Exam 7: Nursing Care of Patients Receiving Intravenous Therapy

A patient is prescribed IV fluid to replace electrolytes and expand plasma volume.Which type of fluid will the nurse provide to the patient?

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 for site preparation and cleansing.Which evidence best supports this decision?

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?

Assessment of blood glucose levels is prescribed every 6 hours for a patient who is receiving parenteral nutrition (PN).The patient asks why this is necessary.Which response by the nurse is most appropriate?

A patient is prescribed to receive a continuous infusion of IV fluids.When preparing to place the catheter,the nurse notes that the client has a dialysis fistula in the right arm and had a left breast mastectomy three years prior.What should the nurse do?

After preparing the skin for IV catheter placement,the nurse decides that the vein needs to be palpated before introducing the catheter.How should the nurse perform this action?

An IV infusion is not running.The insertion site looks normal.Which action should the nurse take to try to get it to run again?

The nurse needs to dilate a patient's vein prior to inserting an IV catheter.Which technique should the nurse use to dilate the patient's vein?

As soon as the nurse begins to insert an IV catheter in the patient's antecubital space,a hematoma forms at the site.What should the nurse do first?

A patient is in the intensive care unit with acute renal failure secondary to septic shock and is receiving IV fluids of 0.9% NaCl at 125 mL/hr.The patient develops crackles in the lungs,distended neck veins,1+ pitting edema in the feet,and a 4-pound weight gain from the previous day.What nursing diagnosis is most appropriate for this situation?

The nurse suspects a patient receiving IV therapy is experiencing fluid overload.Which assessment should the nurse perform first?

An IV insertion site begins to leak,and the tape over the site is wet.What should the nurse do first?

A patient in an outpatient oncology clinic is going to have a peripherally inserted central catheter (PICC)line placed and wants to know what that means.What is the best response by the nurse?

The nurse analyzes the fluid volume status of assigned patients.Which patients are most likely to need continuous IV therapy? (Select all that apply.)

The nurse is preparing to flush a patient's intermittent IV catheter.Why is the nurse flushing this catheter?

The nurse is preparing heparin to use as a flush for a patient's IV infusion site.For which type of site is the nurse providing care?

A patient is prescribed an IV infusion of a hypertonic solution.Which fluid shift should the nurse expect to occur with this type of infusion?

The nurse is concerned that a patient is developing complications from peripheral IV therapy.For which systemic complication should the nurse assess the patient? (Select all that apply.)

The nurse is preparing to administer a bolus IV medication through a patient's saline lock.Which action should the nurse take immediately before providing the patient with this medication?

When assessing a patient with an IV line in the right arm,the LPN notices that the skin near the infusion site is taut and cool,and when the arm is lowered,it appears to swell.What should the nurse consider is occurring with this patient's IV access site?