Question 1

What signs of infiltration should be assessed by a nurse?

Accepted Answer

A)  Burning sensation, pain, and puffy 
B)  Pain, heat, and puffy 
C)  Burning sensation and no feeling at the site 
D)  Red streak up the arm 
A)  Burning sensation, pain, and puffy 
B)  Pain, heat, and puffy 
C)  Burning sensation and no feeling at the site 
D)  Red streak up the arm

Question 2

Using an IV infusion system that delivers 60 drops/mL, a nurse hangs a 500-mL bag of normal saline (NS)at 0800.The physician has ordered a rate of 20 mL/hr.What should the nurse set the roller clamp to deliver?

Accepted Answer

A)  10 gtt/min 
B)  20 gtt/min 
C)  25 gtt/min 
D)  30 gtt/min 
A)  10 gtt/min 
B)  20 gtt/min 
C)  25 gtt/min 
D)  30 gtt/min

Question 3

What action should the nurse implement when discontinuing an intravenous (IV)line?

Accepted Answer

A)  Remove the dressing, remove the catheter, dispose of the used equipment in the sharps container, and chart observations and actions. 
B)  Observe the site for redness, swelling, and pain, and put on sterile gloves.Remove the dressing catheter and chart the findings and action. 
C)  Observe the site for redness, swelling, and pain, and put on clean gloves.Remove the dressing and catheter, place a 2 $\times$ 2 dressing over the site, and chart the findings and action. 
D)  Observe the site for redness, swelling, and pain and put on clean gloves.Remove the dressing and catheter; chart the findings and action. 
A)  Remove the dressing, remove the catheter, dispose of the used equipment in the sharps container, and chart observations and actions. 
B)  Observe the site for redness, swelling, and pain, and put on sterile gloves.Remove the dressing catheter and chart the findings and action. 
C)  Observe the site for redness, swelling, and pain, and put on clean gloves.Remove the dressing and catheter, place a 2 $\times$ 2 dressing over the site, and chart the findings and action. 
D)  Observe the site for redness, swelling, and pain and put on clean gloves.Remove the dressing and catheter; chart the findings and action.

Question 4

An intravenous (IV)administration of doxycycline (Vibramycin)has extravasated.What nursing action should be implemented after stopping the IV line?

Accepted Answer

A)  Notify the physician, and restart the IV line in another site. 
B)  Restart the IV line at another site and document the extravasation. 
C)  Flush NS through cannula at the insertion site. 
D)  Discard the IV tubing and the IV bag. 
A)  Notify the physician, and restart the IV line in another site. 
B)  Restart the IV line at another site and document the extravasation. 
C)  Flush NS through cannula at the insertion site. 
D)  Discard the IV tubing and the IV bag.

Question 5

What is a major advantage when medication is administered intravenously?

Accepted Answer

A)  Better maintained at a therapeutic blood level 
B)  Less expensive than oral route 
C)  Safer than administering by oral or intramuscular route 
D)  Lower incidence of allergy than other routes 
A)  Better maintained at a therapeutic blood level 
B)  Less expensive than oral route 
C)  Safer than administering by oral or intramuscular route 
D)  Lower incidence of allergy than other routes

Question 6

A nurse assesses for signs of infected phlebitis.How should the nurse most accurately describe this complication when documenting?

Accepted Answer

A)  Rupture of the cannula with a lump under the skin 
B)  Pale, cool skin with swelling at the puncture site 
C)  Firm, cool, raised, painful area at the puncture site; oozing and purulent drainage 
D)  Puncture site red, warm, with an oozing drainage 
A)  Rupture of the cannula with a lump under the skin 
B)  Pale, cool skin with swelling at the puncture site 
C)  Firm, cool, raised, painful area at the puncture site; oozing and purulent drainage 
D)  Puncture site red, warm, with an oozing drainage

Question 7

A physician orders an infusion of 1000 mL of 5% dextrose in 0.45% NS to be completed in 8 hours.The IV delivery system's drop factor is 20 gtt.How many mL/hr should the nurse set the electronic infusion pump to deliver the infusion?

Accepted Answer

A)  125 mL/hr 
B)  100 mL/hr 
C)  85 mL/hr 
D)  42 mL/hr 
A)  125 mL/hr 
B)  100 mL/hr 
C)  85 mL/hr 
D)  42 mL/hr

Question 8

How often should intravenous (IV)rounds be performed during a nursing shift?

Accepted Answer

A)  Every 15 minutes 
B)  Every 30 minutes 
C)  Every 60 minutes 
D)  Twice per shift 
A)  Every 15 minutes 
B)  Every 30 minutes 
C)  Every 60 minutes 
D)  Twice per shift

Exam 16: Intravenous Therapy

What signs of infiltration should be assessed by a nurse?

Using an IV infusion system that delivers 60 drops/mL, a nurse hangs a 500-mL bag of normal saline (NS)at 0800.The physician has ordered a rate of 20 mL/hr.What should the nurse set the roller clamp to deliver?

What action should the nurse implement when discontinuing an intravenous (IV)line?

An intravenous (IV)administration of doxycycline (Vibramycin)has extravasated.What nursing action should be implemented after stopping the IV line?

What is a major advantage when medication is administered intravenously?

A nurse assesses for signs of infected phlebitis.How should the nurse most accurately describe this complication when documenting?

A physician orders an infusion of 1000 mL of 5% dextrose in 0.45% NS to be completed in 8 hours.The IV delivery system's drop factor is 20 gtt.How many mL/hr should the nurse set the electronic infusion pump to deliver the infusion?

How often should intravenous (IV)rounds be performed during a nursing shift?

Aspects of Medical-Surgical Nursing

Medical-Surgical Practice Settings

Medical-Surgical Patients: Individuals, Families, and Communities

Health, Illness, Stress, and Coping

Immunity, Inflammation, and Infection

Fluid, Electrolyte, and Acidbase Imbalance

The Patient With Cancer

Pain

Shock

The Older Adult Patient

Falls

Immobility

Delirium and Dementia

Incontinence

Nutrition

Surgery

The Patient With an Ostomy

Palliative and Hospice Care

Complementary and Alternative Therapies

Neurologic System Introduction

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Respiratory System Introduction

Upper Respiratory Disorders

Acute Lower Respiratory Tract Disorders

Chronic Lower Respiratory Tract Disorders

Hematologic System Introduction

Hematologic Disorders

Immunologic System Introduction

Immunologic Disorders

Cardiovascular System Introduction

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive System Introduction

Upper Digestive Tract Disorders

Lower Digestive Tract Disorders

Liver, Gallbladder, and Pancreatic Disorders

Urologic System Introduction

Urologic Disorders

Musculoskeletal System Introduction

Connective Tissue Disorders

Fractures

Amputations

Endocrine System Introduction

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes and Hypoglycemia

Female Reproductive System Introduction

Female Reproductive Disorders

Male Reproductive System Introduction

Male Reproductive Disorders

Sexually Transmitted Infections

Integumentary System Introduction

Skin Disorders

Special Senses Introduction

Eye and Vision Disorders

Ear and Hearing Disorders

Psychobiological Disorders

Substance Abuse

First Aid, Emergency Care, and Disaster Management

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