Exam 29: Vascular Access and Infusion Therapy

The nurse is caring for a patient who will be on long-term antibiotic therapy for 6 weeks.The patient has had numerous intravenous (IV)catheters in the past,but because the upcoming therapy will be given on a long-term basis,the nurse suggests that a _________________ be inserted.

What should the nurse do once he or she recognizes that the patient has phlebitis at his intravenous (IV)catheter site?

What should be the next action by the nurse once an over-the-needle catheter (ONC)has been inserted through the skin and into the vein?

While assessing the patient's intravenous (IV)catheter site,the nurse notes that the site is reddened and warm.The patient states that it is "sore." The nurse recognizes these as signs of ____________.

The nurse is caring for a patient receiving intravenous (IV)therapy.The nurse should report which of the following to the primary care provider?

What should the nurse do upon noting that the patient's intravenous (IV)catheter site is pale,cool,and edematous? (Select all that apply.)

What should the nurse do on noting bleeding around a dressing at an intravenous (IV)catheter insertion site?

_____________________solutions pull fluid into the vascular space by osmosis,resulting in an increased vascular volume that could result in pulmonary edema.

The nurse needs to specifically prevent air emboli that may result from intravenous (IV)therapy.What should the nurse make sure to do to prevent air emboli?

The nurse caring for a patient receiving intravenous (IV)fluids knows that the current recommendation for changing the tubing on a continuously running IV is

Established standards for routine replacement of peripheral intravenous (IV)catheters and IV administration sets have recommended a maximum of _____ hours to reduce IV fluid contamination and prevent catheter site complications.

Which of the following patients would the nurse anticipate requiring the placement of a central venous catheter?

Fluids that have the same osmolality as body fluids are used most often to replace extracellular volume and are known as _______________ fluids.

_________________________ are surgically inserted through a tunnel into subcutaneous tissue,usually between the clavicle and the nipple,into the internal jugular or subclavian vein,with the catheter tip resting in the distal end of the superior vena cava.The subcutaneous tunnel allows the catheter to remain in place for months to years.

The patient is on daily weights and is receiving intravenous therapy.The nurse notices that the patient has gained 2 kg since the previous morning.What else would the nurse expect to observe? (Select all that apply.)

Which of the following are central venous access devices (CVADs)? (Select all that apply.)

The nurse is caring for a patient diagnosed with pneumonia who receives intravenous (IV)antibiotics every 8 hours.How often should the nurse change the primary intermittent IV sets?

What should the nurse do to decrease the potential for infection related to intravenous (IV)infusion therapy?

The nurse is caring for a patient who has a peripheral intravenous (IV)catheter.While performing her routine assessment,he or she notes that the insertion site is pale,cool,and edematous.The patient indicates that the site is also painful to the touch.The nurse recognizes these symptoms as revealing a possible _______________.

The patient has intravenous (IV)therapy prescribed to infuse at 1000 mL over 10 hours.The infusion set has a calibration of 15 gtt/mL.At which rate does the nurse regulate the infusion?