Chapter 22: Intravenous Therapy
1. A patient suffers from a genetic bleeding deficiency. What blood product
will be administered?
a. Whole blood
b. Albumin
c. Platelets
d. Cryoprecipitate
CORRECT ANSWER: D
Feedback:
Cryoprecipitate may be pooled from several units of blood and
administered to patients with fibrinogen deficiencies who are
predisposed to bleeding problems because geneticall y they lack Factor
VII.
2. A patient suffers from infectious diarrhea. Based on her loss o f fluid, her
protein level is below normal. What blood product will the physician order
to restore intravascular volume?
a. Whole blood
b. Packed red cells
c. Platelets
d. Albumin
CORRECT ANSWER: D
Feedback:
, Albumin is a plasma protein contained within the pl asma. It is used to
restore intravascular volume and to maintain cardiac output in patients
with hypoproteinemia.
3. A central line is inserted by the medical resident on an elderl y patient.
During the insertion, you assess the patients sudden shortness of breath.
What does this symptom indicate?
a. Pneumothorax
b. Myocardial infarction
c. Hemothorax
d. Pulmonary embolism
CORRECT ANSWER: A
Feedback:
Pneumothorax may occur during insertion of a central venous catheter
if the catheter inadvertentl y punctures the pleural membrane.
Symptoms of a pneumothorax include chest or shoulder pain, sudden
shortness of breath, tachycardia, and absence of breath sounds on the
affected side.
4. Which of the following nursing actions is appropriate in the care of a
patient with an implanted vascular access device?
a. Cleanse around the site of insertion with an antibacterial solution
b. Clean the external portion of the catheter after infusion is complete
c. Maintain patency by routine flushing with a heparinized solution
d. Observe the site onl y; onl y the physician will assess the site
CORRECT ANSWER: C
1. A patient suffers from a genetic bleeding deficiency. What blood product
will be administered?
a. Whole blood
b. Albumin
c. Platelets
d. Cryoprecipitate
CORRECT ANSWER: D
Feedback:
Cryoprecipitate may be pooled from several units of blood and
administered to patients with fibrinogen deficiencies who are
predisposed to bleeding problems because geneticall y they lack Factor
VII.
2. A patient suffers from infectious diarrhea. Based on her loss o f fluid, her
protein level is below normal. What blood product will the physician order
to restore intravascular volume?
a. Whole blood
b. Packed red cells
c. Platelets
d. Albumin
CORRECT ANSWER: D
Feedback:
, Albumin is a plasma protein contained within the pl asma. It is used to
restore intravascular volume and to maintain cardiac output in patients
with hypoproteinemia.
3. A central line is inserted by the medical resident on an elderl y patient.
During the insertion, you assess the patients sudden shortness of breath.
What does this symptom indicate?
a. Pneumothorax
b. Myocardial infarction
c. Hemothorax
d. Pulmonary embolism
CORRECT ANSWER: A
Feedback:
Pneumothorax may occur during insertion of a central venous catheter
if the catheter inadvertentl y punctures the pleural membrane.
Symptoms of a pneumothorax include chest or shoulder pain, sudden
shortness of breath, tachycardia, and absence of breath sounds on the
affected side.
4. Which of the following nursing actions is appropriate in the care of a
patient with an implanted vascular access device?
a. Cleanse around the site of insertion with an antibacterial solution
b. Clean the external portion of the catheter after infusion is complete
c. Maintain patency by routine flushing with a heparinized solution
d. Observe the site onl y; onl y the physician will assess the site
CORRECT ANSWER: C
