Exam 28: Intravenous and Vascular Access Therapy

For which patients are electronic infusion devices (EID)used? (Select all that apply.)

A pediatric patient has an IV with a microdrip.The order is for 40 mL/hour to infuse.The nurse regulates the microdrip at:

The nurse is caring for a patient who has a peripheral IV.While performing her routine assessment,she notes that the insertion site is pale,cool,and edematous.The patient indicates that the site is also painful to the touch.The nurse recognizes these symptoms as revealing a possible _______________.

___________________ is manifested by decreased urine output,dry mucous membranes,decreased capillary refill,a disparity in central and peripheral pulses,tachycardia,hypotension,and shock.

The order is for the patient to receive 500 mL over 4 hours.The nurse has an electronic infusion device (EID)in place that provides for the regulation of hourly infusion.The IV tubing available is 10 gtt/mL.What is the setting for the infusion device?

_________________________ pull fluid into the vascular space by osmosis,resulting in an increased vascular volume that possibly will result in pulmonary edema.

Central venous access devices (CVADs)can be used in the home,hospital,and long-term care facilities for patients who require which of the following? (Select all that apply.)

Fluids that have the same osmolality as body fluids are used most often to replace extracellular volume and are known as _______________ fluids.

While assessing the patient's IV site,the nurse notes that the site is reddened and warm.The patient states that it is "sore." The nurse recognizes these as signs of ____________.

The nurse is caring for a patient who is receiving IV fluids at a rate of 150 mL per hour.During her assessment,the nurse notes that the patient is having more labored respirations,and that crackles have developed in the patient's lungs.The nurse reduces the IV rate and notifies the physician.She does this while recognizing that the patient is experiencing signs of _______________.

The nurse is assisting the physician during the insertion of a central line into the subclavian vein.How should the nurse cleanse the area?

An IV catheter attached to an injection cap to maintain a closed system is known as an ________________.

Intravenous catheters that usually are 6 to 8 inches in length and that are inserted directly through the skin and into the internal or external jugular,subclavian,or femoral veins are known as ____________________.

Established standards for routine replacement of peripheral IV catheters and intravenous administration sets have recommended a maximum of _____ hours to reduce IV fluid contamination and prevent catheter site complications.

The nurse is caring for a patient who receives intermittent intravenous antibiotic therapy.Between doses,the nurse uses intravenous fluid to keep the vein patent.At what infusion rate should he/she set the IV to achieve that goal?

Which patient would a nurse anticipate would be a candidate for a peripherally inserted central catheter (PICC)?

The patient is expected to require intravenous therapy for several years as treatment for a chronic disease process.Which of the following would be the best choice for venous access in this patient?

An intravenous catheter that is inserted through a large arm vein and is advanced until the tip enters the central venous system is known as a __________________.

The nurse is preparing to start an IV on a 92-year-old patient.The nurse realizes that she may need to take which of the following actions? (Select all that apply.)

What should the nurse do upon noting bleeding around a dressing at an IV insertion site?