Chapter 13--Infusion Therapy

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Chapter 13--Infusion Therapy MULTIPLE CHOICE 1. A client is scheduled for a peripherally inserted central catheter in a few days. However, the client needs intravenous fluids infused immediatel ... y. Which of the following veins should the nurse avoid when starting the intravenous infusion now? 1. Accessory cephalic vein 2. Basilic vein 3. Cephalic vein 4. Median vein PTS: 1 DIF: Apply REF: Anatomy and Physiology; Percutaneous Catheters 2. The tubing on a client’s intravenous infusion administration set is not long enough to support the client’s ambulation needs. Which of the following can the nurse do to assist this client? 1. Apply a stopcock. 2. Add an extension set. 3. Use a filter. 4. Attach a needleless access device. PTS: 1 DIF: Apply REF: Box. 13-1 Add-On Devices for Infusion Therapy 3. An intravenous catheter has been inserted over a client’s antecubital joint. Which of the following should the nurse do to ensure the client’s comfort and the usefulness of the catheter? 1. Use an arm board to keep the arm straight. 2. Wrap gauze around the insertion site. 3. Place a gauze dressing over the insertion site. 4. Apply a wrist restraint to keep the arm straight. PTS: 1 DIF: Apply REF: IV Procedure Special Considerations 4. After preparing a client’s skin for insertion of an intravenous catheter, the nurse accidentally touches the skin site with an uncovered finger. Which of the following should the nurse do? 1. Cleanse the skin again. 2. Apply clean gloves and continue. 3. Locate another vein to access. 4. Continue with the insertion of the catheter. ANS: 1 PTS: 1 DIF: Apply REF: IV Complications 5. Which of the following should the nurse assess to determine if a client’s intravenous infusion has infiltrated? 1. A blood return 2. Size of extremity 3. Presence of pain 4. Presence of a temperature PTS: 1 DIF: Apply REF: Infiltration 6. A client is diagnosed with an extravasation of a intravenous medication. Which of the following should the nurse do to assist this client? 1. Remove the catheter and apply heat. 2. Place the extremity lower than the level of the heart. 3. Keep the catheter intact until an antidote is administered. 4. Apply ice over the site until the swelling subsides. PTS: 1 DIF: Apply REF: Extravasation 7. A client is complaining of numbness and tingling around the intravenous infusion catheter. Which of the following should the nurse do? 1. Apply heat. 2. Remove the cannula. 3. Elevate the extremity. 4. Slow the intravenous infusion rate. PTS: 1 DIF: Apply REF: Nerve Damage 8. A client is prescribed to receive a medication diluted in 50 mL of 0.9% Normal Saline four times a day. The nurse realizes that this type of administration is considered: 1. continuous. 2. direct injection. 3. patient-controlled. 4. intermittent. PTS: 1 DIF: Analyze REF: Pharmacology 9. A client has an implanted port for medication administration. Which of the following should the nurse use when administering medications through this port? 1. Use a noncoring needle. 2. Use an 18 gauge needle. 3. Apply heat to the site prior to administering medication. 4. Flush the port after administering medications. PTS: 1 DIF: Apply REF: Implanted Ports 10. A client is receiving total parenteral nutrition. Which of the following interventions are appropriate for this client? 1. Provide the infusion at the maximum rate. 2. Do not use a pump for infusing. 3. Measure weights daily. 4. Assess blood glucose levels every week. PTS: 1 DIF: Apply REF: Total Parenteral Nutrition 11. A client has the blood type of O+. Which of the following types of blood can the client receive if a transfusion is needed? 1. A+ 2. B+ 3. O- 4. AB+ PTS: 1 DIF: Understand REF: Table 13-4 Blood Types MULTIPLE RESPONSE 1. A client is prescribed to receive an intravenous infusion of a hypertonic solution. The nurse realizes that which of the following solutions are considered hypertonic? (Select all that apply.) 1. 0.45% Normal Saline 2. Dextrose 5% and 0.9% Normal Saline 3. Dextrose 5% and water 4. Dextrose 10% and water 5. Ringer’s lactate 6. Dextran 5% in water PTS: 1 DIF: Analyze REF: Table 13-1 Common IV Therapy Solutions 2. A client is prescribed to receive an infusion of intralipid 10%. Which of the following should the nurse do when providing this infusion? (Select all that apply.) 1. Use a filter. 2. Infuse with 0.9% Normal Saline. 3. Hang for 24 hours. 4. Administer for up to 16 hours. 5. Measure strict output. 6. Limit oral fluids. PTS: 1 DIF: Apply REF: Table 13-1 Common IV Therapy Solutions 3. The nurse is having difficulty accessing a client’s vein to insert an intravenous catheter. Which of the following interventions can be used to assist in this process? (Select all that apply.) 1. Use a tourniquet. 2. Dangle the arm off the side of the bed. 3. Apply a warm towel. 4. Have the client pump the fist. 5. Apply a heating pad. 6. Warm the catheter in the microwave. . PTS: 1 DIF: Apply REF: Box 13-2 Selecting a Vein 4. The nurse suspects that a client has developed phlebitis from an intravenous catheter when which of the following is assessed? (Select all that apply.) 1. Redness 2. Cool skin over the intravenous site 3. Warmth over the intravenous site 4. Elevated body temperature 5. Hard palpable cord along the vein track 6. Blanching of the skin PTS: 1 DIF: Analyze REF: Phlebitis 5. The nurse is making a visit to a client prescribed to receive intravenous therapy in the home. Which of the following should the nurse assess when preparing to administer intravenous medication to this client? (Select all that apply.) 1. Food 2. Telephone 3. Sufficient electrical outlets 4. Location of throw rugs 5. Clean work area 6. Home cleanliness PTS: 1 DIF: Apply REF: Special Considerations SHORT ANSWER 1. How many drops per minute should the nurse regulate a client’s intravenous infusion of Lactated Ringer’s 125 mL per hour with a drop factor of 15 drops per mL? ANS: 31 drops per minute 125 mL/60 minutes  15 gtts/mL = 31 gtts/min PTS: 1 DIF: Apply REF: Administration of IV Solutions 2. A client is prescribed to receive 1000 mL of 0.9% Normal Saline in an 8-hour time frame. Using a microdrip set, how many drops per minute will the infusion run? [Show More]

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