Question 1

Place the steps in order for the preparation to initiate a blood line: (Separate letters by a comma and space as follows: A, B, C, D, E.)

Accepted Answer

All permission slips and then identification must be accomplished prior to starting blood. The blood information is checked with two licensed persons. The filter is primed and the saline is started; vital signs are taken and then the blood is started.

Question 2

The physician orders an IV of 5% dextrose in normal saline (0.45% sodium chloride) to infuse over a 10-hour period. Which of the following actions should the nurse take? (Select all that apply.)

Accepted Answer

To monitor fluid overload, it is important to assess lung sounds and I&O. Monitoring the IV site for infiltration or phlebitis is also critical.

Question 3

After the blood infusion has started, the nurse should let the blood flow at 2 mL/min for the first ___________ minutes.

Accepted Answer

The answer of After the blood infusion has started, the...

Question 4

The nurse instills diluted medication in the portion of the controlled volume IV setup, which is called the ___________.

Accepted Answer

The answer of The nurse instills diluted medication in the...

Question 5

A patient who requires an immediate transfusion of blood has previously signed a consent form to receive it. The nurse confirms that the consent was signed within the last _____ hours.

Accepted Answer

A consent to receive blood must be signed by the patient, usually no more than 48 to 72 hours before receiving the blood product.

Question 6

The nurse is aware that the disadvantages of infusion pumps include: (Select all that apply.)

Accepted Answer

Infusion pumps have some disadvantages such as their initial expense, the need for special administration sets, and the fact that the alarm button sounds when the IV container is empty, when there is air in the line, and when there is an occlusion.

Question 7

Signs that would cause the nurse to discontinue a blood transfusion would include: (Select all that apply.)

Accepted Answer

Symptoms such as hives, facial flushing, back pain, itching, chills, apprehension, and fever are the most common reactions. Many times the physician will order Benadryl for the itching or hives and allow the blood to run.

Question 8

The LVN/LPN is told by the RN to discontinue an IV line to the patient. The best nursing action is to:

Accepted Answer

Checking the physician's order will prevent inadvertently discontinuing the IV and having to restart it.

Question 9

A patient complains of chills, back pain, and shortness of breath a few minutes after the blood infusion is started. The first thing the nurse should do is:

Accepted Answer

If a transfusion reaction occurs, such as chills, back pain, and shortness of breath or itching, the nurse should stop the infusion and start the saline to keep the line open.

Question 10

A patient has an IV of 1000 mL 5% dextrose in ¹/2 -normal saline (0.45% sodium chloride) infusing via microdrip for 12 hours. The IV is infusing _____ gtt/min.

Accepted Answer

The answer of A patient has an IV of 1000...

Question 11

The nurse caring for a patient with an intermittent IV device should:

Accepted Answer

The intermittent IV device should be flushed periodically with saline or heparin, depending of facility policy, to maintain patency, which allows more freedom of movement for the patient.

Quiz 36: Administering Intravenous Solutions and Medications