Exam 28: Intravenous Therapy

A patient in the emergency department needs a blood transfusion of A^- blood, and none is available.Nursing care would be correct if the nurse administered blood of which type?

The prescription for the patient's IV infusion reads, "100 mL/hr." The nurse observes that the patient's IV line infused 125 mL in addition to the ordered volume after 2 hours.Which is the most important intervention for the nurse to implement?

The nurse is caring for a patient with a peripheral IV line and needs to change the dressing.What action by the nurse prevents accidental dislodgement of the IV catheter?

The nurse observes bleeding on the dressing of a site where the IV was discontinued.Which action should the nurse take first?

The nurse is trying to access the best insertion site on a patient for IV therapy.Which principle would the nurse use to achieve this goal?

The nurse feels resistance while trying to flush the IV line with a 5-mL syringe of normal saline solution before administering a medication by IV bolus.Which action does the nurse implement next?

The nurse infuses a unit of blood, but after 4 hours the blood infusion is not complete.Which action is most appropriate?

A patient on an anticoagulant is going home and needs the peripheral IV line removed.Which action is essential for the nurse to take?

The nurse is preparing to change the IV solution after the current one infuses.What action is most appropriate for the nurse to take?

The nurse administers blood to the patient and observes that the patient has tachycardia, chills, and lower back pain.What action does the nurse take first?

The nurse assesses several patients who are receiving IV therapy.Which clinical indicator cues the nurse to take special precautions while infusing IV fluids on one of the patients?

The nurse prepares to administer blood to the patient.Which is the nurse's priority action?

The health care provider prescribes 500 mL of 0.25% normal saline intravenously over 4 hours for the patient.At which rate does the nurse infuse the IV solution into the patient using IV tubing with a drop factor of 15 gtts/mL? _____ gtts/min.