Question 1

The nurse notes that a patient's central venous access device (CVAD)infusion site gauze dressing is saturated with blood.What should the nurse do?

Accepted Answer

A)  Change the dressing. 
B)  Reinforce the dressing with a gauze pad. 
C)  Notify the physician to change the dressing. 
D)  Apply a transparent dressing over the gauze.

Question 2

The health care provider is planning to discontinue total parenteral nutrition for a patient who has been receiving it for 3 weeks after an episode of severe gastrointestinal (GI)bleeding.What patient care order should the nurse anticipate?

Accepted Answer

A)  Place the patient on clear liquids for 1 week. 
B)  Start tube feedings tid via nasogastric tube. 
C)  Sodium-restricted diet with high-protein snacks bid. 
D)  Taper PN rate and introduce regular feedings slowly.

Question 3

The nurse is preparing to insert an intravenous (IV)catheter in a newly admitted patient.Which area should the nurse use first for this catheter?

Accepted Answer

A)  Hand 
B)  Forearm 
C)  Upper arm 
D)  Antecubital space

Question 4

A patient is to receive an IV liter of normal saline over 6 hours.To deliver the fluid,how many mL per hour should the nurse set the pump?

Accepted Answer

The answer of A patient is to receive an IV...

Question 5

The nurse is preparing to start a peripheral IV infusion.Which technique should the nurse use to help ensure success with the venipuncture? (Select all that apply.)

Accepted Answer

A)  Use a tourniquet to dilate the vein. 
B)  Elevate the extremity to promote venous return. 
C)  Apply a warm compress prior to site preparation. 
D)  Lower the head of the bed to reduce cardiac output. 
E)  Encourage the patient to open the hand and lay it flat on the bed.
F) Push the skin toward the intended puncture site to prevent rolling.

Question 6

The nurse is planning to insert an IV catheter into a patient with severe upper extremity edema.Which actions should the nurse take to ensure the catheter is placed appropriately? (Select all that apply.)

Accepted Answer

A)  Select a catheter that is 2 inches in length. 
B)  Use alcohol to cleanse the site before insertion. 
C)  Bring three tourniquets to the patient's bedside. 
D)  Displace edema to visualize the patient's veins. 
E)  Apply sterile gloves before beginning the procedure.

Question 7

An angiocatheter site in a patient's left forearm has become red and tender.What should the nurse do first?

Accepted Answer

A)  Check for a blood return. 
B)  Remove the angiocatheter. 
C)  Apply a warm compress over the insertion site. 
D)  Run the IV solution at a slightly faster rate to encourage sluggish circulation.

Question 8

The IV infusion pump for a patient receiving an IV therapy begins to alarm and displays occlusion.When the silence button is pushed,the alarm quickly resumes.Which action should the nurse take first?

Accepted Answer

A)  Notify the physician. 
B)  Check for kinking of the tubing or a closed clamp. 
C)  Decrease the rate to 10 mL/hr, and flush the line with 1 mL of heparin solution. 
D)  Turn off the IV solution, and gently flush the line with 3 mL of saline flush solution.

Question 9

A patient is prescribed an IV antibiotic medication that is 100 mg in 50 mL D₅W to be infused over 20 minutes.The infusion set delivers 15 gtt per mL.How many drops of medication per minute should the infusion set deliver to the patient?

Accepted Answer

The answer of A patient is prescribed an IV antibiotic...

Question 10

A patient is prescribed to receive two units of packed red blood cells.When preparing for this patient's infusion of blood,which type of IV solution should the licensed practical nurse/licensed vocational nurse LPN/LVN select?

Accepted Answer

A)  0.9% Normal Saline 
B)  0.45% Normal Saline 
C)  Dextrose 5% and water 
D)  Dextrose 5% and 0.9% Normal Saline

Question 11

A patient's IV fluids are infusing too quickly despite adjustments made to the flow rate.Which approach should the nurse consider to slow the flow rate of a gravity solution?

Accepted Answer

A)  Opening the roller clamp 
B)  Flushing the cannula with saline solution 
C)  Raising the level of the solution container 
D)  Flexing the extremity above the insertion site

Exam 7: Nursing Care of Patients Receiving Intravenous Therapy

The nurse notes that a patient's central venous access device (CVAD) infusion site gauze dressing is saturated with blood.What should the nurse do?

The health care provider is planning to discontinue total parenteral nutrition for a patient who has been receiving it for 3 weeks after an episode of severe gastrointestinal (GI) bleeding.What patient care order should the nurse anticipate?

The nurse is preparing to insert an intravenous (IV) catheter in a newly admitted patient.Which area should the nurse use first for this catheter?

A patient is to receive an IV liter of normal saline over 6 hours.To deliver the fluid,how many mL per hour should the nurse set the pump?

The nurse is preparing to start a peripheral IV infusion.Which technique should the nurse use to help ensure success with the venipuncture? (Select all that apply.)

The nurse is planning to insert an IV catheter into a patient with severe upper extremity edema.Which actions should the nurse take to ensure the catheter is placed appropriately? (Select all that apply.)

An angiocatheter site in a patient's left forearm has become red and tender.What should the nurse do first?

The IV infusion pump for a patient receiving an IV therapy begins to alarm and displays occlusion.When the silence button is pushed,the alarm quickly resumes.Which action should the nurse take first?

A patient is prescribed an IV antibiotic medication that is 100 mg in 50 mL D₅W to be infused over 20 minutes.The infusion set delivers 15 gtt per mL.How many drops of medication per minute should the infusion set deliver to the patient?

A patient is prescribed to receive two units of packed red blood cells.When preparing for this patient's infusion of blood,which type of IV solution should the licensed practical nurse/licensed vocational nurse LPN/LVN select?

A patient's IV fluids are infusing too quickly despite adjustments made to the flow rate.Which approach should the nurse consider to slow the flow rate of a gravity solution?

Exam 7: Nursing Care of Patients Receiving Intravenous Therapy

The nurse notes that a patient's central venous access device (CVAD) infusion site gauze dressing is saturated with blood.What should the nurse do?

The health care provider is planning to discontinue total parenteral nutrition for a patient who has been receiving it for 3 weeks after an episode of severe gastrointestinal (GI) bleeding.What patient care order should the nurse anticipate?

The nurse is preparing to insert an intravenous (IV) catheter in a newly admitted patient.Which area should the nurse use first for this catheter?

A patient is to receive an IV liter of normal saline over 6 hours.To deliver the fluid,how many mL per hour should the nurse set the pump?

The nurse is preparing to start a peripheral IV infusion.Which technique should the nurse use to help ensure success with the venipuncture? (Select all that apply.)

The nurse is planning to insert an IV catheter into a patient with severe upper extremity edema.Which actions should the nurse take to ensure the catheter is placed appropriately? (Select all that apply.)

An angiocatheter site in a patient's left forearm has become red and tender.What should the nurse do first?

The IV infusion pump for a patient receiving an IV therapy begins to alarm and displays occlusion.When the silence button is pushed,the alarm quickly resumes.Which action should the nurse take first?

A patient is prescribed an IV antibiotic medication that is 100 mg in 50 mL D5W to be infused over 20 minutes.The infusion set delivers 15 gtt per mL.How many drops of medication per minute should the infusion set deliver to the patient?

A patient is prescribed to receive two units of packed red blood cells.When preparing for this patient's infusion of blood,which type of IV solution should the licensed practical nurse/licensed vocational nurse LPN/LVN select?

A patient's IV fluids are infusing too quickly despite adjustments made to the flow rate.Which approach should the nurse consider to slow the flow rate of a gravity solution?

A patient is prescribed an IV antibiotic medication that is 100 mg in 50 mL D₅W to be infused over 20 minutes.The infusion set delivers 15 gtt per mL.How many drops of medication per minute should the infusion set deliver to the patient?