Question 1

A nurse is preparing to flush a client's I.V. catheter before injecting medication. Which steps should be taken by the nurse when flushing the client's intermittent locking device? Prioritize the nurse's actions by placing each step in the correct order.

Accepted Answer

The nurse should first check for the patency of the catheter to ensure that the flushing solution can flow through the catheter without any obstruction. Then, they should flush the catheter with sodium chloride solution, using the push-pause method, which involves injecting the solution in short pulses to prevent the formation of a pressure gradient that could dislodge or damage the catheter. Next, the nurse should flush the catheter with sodium chloride using positive pressure to clear any residual solution or debris from the catheter. Finally, the nurse can administer the medication through the catheter.

Question 2

A nurse is selecting a peripheral vein for venipuncture. Which factors should affect the nurse's choice of an I.V. site? SELECT ALL THAT APPLY.

Accepted Answer

The answer of A nurse is selecting a peripheral vein...

Question 3

A nurse is preparing to flush a client's I.V. catheter before injecting medication. Which steps should be taken by the nurse when flushing the client's intermittent locking device? Prioritize the nurse's actions by placing each step in the correct order.

Accepted Answer

The nurse should first check for patency of the catheter by trying to flush it with a small amount of sodium chloride using the push-pause method. If it flushes easily, then the nurse can proceed to flush with a larger amount of sodium chloride using positive pressure. After flushing, the nurse can administer the medication through the catheter.

Question 4

A child who weighs 10 kg sustains an estimated total body surface area (TBSA) burn of 50% from a house fire. The Parkland formula of fluid resuscitation is used to determine the amount of fluid that this child requires. According to this formula, a nurse should intravenously administer _ mL of fluid to the child in the first 8 hours from the time of the injury.

Accepted Answer

The answer of A child who weighs 10 kg sustains...

Question 5

A physician orders 1,000 mL of 5% dextrose and lactated Ringer's solution infused intravenously at 80 mL/hr. The nurse time-tapes the bag with a start time of 0700 hours. Based on this information, the infusion should be complete at ___ hours.

Accepted Answer

The answer of A physician orders 1,000 mL of 5%...

Question 6

A nurse has just successfully inserted an I.V. cannula into a client's vein. Which action should be taken by the nurse next? Place each nursing action in the order of priority.

Accepted Answer

The priority after insertion of an I.V. cannula is to observe for signs of infiltration, as this could lead to complications such as tissue damage and fluid overload. Once infiltration is ruled out, the nurse should attach the primed I.V. tubing to prevent air from entering the client's bloodstream. Adjusting the flow rate is important to ensure the client receives the correct dosage of I.V. fluid, but it can be done after the tubing is attached. Beginning flow of I.V. fluid is the last step, as all other steps should be completed beforehand to ensure the client's safety.

Question 7

A physician orders 1,000 mL of 5% dextrose and 0.45% sodium chloride to be infused intravenously at 125 mL/hr. A nurse uses tubing with a drop factor of 20. The nurse calculates that the I.V. solution should be infused at _ drops per minute (gtt/min).

Accepted Answer

The answer of A physician orders 1,000 mL of 5%...

Question 8

A nurse is initiating I.V. therapy on a client who is receiving anticoagulant therapy. Which techniques should the nurse use when starting an I.V. line on this client?

Accepted Answer

The answer of A nurse is initiating I.V. therapy on...

Question 9

A physician orders 0.45% sodium chloride to be infused intravenously at 45 mL/hr for an 8-month-old infant. A nurse calculates that, using a microdrip controller, the solution should infuse at a rate of _ drops per minute (gtt/min).

Accepted Answer

The answer of A physician orders 0.45% sodium chloride to...

Question 10

A nurse has finished placing a 20-gauge over-the-needle catheter in a client's forearm for a continuous infusion of 1000 mL of 5% dextrose and 0.45% sodium chloride. After the infusion has been initiated, which items should be labeled? SELECT ALL THAT APPLY.

Accepted Answer

The answer of A nurse has finished placing a 20-gauge...

Question 11

A physician orders 1,000 mL of 5% dextrose in water at 50 mL/hr. A nurse uses tubing with a drop factor of 15. The nurse calculates that the I.V. solution should be infused at _ drops per minute (gtt/min).

Accepted Answer

The answer of A physician orders 1,000 mL of 5%...

Quiz 6: Techniques for Initiation and Maintenance of Peripheral Infusion Therapy

A nurse is preparing to flush a client's I.V. catheter before injecting medication. Which steps should be taken by the nurse when flushing the client's intermittent locking device? Prioritize the nurse's actions by placing each step in the correct order.

A nurse is selecting a peripheral vein for venipuncture. Which factors should affect the nurse's choice of an I.V. site? SELECT ALL THAT APPLY.

A nurse is preparing to flush a client's I.V. catheter before injecting medication. Which steps should be taken by the nurse when flushing the client's intermittent locking device? Prioritize the nurse's actions by placing each step in the correct order.

A physician orders 1,000 mL of 5% dextrose and lactated Ringer's solution infused intravenously at 80 mL/hr. The nurse time-tapes the bag with a start time of 0700 hours. Based on this information, the infusion should be complete at ___ hours.

A nurse has just successfully inserted an I.V. cannula into a client's vein. Which action should be taken by the nurse next? Place each nursing action in the order of priority.

A physician orders 1,000 mL of 5% dextrose and 0.45% sodium chloride to be infused intravenously at 125 mL/hr. A nurse uses tubing with a drop factor of 20. The nurse calculates that the I.V. solution should be infused at _ drops per minute (gtt/min).

A nurse is initiating I.V. therapy on a client who is receiving anticoagulant therapy. Which techniques should the nurse use when starting an I.V. line on this client?

A physician orders 0.45% sodium chloride to be infused intravenously at 45 mL/hr for an 8-month-old infant. A nurse calculates that, using a microdrip controller, the solution should infuse at a rate of _ drops per minute (gtt/min).

A nurse has finished placing a 20-gauge over-the-needle catheter in a client's forearm for a continuous infusion of 1000 mL of 5% dextrose and 0.45% sodium chloride. After the infusion has been initiated, which items should be labeled? SELECT ALL THAT APPLY.

A physician orders 1,000 mL of 5% dextrose in water at 50 mL/hr. A nurse uses tubing with a drop factor of 15. The nurse calculates that the I.V. solution should be infused at _ drops per minute (gtt/min).