Question 1

When using the &#34;Smart IV Pump&#34; on a 75-year-old female client,the &#34;hard&#34; alarm on the pump sounds.You understand that this indicates&#10;A)The IV is infusing too fast for the set time of infusion.&#10;B)The pump can be overridden and the IV continues to infuse.&#10;C)The medication is too viscous for the tubing and it is slowing down the rate.&#10;D)The pump will shut down and it cannot be overridden.

Accepted Answer

A "hard" alarm on a Smart IV Pump indicates a critical issue that requires immediate attention, such as a malfunction or a condition that could lead to patient harm. In this context, it means the pump will shut down and cannot be overridden, ensuring that no infusion occurs until the issue is resolved and the system is reset or corrected. This safety feature is designed to prevent potential harm to the patient.

Question 2

The correct tubing change time frame for primary tubing is&#10;A)Every 24 hours.&#10;B)Every 36 hours.&#10;C)With every bag change.&#10;D)72 hours.

Accepted Answer

Primary IV tubing should be changed every 72 hours to reduce the risk of infection and maintain sterility.

Question 3

Blood tubing is primed with which IV solution? A)D₅W B)D₅LR C)D₁₀W D)Normal saline

Accepted Answer

Blood tubing is typically primed with normal saline, which is a sterile solution of sodium chloride in water. This is because normal saline has a similar composition to blood plasma and is unlikely to cause adverse reactions in the patient. Options A, B, and C are not appropriate choices for priming blood tubing.

Question 4

Advantages of using the &#34;Smart Pump&#34; include&#10;A)Each nursing unit in the facility can program specific data sets for commonly used medications on the unit.&#10;B)The use of the pump provides error-free dosage administration based on common drug dosages.&#10;C)Each hospital develops a standard by which all nursing units require the same drugs for client care,thereby decreasing the possibility of error.&#10;D)The pump sets universal drug dosages for common medications administered to clients.

Accepted Answer

Smart Pumps allow for customization and programming of medication data sets by specific units within a facility, enhancing safety and efficiency tailored to the unit's needs. They do not guarantee error-free administration or set universal dosages for medications.

Question 5

A blood transfusion is started on your client.While you are assessing the client,which of the following symptoms indicates a possible hemolytic reaction?&#10;A)Increased blood pressure&#10;B)Pain in the chest and lumbar region&#10;C)Urticaria&#10;D)Decreased pulse

Accepted Answer

Pain in the chest and lumbar region is a common symptom of a hemolytic reaction, which occurs when the recipient's immune system attacks and destroys the transfused red blood cells. Increased blood pressure and urticaria may indicate an allergic reaction, while decreased pulse may suggest a circulatory overload or cardiac event. However, hemolytic reactions are the most severe and life-threatening adverse events associated with blood transfusions, and require immediate cessation of the transfusion and medical intervention.

Question 6

A blood transfusion is started at _____________ milliliters per minute.&#10;A)5 mL&#10;B)10 mL&#10;C)15 mL&#10;D)20 mL

Accepted Answer

The initial rate for a blood transfusion can vary based on the patient's condition and the type of transfusion, but a conservative start rate is often around 5 mL per minute to monitor for adverse reactions.

Question 7

In selecting the appropriate vein for Mr.Brown,you consider which one of the following factors?&#10;A)Vein should be large and deep.&#10;B)Vein location allows for mobility.&#10;C)Proximal end of vein is used first.&#10;D)Needle is placed near a joint.

Accepted Answer

The vein location should allow for mobility to ensure comfort and reduce the risk of complications such as phlebitis or infiltration.

Question 8

Place in sequence from 1 to 6 the steps that are necessary in preparing the IV solution for infusion using a plastic bag.&#10;A)Close control clamp on IV tubing.&#10;B)Inspect bag for tears or leaks.&#10;C)Squeeze IV drip chamber and insert spike into port of bag.&#10;D)Remove plastic protector from IV bag port.&#10;E)Remove air from tubing.&#10;F)Fill drip chamber one-third full.

Accepted Answer

The answer of Place in sequence from 1 to 6...

Question 9

When a Bar Code Medication Administration System is in use,what is the nurses' function in checking medications?__________________

Accepted Answer

The answer of When a Bar Code Medication Administration System...

Deck 28: Intravenous Therapy