Exam 7: Nursing Care of Patients Receiving Intravenous Therapy

A patient is prescribed D5W to run over 12 hours using a set delivering 15 gtt/mL. Calculate the drip rate. Round to the nearest whole number. Enter the numeral only.

The nurse is preparing to start an IV on a newly admitted patient. Which action by the nurse places the patient at risk for infection?

Upon entering a patient's room, the licensed practical nurse (LPN) notes a white precipitate forming in the IV tubing at the site of a piggybacked antibiotic. What should the nurse do first?

Which patient would benefit most from hypodermoclysis?

The nurse is preparing to administer IV fluid to a patient using a microdrop set. Which tubing will the nurse select? 1.10 tt/mL

The nurse is caring for a patient receiving a continuous IV infusion who develops sudden dyspnea, chest pain, and change in mental status. Which interventions should the nurse implement? (Select all that apply.)

A patient is prescribed IV fluid of 500 mL of lactated Ringer to infuse over 2 hours. At what rate will the nurse set the infusion pump? Enter the numeral only.

For which patient would a port be most beneficial?

The nurse suspects the patient has developed septicemia as a complication of peripheral IV therapy. Which clinical manifestation supports the nurse's suspicion?

The licensed practical nurse/licensed vocational nurse (LPN/LVN) is assessing a patient receiving IV therapy and notes crackles upon auscultation of lung sounds and puffy eyelids. Which action should the nurse take?

A patient is prescribed levofloxacin (Levaquin) 500 mg in 100 mL of normal saline to be infused over 1 hour. At what rate will the nurse set the infusion pump? Enter the numeral only.

The nurse is preparing to administer a hypertonic solution to a patient with hypovolemia. Which fluids are considered to be hypertonic? (Select all that apply.)

The nurse mistakenly assesses the blood pressure of the patient on the arm an IV is transfusing. What can this cause?

A patient is prescribed to receive two units of packed red blood cells. When preparing for this patient's infusion of blood, which type of IV solution should the LPN/LVN select?

The nurse is preparing to administer a medication IV push. What should the nurse do prior to administering the medication? (Select all that apply.)

A patient is prescribed 100 mL of 25% albumin IV to run over 1 hour. The albumin will transfuse using a 60 gtt/mL set. Calculate the drip rate. Round to the nearest whole number. Enter the numeral only.

The nurse is caring for a patient receiving a continuous IV infusion who develops sudden dyspnea, chest pain, and change in mental status. Which interventions should the nurse implement? (Select all that apply.)

At a monthly staff meeting, the nurse manager announces that all central line insertion and dressing kits will now come bundled with 2% chlorhexidine gluconate (CHG) for site preparation and cleansing. Which evidence best supports this decision?

The nurse is caring for a patient who is receiving parenteral nutrition (PN). The patient develops increased thirst, blurred vision, and a headache. Which action should the nurse take?

The IV infusion pump for a patient receiving an IV therapy begins to alarm and displays occlusion. When the silence button is pushed, the alarm quickly resumes. Which action should the nurse take first?