Question 1

The nurse is caring for a patient receiving a continuous IV infusion who develops sudden dyspnea, chest pain, and change in mental status. Which interventions should the nurse implement? (Select all that apply.)

Accepted Answer

A,C,D

Question 2

For which patient would a port be most beneficial?

Accepted Answer

Ports are most beneficial for patients who require frequent or long-term access to the bloodstream for treatments such as chemotherapy, making option D the correct choice.

Question 3

The nurse is caring for a patient receiving a continuous IV infusion who develops sudden dyspnea, chest pain, and change in mental status. Which interventions should the nurse implement? (Select all that apply.)

Accepted Answer

The patient is experiencing signs and symptoms of an allergic reaction to the IV infusion. The nurse should notify the HCP, place the patient in high-Fowler position to improve breathing, administer oxygen as ordered to increase oxygenation, and monitor vital signs to assess the patient's response to the interventions. Culturing the IV site is not indicated at this time.

Question 4

A patient is prescribed 100 mL of 25% albumin IV to run over 1 hour. The albumin will transfuse using a 60 gtt/mL set. Calculate the drip rate. Round to the nearest whole number. Enter the numeral only.

Accepted Answer

The answer of A patient is prescribed 100 mL of...

Question 5

The nurse mistakenly assesses the blood pressure of the patient on the arm an IV is transfusing. What can this cause?

Accepted Answer

Measuring blood pressure on an arm with an IV infusion can cause an increase in venous pressure due to the compression of the vein, which may impede the flow of the IV solution.

Question 6

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

The first action should be to check for any mechanical issues such as kinking of the tubing or a closed clamp, as these are common and easily correctable causes of occlusion alarms in IV infusion pumps.

Question 7

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?

Accepted Answer

Stopping the infusion is the first and immediate action to prevent any potential harm to the patient from the precipitate, which could indicate an incompatibility or a problem with the medication.

Question 8

Which patient would benefit most from hypodermoclysis?

Accepted Answer

Hypodermoclysis, or subcutaneous infusion, is particularly beneficial for patients who require mild to moderate hydration and have poor venous access, making it an ideal choice for the 5-year-old patient receiving normal saline. This method is less suitable for patients needing rapid or large volume fluid replacement, blood transfusions, or receiving irritant medications like chemotherapy or multiple antibiotics, which are better administered intravenously.

Question 9

A patient is prescribed levofloxacin (Levaquin) 500 mg in 100 mL of normal saline to be infused over 1 hour. At what rate will the nurse set the infusion pump? Enter the numeral only.

Accepted Answer

The answer of A patient is prescribed levofloxacin (Levaquin) 500...

Question 10

The nurse suspects the patient has developed septicemia as a complication of peripheral IV therapy. Which clinical manifestation supports the nurse's suspicion?

Accepted Answer

Fever and chills are systemic signs of infection and sepsis, indicating that the infection may have spread into the bloodstream, which aligns with the suspicion of septicemia.

Question 11

The nurse is preparing to administer a medication IV push. What should the nurse do prior to administering the medication? (Select all that apply.)

Accepted Answer

- Assessing the catheter for patency ensures that the medication can be delivered effectively without complications.- Looking up the rate of the medication is crucial to prevent adverse effects from administering the medication too quickly.- Assessing allergies is essential to avoid allergic reactions to the medication being administered.

Question 12

The nurse is preparing to start an IV on a newly admitted patient. Which action by the nurse places the patient at risk for infection?

Accepted Answer

Blowing on the area cleansed with alcohol can introduce bacteria from the mouth, contaminating the sterile field and increasing the risk of infection.

Question 13

The nurse is preparing to administer a hypertonic solution to a patient with hypovolemia. Which fluids are considered to be hypertonic? (Select all that apply.)

Accepted Answer

A) 5% dextrose in 0.9% sodium chloride (D5NS) and B) Albumin 25% are considered hypertonic solutions. Hypertonic solutions have a higher osmolarity than the plasma, which can draw water out of cells into the bloodstream, increasing blood volume. D5NS combines dextrose and normal saline, making it hypertonic, and Albumin 25% is a concentrated protein solution that is also hypertonic. C) 5% dextrose in water (D5W) is isotonic when administered but becomes hypotonic as the body metabolizes the dextrose. D) 0.9% sodium chloride (NS) is isotonic, not hypertonic.

Question 14

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

Accepted Answer

CHG is recommended based on scientific evidence for its effectiveness in reducing infection rates associated with central line insertions, making it the preferred choice for site preparation and cleansing.

Question 15

A patient is prescribed IV fluid of 500 mL of lactated Ringer to infuse over 2 hours. At what rate will the nurse set the infusion pump? Enter the numeral only.

Accepted Answer

The answer of A patient is prescribed IV fluid of...

Question 16

The nurse is preparing to administer IV fluid to a patient using a microdrop set. Which tubing will the nurse select? 1.10 tt/mL

Accepted Answer

Microdrop sets, which are used for precise fluid delivery, typically deliver 60 drops per milliliter (gtt/mL). This makes them suitable for pediatric and neonatal patients where small volumes of fluid need to be administered accurately.

Question 17

A patient is prescribed D5W to run over 12 hours using a set delivering 15 gtt/mL. Calculate the drip rate. Round to the nearest whole number. Enter the numeral only.

Accepted Answer

The answer of A patient is prescribed D5W to run...

Question 18

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 LPN/LVN select?

Accepted Answer

0.9% normal saline is the only IV solution that should be used with blood transfusions because it is isotonic and does not cause hemolysis of red blood cells. Other solutions can cause adverse reactions.

Question 19

The nurse is caring for a patient who is receiving parenteral nutrition (PN). The patient develops increased thirst, blurred vision, and a headache. Which action should the nurse take?

Accepted Answer

These symptoms are indicative of hyperglycemia, which can occur in patients receiving parenteral nutrition due to the high glucose content. Checking the patient's glucose level is the appropriate first step to confirm this condition.

Question 20

The licensed practical nurse/licensed vocational nurse (LPN/LVN) is assessing a patient receiving IV therapy and notes crackles upon auscultation of lung sounds and puffy eyelids. Which action should the nurse take?

Accepted Answer

The answer of The licensed practical nurse/licensed vocational nurse (LPN/LVN)...

Quiz 7: Nursing Care of Patients Receiving Intravenous Therapy

The nurse is caring for a patient receiving a continuous IV infusion who develops sudden dyspnea, chest pain, and change in mental status. Which interventions should the nurse implement? (Select all that apply.)

For which patient would a port be most beneficial?

The nurse is caring for a patient receiving a continuous IV infusion who develops sudden dyspnea, chest pain, and change in mental status. Which interventions should the nurse implement? (Select all that apply.)

A patient is prescribed 100 mL of 25% albumin IV to run over 1 hour. The albumin will transfuse using a 60 gtt/mL set. Calculate the drip rate. Round to the nearest whole number. Enter the numeral only.

The nurse mistakenly assesses the blood pressure of the patient on the arm an IV is transfusing. What can this cause?

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?

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?

Which patient would benefit most from hypodermoclysis?

A patient is prescribed levofloxacin (Levaquin) 500 mg in 100 mL of normal saline to be infused over 1 hour. At what rate will the nurse set the infusion pump? Enter the numeral only.

The nurse suspects the patient has developed septicemia as a complication of peripheral IV therapy. Which clinical manifestation supports the nurse's suspicion?

The nurse is preparing to administer a medication IV push. What should the nurse do prior to administering the medication? (Select all that apply.)

The nurse is preparing to start an IV on a newly admitted patient. Which action by the nurse places the patient at risk for infection?

The nurse is preparing to administer a hypertonic solution to a patient with hypovolemia. Which fluids are considered to be hypertonic? (Select all that apply.)

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

A patient is prescribed IV fluid of 500 mL of lactated Ringer to infuse over 2 hours. At what rate will the nurse set the infusion pump? Enter the numeral only.

The nurse is preparing to administer IV fluid to a patient using a microdrop set. Which tubing will the nurse select? 1.10 tt/mL

A patient is prescribed D5W to run over 12 hours using a set delivering 15 gtt/mL. Calculate the drip rate. Round to the nearest whole number. Enter the numeral only.

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 LPN/LVN select?

The nurse is caring for a patient who is receiving parenteral nutrition (PN) . The patient develops increased thirst, blurred vision, and a headache. Which action should the nurse take?

The licensed practical nurse/licensed vocational nurse (LPN/LVN) is assessing a patient receiving IV therapy and notes crackles upon auscultation of lung sounds and puffy eyelids. Which action should the nurse take?