Exam 29: Vascular Access and Infusion Therapy

While assessing the patient,the nurse recognizes that special caution should be taken with the intravenous (IV)infusion because of fluid volume excess when the nurse notes the presence of which condition?

While assessing the patient's intravenous (IV)infusion,the nurse notes that it is infusing more slowly than it should be.What should the nurse do first?

Intravenous catheters that are inserted directly through the skin and into the internal or external jugular,subclavian,or femoral vein for up to several weeks are known as _______________.

For which patients are electronic infusion devices (EIDs)used? (Select all that apply.)

Which of the following steps is necessary when a patient is prepared for intravenous (IV)catheter insertion?

Central venous access devices (CVADs)can be used in the home,in the hospital,and in long-term care facilities for patients who require which of the following? (Select all that apply.)

The nurse is assisting the physician during the insertion of a central line into the subclavian vein.How should the nurse cleanse the area?

The patient is expected to require intravenous (IV)therapy for several years as treatment for a chronic disease process.Which of the following would be the best choice for venous access in this patient?

The nurse is caring for a patient with a continuous intravenous infusion of 0.9% normal saline with 40 mmol of potassium chloride added to each liter.During a routine hourly check of the infusion,the nurse discovers that 4 hours of fluid has infused in the past 1 hour.The nurse's first action should be to

An intravenous catheter that is inserted through a large arm vein and is advanced until the tip enters the central venous system is known as a(n)__________________.

The nurse is caring for a patient who is receiving intravenous (IV)fluids at a rate of 150 mL per hour.During her assessment,the nurse notes that the patient is having more laboured respirations,and that crackles have developed in the patient's lungs.The nurse reduces the IV rate and notifies the physician.She does this while recognizing that the patient is experiencing signs of _______________.

Which of the following is manifested by decreased urine output,dry mucous membranes,decreased capillary refill,a disparity in central and peripheral pulses,tachycardia,hypotension,and shock?

The nurse is preparing to draw blood from a central venous access device for blood cultures.Which of the following steps is part of that process?

The nurse is caring for a patient who has experienced hypovolemia secondary to acute vomiting and diarrhea.The nurse anticipates what type of intravenous fluid to be prescribed by the health care provider?

The nurse assigns an unregulated care provider (UCP)to care for several patients with continuous intravenous (IV)infusions.Which of the following can a UCP assist with?

Which patient would a nurse anticipate would be a candidate for a peripherally inserted central catheter (PICC)?

A pediatric patient has an intravenous (IV)catheter with microdrip tubing.The prescription is for 40 mL per hour to infuse.At what rate does the nurse set the microdrip?

The prescription is for the patient to receive 500 mL over 4 hours.The nurse has an electronic infusion device (EID)in place that provides for the regulation of hourly infusion.The intravenous (IV)tubing available is 10 gtt/mL.What is the setting for the infusion device?

The nurse is caring for a patient receiving antineoplastic medications intravenously.The nurse discovers that the intravenous site is red,edematous,and painful.The nurse knows that antineoplastic medications are vesicant medications and documents that the patient has experienced which of the following events?

What is an appropriate technique for the nurse to implement when changing the dressing at a peripheral intravenous (IV)catheter site?