Question 1

A client is scheduled for a peripherally inserted central catheter in a few days. However, the client needs intravenous fluids infused immediately. Which of the following veins should the nurse avoid when starting the intravenous infusion now?

Accepted Answer

C

Question 2

A client has the blood type of O+. Which of the following types of blood can the client receive if a transfusion is needed?

Accepted Answer

Individuals with blood type O+ can only receive O- blood which is the universal donor, as it does not have any antigens that can cause a transfusion reaction. A+ and B+ blood types have A and B antigens respectively, which can potentially cause a reaction in O+ individuals. AB+ has A, B, and Rh antigens, which can also cause a reaction in O+ individuals.

Question 3

A client is complaining of numbness and tingling around the intravenous infusion catheter. Which of the following should the nurse do?

Accepted Answer

Numbness and tingling around an intravenous infusion catheter may indicate infiltration, which is the leakage of the infusion into the surrounding tissue. Removing the cannula immediately can prevent further infiltration and potential tissue damage. Applying heat, elevating the extremity, and slowing the infusion rate are not appropriate interventions for this situation.

Question 4

A client has an implanted port for medication administration. Which of the following should the nurse use when administering medications through this port?

Accepted Answer

The answer of A client has an implanted port for...

Question 5

A client is receiving total parenteral nutrition. Which of the following interventions are appropriate for this client?

Accepted Answer

Measuring weights daily is important to monitor for fluid overload or depletion, which is common with patients receiving TPN. Option A is incorrect as the rate of infusion is calculated based on the patient's individual needs and should not be pushed to the maximum without adjusting for tolerance. Option B is incorrect as TPN infusions must be administered with a pump to ensure accuracy and avoid complications. Option D is incorrect as blood glucose levels need to be monitored frequently (as often as every 4-6 hours) to avoid hyperglycemia or hypoglycemia.

Question 6

The nurse suspects that a client has developed phlebitis from an intravenous catheter when which of the following is assessed? (Select all that apply.)

Accepted Answer

The answer of The nurse suspects that a client has...

Question 7

The nurse is making a visit to a client prescribed to receive intravenous therapy in the home. Which of the following should the nurse assess when preparing to administer intravenous medication to this client? (Select all that apply.)

Accepted Answer

The answer of The nurse is making a visit to...

Question 8

How many drops per minute should the nurse regulate a client's intravenous infusion of Lactated Ringer's 125 mL per hour with a drop factor of 15 drops per mL?

Accepted Answer

The answer of How many drops per minute should the...

Question 9

A client is prescribed to receive a medication diluted in 50 mL of
0)9% Normal Saline four times a day. The nurse realizes that this type of administration is considered:

Accepted Answer

Intermittent administration involves administering medication at specified intervals throughout the day. In this case, the client is prescribed to receive the medication diluted in 50 mL of 0.9% normal saline four times a day, which is an example of intermittent administration. Continuous administration involves administering medication continuously over a period of time, patient-controlled administration involves allowing the patient to control their own medication administration, and direct injection involves injecting medication directly into the bloodstream.

Question 10

The nurse is having difficulty accessing a client's vein to insert an intravenous catheter. Which of the following interventions can be used to assist in this process? (Select all that apply.)

Accepted Answer

The answer of The nurse is having difficulty accessing a...

Question 11

Which of the following should the nurse assess to determine if a client's intravenous infusion has infiltrated?

Accepted Answer

Infiltration can cause swelling, so assessing the size of the extremity can help determine if infiltration has occurred.

Question 12

A client is prescribed to receive 1000 mL of
0.9% Normal Saline in an 8-hour time frame. Using a microdrip set, how many drops per minute will the infusion run?

Accepted Answer

The answer of A client is prescribed to receive 1000...

Question 13

After preparing a client's skin for insertion of an intravenous catheter, the nurse accidentally touches the skin site with an uncovered finger. Which of the following should the nurse do?

Accepted Answer

The nurse should cleanse the skin again after accidentally touching the skin site with an uncovered finger. This is important to prevent infection and ensure patient safety.

Question 14

The tubing on a client's intravenous infusion administration set is not long enough to support the client's ambulation needs. Which of the following can the nurse do to assist this client?

Accepted Answer

Adding an extension set can provide the additional length of tubing needed to support the client's ambulation needs. A stopcock, filter, or needleless access device would not address the issue of insufficient tubing length.

Question 15

An intravenous catheter has been inserted over a client's antecubital joint. Which of the following should the nurse do to ensure the client's comfort and the usefulness of the catheter?

Accepted Answer

Using an arm board helps to keep the arm straight, preventing the catheter from kinking or dislodging, thus ensuring both the client's comfort and the catheter's effectiveness.

Question 16

A client is diagnosed with an extravasation of a intravenous medication. Which of the following should the nurse do to assist this client?

Accepted Answer

Keeping the catheter intact allows for the administration of an antidote directly into the affected area to mitigate the effects of the extravasated medication.

Quiz 13: Infusion Therapy