Question 1

The nurse is caring for a patient who has experienced hypovolemia secondary to acute vomiting and diarrhea.The nurse anticipates what type of intravenous fluid to be ordered by the health care provider?

Accepted Answer

Hypotonic solutions are administered for cellular dehydration,whereas isotonic solutions replace intravascular fluid,so both of these might be appropriate for this patient.Hypertonic solutions pull fluid from extravascular spaces and would not be appropriate for this patient.Whole blood is not indicated because there is no evidence of blood loss.

Question 2

What should the nurse do upon noting that the patient's intravenous (IV)catheter site is pale,cool,and edematous?

Accepted Answer

The answer of What should the nurse do upon noting...

Question 3

What should the nurse do to decrease the potential for infection related to intravenous (IV)infusion therapy?

Accepted Answer

Palpate the catheter insertion site for tenderness daily through the intact dressing.Perform hand hygiene before and after palpating,inserting,replacing,or dressing any intravascular device.Maintain use of sterile dressings.Replace intravenous (IV)tubing no more frequently than at 72-hour intervals unless clinically indicated.Allow the site to air-dry before proceeding with the procedure.

Question 4

_________________________ pull fluid into the vascular space by osmosis,resulting in an increased vascular volume that possibly will result in pulmonary edema.

Accepted Answer

The answer of _________________________ pull fluid into the vascular space...

Question 5

___________________ is manifested by decreased urine output,dry mucous membranes,decreased capillary refill,a disparity in central and peripheral pulses,tachycardia,hypotension,and shock.

Accepted Answer

The answer of ___________________ is manifested by decreased urine output,dry...

Question 6

Which of the following are central venous access devices (CVADs)?

Accepted Answer

Implanted subcutaneous ports and Peripherally inserted central catheter (PICC) lines are both types of central venous access devices (CVADs), as they are inserted into a large central vein, such as the subclavian vein. Saline locks and Heparin locks are not considered CVADs, as they are short peripheral catheters used for temporary intravenous access.

Question 7

The nurse is caring for a patient who is receiving intravenous (IV)fluids at a rate of 150 mL per hour.During her assessment,the nurse notes that the patient is having more labored respirations,and that crackles have developed in the patient's lungs.The nurse reduces the IV rate and notifies the physician.She does this while recognizing that the patient is experiencing signs of _______________.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 8

The nurse is caring for a patient who has a peripheral intravenous (IV)catheter.While performing her routine assessment,she notes that the insertion site is pale,cool,and edematous.The patient indicates that the site is also painful to the touch.The nurse recognizes these symptoms as revealing a possible _______________.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 9

The nurse is preparing to start an intravenous (IV)infusion on a 92-year-old patient.The nurse realizes that she may need to take which of the following actions?

Accepted Answer

The answer of The nurse is preparing to start an...

Question 10

Fluids that have the same osmolality as body fluids are used most often to replace extracellular volume and are known as _______________ fluids.

Accepted Answer

The answer of Fluids that have the same osmolality as...

Question 11

The nurse is caring for a patient with a continuous intravenous infusion of 0.9% normal saline with 40 mEq of potassium chloride added to each liter.During a routine hourly check of the infusion,the nurse discovers that 4 hours of fluid has infused in the past 1 hour.The nurse's first action should be to:

Accepted Answer

The infusion rate should be reduced, as the rate of fluid infusion is too high. This may cause fluid overload and electrolyte imbalances, especially with the infusion of potassium chloride. The nurse should reduce the infusion rate and then assess the patient for signs and symptoms of fluid overload or electrolyte imbalances. If any issues are identified, the primary care provider should be notified, and the charge nurse should also be informed. However, reducing the infusion rate and assessing the patient are the nurse's initial priorities.

Question 12

The nurse assigns nursing assistive personnel (NAP)to care for several patients with continuous IV infusions.Which of the following can NAP assist with?

Accepted Answer

If nursing assistive personnel (NAP)notice anything they consider abnormal,they should notify the nurse.It is the nurse's responsibility to inform the NAP of specific things to look for.Changing empty intravenous (IV)solution containers cannot be delegated to NAP because the procedure requires knowledge of sterile technique.Confirming the correct IV drip rate is the nurse's responsibility.Assessment is not the responsibility of NAP;it is the responsibility of the nurse.

Question 13

The nurse is caring for a patient who will be on long-term antibiotic therapy.The patient has had numerous intravenous (IV)catheters in the past,but because the upcoming therapy will be given on a long-term basis,the nurse suggests that a _________________ be inserted.

Accepted Answer

The answer of The nurse is caring for a patient...

Question 14

Which of the following patients would the nurse anticipate requiring the placement of a central venous catheter?

Accepted Answer

A patient in the intensive care unit requiring multiple simultaneous intravenous medications is the most likely patient to require the placement of a central venous catheter. This type of catheter is needed when long-term intravenous medication administration is required or when multiple medications need to be infused simultaneously. It provides a larger vein for administration, increases patient comfort with fewer needle sticks, and reduces the risk of complications such as infection or thrombosis. The other patients listed may not require a central venous catheter.

Question 15

For which patients are electronic infusion devices (EIDs)used?

Accepted Answer

The answer of For which patients are electronic infusion devices...

Question 16

The nurse is preparing to draw blood from a central venous access device for blood cultures.Which of the following steps is part of that process?

Accepted Answer

Use the distal (red or brown)lumen to draw blood if the device has more than one lumen.The distal (red or brown)lumen typically is the largest-gauge lumen.Apply clean gloves to prevent transfer of body fluids.Do not flush before drawing blood for blood cultures.If blood cultures have been ordered,do not discard any blood.Use the initial specimen for blood cultures.

Question 17

Central venous access devices (CVADs)can be used in the home,in the hospital,and in long-term care facilities for patients who require which of the following?

Accepted Answer

Central venous access devices (CVADs) can be used for a variety of purposes, including administering medications, fluids, blood and blood products, and providing hemodynamic monitoring and blood sampling. Therefore, all options listed (supplemental nutrition, blood and blood products, hemodynamic monitoring, and blood sampling) are appropriate choices for a patient who requires a CVAD.

Question 18

An electronic device that delivers a measured amount of intravenous fluid over a specified period (e.g.,100 mL/hr)using positive pressure is called an ___________________.

Accepted Answer

The answer of An electronic device that delivers a measured...

Question 19

The patient is on daily weights and is receiving intravenous therapy.The nurse notices that the patient has gained 2 kg since the previous morning.What else would the nurse expect to observe?

Accepted Answer

The weight gain suggests fluid retention, which can lead to distended neck veins and crackles or rhonchi in the lungs due to fluid overload.

Question 20

While assessing the patient's intravenous (IV)catheter site,the nurse notes that the site is reddened and warm.The patient states that it is "sore." The nurse recognizes these as signs of ____________.

Accepted Answer

The answer of While assessing the patient's intravenous (IV)catheter site,the...

Quiz 29: Intravenous and Vascular Access Therapy

The nurse is caring for a patient who has experienced hypovolemia secondary to acute vomiting and diarrhea.The nurse anticipates what type of intravenous fluid to be ordered by the health care provider?

What should the nurse do upon noting that the patient's intravenous (IV) catheter site is pale,cool,and edematous?

What should the nurse do to decrease the potential for infection related to intravenous (IV) infusion therapy?

_________________________ pull fluid into the vascular space by osmosis,resulting in an increased vascular volume that possibly will result in pulmonary edema.

___________________ is manifested by decreased urine output,dry mucous membranes,decreased capillary refill,a disparity in central and peripheral pulses,tachycardia,hypotension,and shock.

Which of the following are central venous access devices (CVADs) ?

The nurse is preparing to start an intravenous (IV) infusion on a 92-year-old patient.The nurse realizes that she may need to take which of the following actions?

Fluids that have the same osmolality as body fluids are used most often to replace extracellular volume and are known as _______________ fluids.

The nurse assigns nursing assistive personnel (NAP) to care for several patients with continuous IV infusions.Which of the following can NAP assist with?

The nurse is caring for a patient who will be on long-term antibiotic therapy.The patient has had numerous intravenous (IV)catheters in the past,but because the upcoming therapy will be given on a long-term basis,the nurse suggests that a _________________ be inserted.

Which of the following patients would the nurse anticipate requiring the placement of a central venous catheter?

For which patients are electronic infusion devices (EIDs) used?

The nurse is preparing to draw blood from a central venous access device for blood cultures.Which of the following steps is part of that process?

Central venous access devices (CVADs) can be used in the home,in the hospital,and in long-term care facilities for patients who require which of the following?

An electronic device that delivers a measured amount of intravenous fluid over a specified period (e.g.,100 mL/hr)using positive pressure is called an ___________________.

The patient is on daily weights and is receiving intravenous therapy.The nurse notices that the patient has gained 2 kg since the previous morning.What else would the nurse expect to observe?

While assessing the patient's intravenous (IV)catheter site,the nurse notes that the site is reddened and warm.The patient states that it is "sore." The nurse recognizes these as signs of ____________.