Question 1

An older adult patient is assessed by the nurse as showing signs of fluid volume excess,which are:

Accepted Answer

A)  Redness, warmth, and drainage of fluid at the IV site 
B)  Redness, warmth, and tenderness at the IV site 
C)  Complaints of shortness of breath and pounding pulse 
D)  Puffiness of face, dyspnea, and pain at the IV site 
A)  Redness, warmth, and drainage of fluid at the IV site 
B)  Redness, warmth, and tenderness at the IV site 
C)  Complaints of shortness of breath and pounding pulse 
D)  Puffiness of face, dyspnea, and pain at the IV site

Question 2

The nurse explains to the patient that,in the event of an accidental needle stick,the nurse should adhere to hospital policy,the usual directives of which are:

Accepted Answer

A)  Antibiotics are taken if infection is present. 
B)  Blood is drawn from both the nurse and the patient. 
C)  Repeat blood draws are performed 4 weeks after the stick. 
D)  Obtain the physician's permission to return to work. 
E)  An incident report is initiated. 
A)  Antibiotics are taken if infection is present. 
B)  Blood is drawn from both the nurse and the patient. 
C)  Repeat blood draws are performed 4 weeks after the stick. 
D)  Obtain the physician's permission to return to work. 
E)  An incident report is initiated.

Question 3

An IV administration of doxycyclin (Vibramycin)has extravagated.After stopping the IV,the nurse should:

Accepted Answer

A)  Notify the physician, and restart the IV in another site. 
B)  Restart the IV at another site, and document the extravasation. 
C)  Flush NS through cannula at the insertion site. 
D)  Discard the IV tubing and the IV bag. 
A)  Notify the physician, and restart the IV in another site. 
B)  Restart the IV at another site, and document the extravasation. 
C)  Flush NS through cannula at the insertion site. 
D)  Discard the IV tubing and the IV bag.

Question 4

When removing a central catheter,the nurse should instruct the patient to:

Accepted Answer

A)  Lean forward and cough. 
B)  Take a deep breath and bear down. 
C)  Breathe deeply through the mouth. 
D)  Lie on the right side. 
A)  Lean forward and cough. 
B)  Take a deep breath and bear down. 
C)  Breathe deeply through the mouth. 
D)  Lie on the right side.

Question 5

The nurse explains that a major advantage of IV therapy is that drugs administered via the IV route:

Accepted Answer

A)  Can better be maintained at a therapeutic blood level 
B)  Is less expensive than oral route 
C)  Is safer than administering by oral or intramuscular (IM) route 
D)  Has a lower incidence of allergy than other routes 
A)  Can better be maintained at a therapeutic blood level 
B)  Is less expensive than oral route 
C)  Is safer than administering by oral or intramuscular (IM) route 
D)  Has a lower incidence of allergy than other routes

Question 6

As part of a written standard protocol for the unit,the nurse adds that irrigation of an occluded cannula is not recommended.The rationale against performing this procedure is that it may:

Accepted Answer

A)  Damage a venous valve 
B)  Introduce an air embolus into the line 
C)  Cause the patient pain 
D)  Force blood clots into the main bloodstream 
A)  Damage a venous valve 
B)  Introduce an air embolus into the line 
C)  Cause the patient pain 
D)  Force blood clots into the main bloodstream

Question 7

The nurse transcribing orders should clarify the order of:

Accepted Answer

A)  Potassium chloride, 80 mEq in 1000 ml D5W in 24 hours 
B)  Potassium chloride, 40 mEq IV in 10 ml D5W IV push 
C)  Potassium chloride, 50 mEq in 500 ml D5W in 4 hours 
D)  Potassium chloride, 80 mEq in 1000 ml D5W in 12 hours 
A)  Potassium chloride, 80 mEq in 1000 ml D5W in 24 hours 
B)  Potassium chloride, 40 mEq IV in 10 ml D5W IV push 
C)  Potassium chloride, 50 mEq in 500 ml D5W in 4 hours 
D)  Potassium chloride, 80 mEq in 1000 ml D5W in 12 hours

Question 8

When the nurse assesses an infiltration at a peripheral IV site,the nurse should: (Place these options in the correct sequence.)
A) Elevate the arm.
B) Apply warm compresses to the area.
C) Restart the infusion.
D) Stop the infusion.
E) Notify the charge nurse.

Accepted Answer

D,C,A,B,E
The infusion must be stopped t

Question 9

The nurse explains that caloric sources in IVs come from:

Accepted Answer

A)  Electrolytes 
B)  Dextrose 
C)  Vitamins 
D)  Water 
A)  Electrolytes 
B)  Dextrose 
C)  Vitamins 
D)  Water

Exam 18: Intravenous Therapy

An older adult patient is assessed by the nurse as showing signs of fluid volume excess,which are:

The nurse explains to the patient that,in the event of an accidental needle stick,the nurse should adhere to hospital policy,the usual directives of which are:

An IV administration of doxycyclin (Vibramycin)has extravagated.After stopping the IV,the nurse should:

When removing a central catheter,the nurse should instruct the patient to:

The nurse explains that a major advantage of IV therapy is that drugs administered via the IV route:

As part of a written standard protocol for the unit,the nurse adds that irrigation of an occluded cannula is not recommended.The rationale against performing this procedure is that it may:

The nurse transcribing orders should clarify the order of:

When the nurse assesses an infiltration at a peripheral IV site,the nurse should: (Place these options in the correct sequence.) A) Elevate the arm. B) Apply warm compresses to the area. C) Restart the infusion. D) Stop the infusion. E) Notify the charge nurse.

The nurse explains that caloric sources in IVs come from:

The Health Care System

Patient Care Settings

Legal and Ethical Considerations

The Leadership Role of the Licensed Practical Nurse

The Nurse-Patient Relationship

Cultural Aspects of Nursing Care

The Nurse and the Family

Health and Illness

Nutrition

Developmental Processes

The Older Patient

The Nursing Process and Critical Thinking

Inflammation, infection, and Immunity

Fluids and Electrolytes

Pain Management

First Aid, emergency Care, and Disaster Management

Surgical Care

Shock

Falls

Immobility

Confusion

Incontinence

Loss, death, and End-Of-Life Care

The Patient With Cancer

The Patient With an Ostomy

Neurologic Disorders

Cerebrovascular Accident

Spinal Cord Injury

Acute Respiratory Disorders

Chronic Respiratory Disorders

Hematologic Disorders

Immunologic Disorders

Human Immunodeficiency Virus and Acquired Immunodeficiency Syndrome

Cardiac Disorders

Vascular Disorders

Hypertension

Digestive Tract Disorders

Disorders of the Liver, gallbladder, and Pancreas

Urologic Disorders

Connective Tissue Disorders

Fractures

Amputations

Pituitary and Adrenal Disorders

Thyroid and Parathyroid Disorders

Diabetes Mellitus and Hypoglycemia

Female Reproductive Disorders

Male Reproductive Disorders

Sexually Transmitted Infections

Skin Disorders

Eye and Vision Disorders

Ear and Hearing Disorders

Nose, sinus, and Throat Disorders

Psychologic Responses to Illness

Psychiatric Disorders

Substance-Related Disorders

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