Question 1

Assistive personnel (AP) report that a client's intravenous infusion is leaking at the site. Which response should the nurse make?

Accepted Answer

A)  "Change the dressing." 
B)  "Turn off the infusion." 
C)  "I will go and check it." 
D)  "Insert a new access device." 
A)  "Change the dressing." 
B)  "Turn off the infusion." 
C)  "I will go and check it." 
D)  "Insert a new access device." C

Question 2

A client is prescribed to receive 1 liter of intravenous fluid in 16 hours. The infusion set administers 20 drops/mL. How many drops per minute should be provided to the client?
 Record the answer rounding to the nearest whole number.

Accepted Answer

21 drops/min
Explanation:The correct answer is obtained by multiplying the total amount of fluid by the drop factor and dividing this by the total time for the infusion in minutes. Or, 1000 mL × 20/16 × 60 min (960 min) = 20.83 or 21 drops/min.

Question 3

A client needs an intravenous access device inserted. For which reason should the nurse use the client's dominant arm?

Accepted Answer

A)  A fistula for dialysis is in the nondominant arm. 
B)  A mastectomy was performed on the dominant arm. 
C)  The antecubital vein is the best on the dominant arm. 
D)  The infusion equipment can be more easily accessed on the dominant arm. 
A)  A fistula for dialysis is in the nondominant arm. 
B)  A mastectomy was performed on the dominant arm. 
C)  The antecubital vein is the best on the dominant arm. 
D)  The infusion equipment can be more easily accessed on the dominant arm. A

Question 4

Which aspect of intravenous therapy could the nurse safely assign to the assistive personnel (AP)?

Accepted Answer

A)  Watching the IV insertion site of the client who complained of pain at the site 
B)  Changing the IV site dressing on the client's left hand 
C)  Reporting client's complaints of pain or leakage from the IV site when bathing the client 
D)  Replacing client's IV solution when bag runs dry if it is only D5W without medications added 
A)  Watching the IV insertion site of the client who complained of pain at the site 
B)  Changing the IV site dressing on the client's left hand 
C)  Reporting client's complaints of pain or leakage from the IV site when bathing the client 
D)  Replacing client's IV solution when bag runs dry if it is only D5W without medications added

Question 5

A client receiving parenteral nutrition via a central venous catheter has an elevated temperature, elevated white blood cell count, and lethargy. Which action should the nurse take when sepsis is suspected? Select all that apply.

Accepted Answer

A)  Replacing the parenteral nutrition with a normal saline solution 
B)  Changing the IV tubing 
C)  Saving the remaining TPN 
D)  Recording the lot number of the TPN 
E)  Notifying the health care provider. 
A)  Replacing the parenteral nutrition with a normal saline solution 
B)  Changing the IV tubing 
C)  Saving the remaining TPN 
D)  Recording the lot number of the TPN 
E)  Notifying the health care provider.

Question 6

A client received two units of packed red blood cells over the last 8 hours. What information should the nurse include when documenting these transfusions? Select all that apply.

Accepted Answer

A)  Client vital signs 
B)  Blood unit number 
C)  Time of the transfusions 
D)  Amount of blood provided 
E)  Name of ordering physician 
A)  Client vital signs 
B)  Blood unit number 
C)  Time of the transfusions 
D)  Amount of blood provided 
E)  Name of ordering physician

Assistive personnel (AP) report that a client's intravenous infusion is leaking at the site. Which response should the nurse make?

A client is prescribed to receive 1 liter of intravenous fluid in 16 hours. The infusion set administers 20 drops/mL. How many drops per minute should be provided to the client? Record the answer rounding to the nearest whole number.

A client needs an intravenous access device inserted. For which reason should the nurse use the client's dominant arm?

Which aspect of intravenous therapy could the nurse safely assign to the assistive personnel (AP)?

A client receiving parenteral nutrition via a central venous catheter has an elevated temperature, elevated white blood cell count, and lethargy. Which action should the nurse take when sepsis is suspected? Select all that apply.

A client received two units of packed red blood cells over the last 8 hours. What information should the nurse include when documenting these transfusions? Select all that apply.

Essential Skills

Infection Prevention

Vital Signs

Diagnostic Testing

Client Hygiene

Bedmaking

Heat and Cold Measures

Pain Assessment and Management

Positioning the Client

Mobilizing the Client

Fall Prevention, Restraints, and Seizure Precautions

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Injury Care

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

Filters

Exam 18: Administering Intravenous Therapy

Assistive personnel (AP) report that a client's intravenous infusion is leaking at the site. Which response should the nurse make?

A client is prescribed to receive 1 liter of intravenous fluid in 16 hours. The infusion set administers 20 drops/mL. How many drops per minute should be provided to the client? Record the answer rounding to the nearest whole number.

A client needs an intravenous access device inserted. For which reason should the nurse use the client's dominant arm?

Which aspect of intravenous therapy could the nurse safely assign to the assistive personnel (AP)?

A client receiving parenteral nutrition via a central venous catheter has an elevated temperature, elevated white blood cell count, and lethargy. Which action should the nurse take when sepsis is suspected? Select all that apply.

A client received two units of packed red blood cells over the last 8 hours. What information should the nurse include when documenting these transfusions? Select all that apply.

Essential Skills

Infection Prevention

Vital Signs

Diagnostic Testing

Client Hygiene

Bedmaking

Heat and Cold Measures

Pain Assessment and Management

Positioning the Client

Mobilizing the Client

Fall Prevention, Restraints, and Seizure Precautions

Maintaining Joint Mobility

Drug Calculations

Administering Oral and Enteral Medications

Administering Topical Medications

Administering Parenteral Medications

Feeding Clients

Assisting With Urinary Elimination

Assisting With Fecal Elimination

Caring for Clients With Peritoneal Dialysis

Promoting Circulation

Breathing Exercises

Oxygen Therapy

Suctioning

Caring for the Client With a Tracheostomy

Caring for the Client With Chest Tube Drainage

Administering Emergency Measures to the Hospitalized Client

Performing Wound and Pressure Injury Care

Orthopedic Care

Performing Perioperative Care

End-Of-Life Care

Filters