids have -
ANSWER hypotonic
lack of harmonious coexistence; used to refer to two or more medications or
solutions that cannot be given simultaneously or mixed without changing the
effects of each other or causing any new responses not seen with any of the
drugs or solutions administered alone - ANSWER incompatibility
a hardening or a lump, such as what forms in the skin with a positive reaction to
a tuberculin skin test - ANSWER induration
seepage or introduction of fluid, such as intravenous fluid, into the tissues
surrounding a blood vessel; similar to extravasation - ANSWER infiltration
slow, intentional introduction of fluid into a vein - ANSWER infusion
a small, covered, branched portion of intravenous tubing configured as a place
to inject medication or fluid into the infusing fluid - ANSWER injection port
referring to a solution that has the same osmolarity as body fluids - ANSWER
isotonic
a concentrated dose of medication injected directly into the systemic circulation
via an intravenous (IV) line; also called an IV bolus - ANSWER IV push
patented, threaded tip of a syringe that can be twisted onto certain ports and
needles to create a firm "lock" - ANSWER Luer-Lok
delivering 15 drops per milliliter of fluid - ANSWER macrodrip
delivering 60 drops per milliliter of fluid - ANSWER microdrip
a battery-powered device that delivers medications in very small amounts of
fluid from standard syringes within a controlled time frame - ANSWER mini-
infusion pump
the concentration of solutes in body fluids, expressed in osmoles of solute per
liter of solution (similar to osmolality, except that osmolality is expressed in
osmoles of solute per kilogram of solvent) - ANSWER osmolarity
Complete Solutions
A nurse is caring for a patient with a peripherally inserted central catheter (PICC
line). Which of the following is true about this type of IV route? - ANSWER A PICC
line is a long catheter inserted through the veins of the antecubital fossa.
A nurse is about to administer an intravenous medication directly into the vein.
The nurse should understand that a disadvantage of parenterally administering
medications is that they: - ANSWER are irreversible
A nurse is assessing a patient receiving IV normal saline at 125 ml/hr. Which of
the following should the nurse recognize as a possible complication related to
the IV therapy? - ANSWER Patient reports cough and shortness of breath.
A patient was admitted to the hospital for the same day surgery and has orders
for continuous IV therapy. Before performing a venipuncture, the nurse should -
ANSWER Inspect the IV solution for color, clarity, and expiration date.
A nurse is caring for a patient who is receiving D5W with 20 mEq of KLC at 75
ml/hr. The provider has prescribed 1 g ceftriaxone (Rocephin) IV. When
preparing to administer this medication by IV piggybackm which of the following
data is the highest priority for the nurse to collect? - ANSWER The medications
compatibility with the primary IV solution
A nurse is caring for a patient receiving 0.9%sodium chloride (normal saline) at
75 ml/hr through a triple lumen central venous catheter. The pump is alarming
that there is an occlusion. Which of the following is the first thing the nurse
should do? - ANSWER Check the line at or above the hub for kinked tubing that
is creating a resistance to flow
nurse administers the first dose of a patient's prescribed antibiotic via IV
piggyback. During the first 10 to 15 min of administration of the medication, the
nurse gives priority to which of the following assessments? - ANSWER Patient
for systemic allergic reaction.
any substance, such as a flavoring agent, preservative, or vitamin, added to
another substance (such as a food or drug) that is to be ingested - ANSWER
addictive
a small, sealed, single-use glass or plastic container containing sterile
parenteral medications or solutions - ANSWER ampule
,to withdraw or remove, via a syringe or other apparatus; as a noun, the
substance or material obtained by aspiration, as in gastric aspirate; also refers
to inadvertently inhaling fluid or other substances into the lungs - ANSWER
aspirate
a concentrated dose of medication injected directly into the systemic circulation
via an intravenous (IV) line; also called an IV push - ANSWER bolus
a tube inserted into a vessel, duct, or cavity - ANSWER cannula
a plasma expander; a protein-containing fluid infused intravenously to help
restore circulating blood volume - ANSWER colloid
harmonious coexistence; used to refer to two or more medications or solutions
that can be given simultaneously or mixed without changing the effects of each
other or causing any new responses not seen with any of the drugs or solutions
administered alone - ANSWER compatability
salt that dissolves readily into true solutions, such as in intravenous solutions -
ANSWER cystalloid
a diluting agent, such as a sterile fluid used to prepare a powdered form of
medication for injection - ANSWER diluent
a chemical substance that develops an electrical charge and can conduct an
electrical current when placed in water, such as sodium and potassium -
ANSWER electrolyte
device that delivers intravenous fluids via positive pressure at a specific preset
rate - ANSWER electronic infusion pump
a length of intravenous tubing added to an intravenous line to allow the patient
greater mobility while still keeping the line stable - ANSWER extension tubing
seepage or introduction of fluid, such as intravenous fluid, into the tissues
surrounding a blood vessel; similar to infiltration - ANSWER extravasation
a special type of needle required when drawing up certain types of medications
to keep small particles of medication or rubber or glass (from a vial or ampule)
from entering the syringe and being injected along with the intended solution -
ANSWER filter needle
referring to a solution that has a higher osmolarity than body fluids have -
ANSWER hypertonic
, introduction into the subcutaneous tissues of fluids, such as normal saline
solution, to help correct dehydration from inadequate intake or loss of fluid and
sodium - ANSWER hypodermoclysis
referring to a solution that has a lower osmolarity than body fluids have -
ANSWER hypotonic
lack of harmonious coexistence; used to refer to two or more medications or
solutions that cannot be given simultaneously or mixed without changing the
effects of each other or causing any new responses not seen with any of the
drugs or solutions administered alone - ANSWER incompatibility
a hardening or a lump, such as what forms in the skin with a positive reaction to
a tuberculin skin test - ANSWER induration
seepage or introduction of fluid, such as intravenous fluid, into the tissues
surrounding a blood vessel; similar to extravasation - ANSWER infiltration
slow, intentional introduction of fluid into a vein - ANSWER infusion
a small, covered, branched portion of intravenous tubing configured as a place
to inject medication or fluid into the infusing fluid - ANSWER injection port
referring to a solution that has the same osmolarity as body fluids - ANSWER
isotonic
a concentrated dose of medication injected directly into the systemic circulation
via an intravenous (IV) line; also called an IV bolus - ANSWER IV push
patented, threaded tip of a syringe that can be twisted onto certain ports and
needles to create a firm "lock" - ANSWER Luer-Lok
delivering 15 drops per milliliter of fluid - ANSWER macrodrip
delivering 60 drops per milliliter of fluid - ANSWER microdrip
a battery-powered device that delivers medications in very small amounts of
fluid from standard syringes within a controlled time frame - ANSWER mini-
infusion pump
the concentration of solutes in body fluids, expressed in osmoles of solute per
liter of solution (similar to osmolality, except that osmolality is expressed in
osmoles of solute per kilogram of solvent) - ANSWER osmolarity
