Exam 13: Infusion Therapy

A nurse prepares to flush a peripherally inserted central catheter (PICC)line with 50 units of heparin.The pharmacy supplies a multi-dose vial of heparin with a concentration of 100 units/mL.Which of the syringes shown below should the nurse use to draw up and administer the heparin?

A nurse assesses a client's peripheral IV site,and notices edema and tenderness above the site.Which action should the nurse take next?

A nurse prepares to administer a blood transfusion to a client,and checks the blood label with a second registered nurse using the International Society of Blood Transfusion (ISBT)universal bar-coding system to ensure the right blood for the right client.Which components must be present on the blood label in bar code and in eye-readable format? (Select all that apply.)

A nurse is caring for a client who is receiving an epidural infusion for pain management.Which assessment finding requires immediate intervention from the nurse?

A nurse assesses a client who was started on intraperitoneal therapy 5 days ago.The client reports abdominal pain and "feeling warm." For which complication of this therapy should the nurse assess this client?

A nurse assesses a client who has a peripherally inserted central catheter (PICC).For which complications should the nurse assess? (Select all that apply.)

A nurse assesses a client who has a radial artery catheter.Which assessment should the nurse complete first?

While assessing a client's peripheral IV site,the nurse observes a streak of red along the vein path and palpates a 4-cm venous cord.How should the nurse document this finding?

A nurse assesses a client who had an intraosseous catheter placed in the left leg.Which assessment finding is of greatest concern?

A medical-surgical nurse is concerned about the incidence of complications related to IV therapy,including bloodstream infection.Which intervention should the nurse suggest to the management team to make the biggest impact on decreasing complications?

A nurse is assessing clients who have intravenous therapy prescribed.Which assessment finding for a client with a peripherally inserted central catheter (PICC)requires immediate attention?

A client is prescribed 250 mL of normal saline to infuse over 4 hours via gravity.The facility supplies gravity tubing with a drip factor of 15 drops/mL.At what rate (drops/min)should the nurse set the infusion to deliver? (Record your answer using a whole number.) _____ drops/min

A nurse is caring for a client who has just had a central venous access line inserted.Which action should the nurse take next?

A nurse teaches a client who is prescribed a central vascular access device.Which statement should the nurse include in this client's teaching?

A nurse responds to an IV pump alarm related to increased pressure.Which action should the nurse take first?

A nurse teaches a client who is being discharged home with a peripherally inserted central catheter (PICC).Which statement should the nurse include in this client's teaching?

A nurse is caring for a client with a peripheral vascular access device who is experiencing pain,redness,and swelling at the site.After removing the device,which action should the nurse take to relieve pain?

A nurse assists with the insertion of a central vascular access device.Which actions should the nurse ensure are completed to prevent a catheter-related bloodstream infection? (Select all that apply.)

A nurse prepares to insert a peripheral venous catheter in an older adult client.Which action should the nurse take to protect the client's skin during this procedure?

A nurse is caring for a client who is having a subclavian central venous catheter inserted.The client begins to report chest pain and difficulty breathing.After administering oxygen,which action should the nurse take next?