Deck 12: Parenteral Administration: Intravenous Route

Question 1

A diabetic patient requires the administration of insulin continuously at home. Which system would most likely be used in this instance?

A) Central line catheter
B) Microdrip set
C) Piggyback system
D) Syringe pump

Answer 1

Syringe pump

Question 2

A patient is diagnosed with cancer and requires 6 months of chemotherapy infusions. Which type of intravenous access device will likely be used?

A) Peripheral venous access device
B) Midline catheter
C) Winged-needle venous access device
D) Implantable venous infusion port

Answer 2

Implantable venous infusion port

Question 3

Which condition would the nurse expect to be treated with an isotonic solution?

A) Fluid overload
B) Hemorrhagic shock
C) Cellular dehydration
D) Cerebral edema

Answer 3

Hemorrhagic shock

Question 4

An elderly patient receiving an infusion of an isotonic fluid at 100 mL/hr complains of dyspnea. The nurse notes shallow rapid respirations and a cough that produces frothy sputum. Which is the priority nursing action?

A) Assess the urine output.
B) Elevate the head of the bed.
C) Encourage the patient to cough.
D) Maintain the IV rate.

Question 5

Which technique by the nurse accurately maintains asepsis of a peripheral intravenous (IV) access device?

A) Wear gloves when hanging all IV solutions.
B) Apply a topical antibiotic ointment to the insertion site.
C) Change fluid administration sets according to institutional policy.
D) Flush with heparin before use.

Question 6

What is the composition of hypotonic intravenous solutions such as 0.45% NaCl?

A) Fewer dissolved particles than blood
B) Approximately the same number of dissolved particles as blood
C) Higher concentrations of dissolved particles than blood
D) Electrolytes and dextrose

Question 7

What will the nurse explain when teaching a patient about a PICC line? (Select all that apply.)

A) The catheter may have a single or double lumen.
B) There is greater risk of clotting and infiltration with this type of catheter.
C) The patient will be receiving infusions continuously to ensure patency.
D) The tip of the catheter may be open or valved.
E) The catheter may be used for drawing blood.

Question 8

The nurse determines that an elderly patient's IV of D₅0.2NS with 20 mEq KCl at 75 mL/hr is running 3 hours behind. After determining the IV site is patent, what action will the nurse take?

A) Call the health care provider to obtain an order to decrease the IV rate.
B) Administer a bolus to make up the deficit.
C) Recalculate the flow rate and slowly make up the fluids.
D) Maintain the ordered rate.

Question 9

The nurse assesses erythema, warmth, and burning pain along the patient's IV site. Which complication is this patient most likely experiencing?

A) Air embolism
B) Extravasation
C) Phlebitis
D) Pulmonary edema

Question 10

A patient has a peripherally inserted central catheter (PICC) line inserted to continue IV antibiotic therapy at home. With proper care, how long can this type of venous access device remain in place?

A) 2 months
B) 4 months
C) 6 months
D) 12 months

Question 11

In assessing a patient with a central venous access device, which sign or symptom indicates that the patient is experiencing an air embolism?

A) Chest pain
B) Erythema
C) Frothy sputum
D) Sweating

Question 12

Following the insertion of a central venous access device, the nurse notes a weak, thready pulse and decreased blood pressure. The patient complains of shortness of breath and palpitations. Which action will the nurse take first?

A) Place the patient on the left side.
B) Reassess vital signs.
C) Stop the infusion.
D) Verify placement of the device.

Question 13

Which potential complication will the nurse expect in patients with a venous access device?

A) Circulatory overload
B) Extravasation
C) Infection
D) Pain

Question 14

The nurse notes that a patient with cardiac disease has intravenous (IV) heparin infusing and that it is behind by 2 hours. What is the best nursing action?

A) Increase the IV rate and recheck in 1 hour.
B) Change the infusion rate to TKO.
C) Discontinue the solution using aseptic technique.
D) Contact the health care provider for consultation.

Question 15

Which patient assessment findings suggest extravasation of an IV solution? (Select all that apply.)

A) Coolness
B) Edema
C) Fever
D) Pain at venipuncture site
E) Redness at the site
F) Shortness of breath

Question 16

A patient is admitted with hypovolemia due to lack of fluid intake and requires an infusion of isotonic fluids. Which IV solution will the nurse administer?

A)D50.2 NS
B)D5W
C)0.45 NS
D)0.9 NS

Question 17

Which needle is used to access implanted infusion devices?

A) Jamshedi
B) Huber
C) Gigli
D) Crutchfield