Amanda Burton
Quiz by , created more than 1 year ago

Fundamentals Quiz on Administering Intravenous solutions and medications , created by Amanda Burton on 10/10/2017.

63
1
0
Amanda Burton
Created by Amanda Burton over 6 years ago
Close

Administering Intravenous solutions and medications

Question 1 of 52

1

Because of a communication error, the pharmacy says that there is a long delay for a replacement bag of total parenteral nutrition TPN to be mixed and delivered to the unit for the patient. The nurse recognizes that a physicians order is needed for which type of IV fluid while awaiting the replacement bag of TPN?

Select one of the following:

  • 0.45% Saline

  • 5% Dextrose in water

  • 10% Dextrose water

  • Lactate ringer

Explanation

Question 2 of 52

1

A nurse is assessing the patient who has severe vomiting and diarrhea. The purpose of IV infusions for this patient is to:

Select one of the following:

  • Provide fluids to reduce elevation in temperature

  • Control the nausea and vomiting

  • Replenish fluids and correct dehydration

  • Deliver medication to stabilize blood pressure

Explanation

Question 3 of 52

1

What is the nurses primary responsibility in the daily care of a patient with a central line?

Select one of the following:

  • Use sterile technique during insertion

  • Flush the line according to agency policy

  • Verify catheter placement with an x-ray examination

  • Rotate the insertion site every 72 hours

Explanation

Question 4 of 52

1

A patient receives a total of 4000 ML's of D5W over 48 hours. How many calories will this fluid supply?

Select one of the following:

  • 800

  • 600

  • 500

  • 250

Explanation

Question 5 of 52

1

A nurse is adding a secondary piggyback to the patients existing IV. To use the gravity system, the nurse should hang:

Select one of the following:

  • The piggyback bag higher than the maintenance IV bag

  • The maintenance IV bag at the same height as the piggyback bag

  • The piggyback bag and the maintenance IV bag using Y tubing

  • The maintenance IV bag after the piggyback bag is completed

Explanation

Question 6 of 52

1

The nurse needs to establish a peripheral IV access on adult trauma patient. Which catheter is the best choice?

Select one of the following:

  • #24

  • #22

  • #20

  • #18

Explanation

Question 7 of 52

1

In which circumstance would be used of a burette be advised as a safety device

Select one of the following:

  • A trauma patient needs several units of packed red blood cells

  • The patient needs IV fluids, but no infusion pump is available

  • An infant is at risk for IV fluid overload

  • A confused patient keeps trying to unplug the infusion pump

Explanation

Question 8 of 52

1

The nurse must assess for complications of IV therapy signs of common complications include:

Select one or more of the following:

  • Swelling and coldness at the site

  • Redness along the vein

  • Pale skin at the insertion site

  • Immobility of the extremity

  • Erythema and tenderness

  • Vomiting and diarrhea

Explanation

Question 9 of 52

1

The patient is receiving a blood transfusion in and begins to have symptoms within 10 minutes after the start of the transfusion. What is the priority action?

Select one of the following:

  • Take vital signs and call the physician

  • Place the patient in a Supine position and start oxygen

  • Stop the blood and change the IV tubing

  • Slow the blood and check the vital signs

Explanation

Question 10 of 52

1

A patient returns from physical therapy, and her IV has a very sluggish flow, but it was functioning well before going to PT. What is the priority nursing action?

Select one of the following:

  • Call PT and ask if anything happened to the IV during the treatment session

  • Discontinue the IV and restart be IV at a new site

  • Assess the IV insertion site and tubing and try repositioning the extremity

  • Use a heparin flush to clear the line

Explanation

Question 11 of 52

1

Fill the blank space to complete the text.

The doctor orders the D5W (5 % dextrose in water) to infuse at 150 mL/hr the nurse is using macrodrop tubing (10 gtt/mL.) what is the drop rate? gtt/min

Explanation

Question 12 of 52

1

Fill the blank space to complete the text.

The doctor orders 1000 ML's of normal normal saline to infuse over eight hours. What is the pump setting? mL/hr.

Explanation

Question 13 of 52

1

This has greater concentration also having greater tonicity then blood, solution Enters the vessel.

Select one of the following:

  • Hypotonic

  • Hypertonic

  • Isotonic

Explanation

Question 14 of 52

1

This solution is of equal solute concentration; solutions that have the same concentration, or osmolality, as blood and are used to expand the fluid volume of the body. It stays where I put it.

Select one of the following:

  • Isotonic

  • Hypotonic

  • Hypertonic

Explanation

Question 15 of 52

1

This solution is lesser concentration; containing less solute than extravascular fluid. This solution goes Out of the vessels.

Select one of the following:

  • Hypertonic

  • Hypotonic

  • Isotonic

Explanation

Question 16 of 52

1

This route is the main method of supplying The patient with fluids and medications when the patient is unable to take them orally.

Select one of the following:

  • Intervenous

  • Rectally

  • Topically

  • Orally

Explanation

Question 17 of 52

1

This is a concentrated dose given in a short period of time intravenously.

Select one of the following:

  • Bolus

  • TPN

  • Colloids

  • Infusion

Explanation

Question 18 of 52

1

Solutions that are given intravenously must be sterile they are supplied in plastic bags that come in what mLs?

Select one or more of the following:

  • 250

  • 500

  • 1000

  • 700

  • 300

Explanation

Question 19 of 52

1

This type of administration set consist of a bag a solution, a regular tubing set, and a needleless connector, and an IV stand.

Select one of the following:

  • Primary IV sets

  • Secondary IV sets

  • Y site sets

  • Controlled volume IV sets

Explanation

Question 20 of 52

1

This administration set, where medication is to be given intravenously and often added to an existing IV line by using what method.

Select one of the following:

  • Primary IV sets

  • Piggyback IV sets

  • Y site sets

  • Controlled volume IV sets

Explanation

Question 21 of 52

1

This administration set is used to infuse certain blood products.

Select one of the following:

  • Primary IV sets

  • Piggyback IV sets

  • Secondary IV sets

  • Y site sets

Explanation

Question 22 of 52

1

You can administer blood products with any type of medication.

Select one of the following:

  • True
  • False

Explanation

Question 23 of 52

1

This type of administration set has a dose of diluted medication that can also be given through and infusion pump a machine that delivers Abby fluids at a rate that is set by the nurse.

Select one of the following:

  • Primary IV sets

  • Secondary IV sets

  • Y site sets

  • Controlled volume IV sets

Explanation

Question 24 of 52

1

You should be checking your pumps how often?

Select one of the following:

  • 1-2 hours

  • 6-8 hours

  • Every shift

  • Once a day

Explanation

Question 25 of 52

1

You can use these to trap particles such as undissolved medication or salts that have precipitated from solution.

Select one of the following:

  • Filters

  • Cannula

  • Hubs

  • Aseptic

Explanation

Question 26 of 52

1

What is the slogan that was developed to emphasize the importance of using a sterile alcohol pad with friction and time when assessing a central line injection port for IV connection.

Select one of the following:

  • Scrub the hub

  • Start low go slow

  • Being clean is the way to be

  • Nurses are the greatest

Explanation

Question 27 of 52

1

What are some signs and symptoms of fluid overload

Select one or more of the following:

  • Weight gain

  • Weight loss

  • Crackles in the Lungs

  • Peripheral edema

  • Clear lungs on auscultation

  • Bradycardia

Explanation

Question 28 of 52

1

The wingtip or butterfly needle is meant for what type of therapy

Select one of the following:

  • Short term

  • Long term

  • Blood products

  • Viscous fluids

Explanation

Question 29 of 52

1

The wing tips for butterfly needles, and what type of gauges

Select one of the following:

  • Odd numbered

  • Even numbered

Explanation

Question 30 of 52

1

For clear aqueous solutions what size gauge needle is used

Select one of the following:

  • 17-18 gauge

  • 20 - 22 gauge

  • 18 - 19 gauge

  • 23-25 gauge

Explanation

Question 31 of 52

1

For a more viscous fluid, blood products or a rapid administration of large amounts of fluid what size gauge needle should you use?

Select one of the following:

  • 18-19 gauge

  • 20-22 gauge

  • 23-25 gauge

  • Filtered needle

Explanation

Question 32 of 52

1

You should never take a blood pressure on the arm that has a Picc or ML catheter in place.

Select one of the following:

  • True
  • False

Explanation

Question 33 of 52

1

Correct placement of the subclavian catheter's must be verified by what type of procedure before any fluid is infuse through them?

Select one of the following:

  • X-ray

  • MRI

  • Ct scan

  • Palpation

Explanation

Question 34 of 52

1

Never use a syringe that is smaller than what mL for flushing a central line?

Select one of the following:

  • 10

  • 3

  • 5

  • 20

Explanation

Question 35 of 52

1

This is when a piece of the catheter travels through a vessel and lodges, obstructing blood flow.

Select one of the following:

  • Air embolus

  • Catheter embolus

  • Infiltration

  • Extravasation

Explanation

Question 36 of 52

1

This occurs when fluid or medication leaks out of the vein into the tissue with signs and symptoms including edema around the site and cool, pale tissue. The flow can be slow and sluggish.

Select one of the following:

  • Infiltration

  • Extravasation

  • Catheter embolus

  • Air embolus

Explanation

Question 37 of 52

1

This is the infiltration of the second drug from an IV line with the appearance of the site the patient's subjective complaints may initially be similar to those with infiltration the damage may go unnoticed for 48 to 72 hours.

Select one of the following:

  • Infiltration

  • Extravasation

  • Septicemia

  • Phlebitis

Explanation

Question 38 of 52

1

When administering blood products you must use a 20 gauge or larger needle

Select one of the following:

  • True
  • False

Explanation

Question 39 of 52

1

This is caused by irritation of the vein by the needle, the catheter, medications, or additives in the IV solution. The typical signs are your Erythema, warmth, swelling, and tenderness.

Select one of the following:

  • Phlebitis

  • Thrombosis

  • Septicemia

  • Speed shock

Explanation

Question 40 of 52

1

This is a type a blood stream infection that occurs when infectious pathogens are introduced into the bloodstream.

Select one of the following:

  • Phlebitis

  • Septicemia

  • Thrombosis

  • Speed shark

Explanation

Question 41 of 52

1

Your patient has an air embolus which can occur when changing bags or an opening the line and the subclavian have a sudden drop in the blood pressure increase in the pulse, what would be a nursing implication?

Select one of the following:

  • Place in Trendelenburg with patient on their left side

  • Elevate the head of the bed keep warm assessed for Edema, slowdown infusion rate and notify the physician

  • Remove IV catheter and restart IV in the other extremity

  • Nothing this is a normal function of the body

Explanation

Question 42 of 52

1

This occurs when fluids or medications are given by bolus or administered to rapidly?

Select one of the following:

  • Speed shock

  • Air embolus

  • Phlebitis

  • Circulatory overload

Explanation

Question 43 of 52

1

What is a nursing action if your patient has a catheter embolus?

Select one of the following:

  • Place a tourniquet it high on a limb above the IV site.

  • Place a tourniquet below the IV site

  • Nothing they will pass it themselves

  • Press the code button and start CPR

Explanation

Question 44 of 52

1

Select from the dropdown list to complete the text.

The primary fluid must be ( higher, lower ) to flow before the secondary fluid.

Explanation

Question 45 of 52

1

Your flushing an IV after administering medications, how many mLs should you flush with?

Select one of the following:

  • 3 mLs

  • 5 mLs

  • 2 mLs

  • You dont have to flush after

Explanation

Question 46 of 52

1

How long do signed consents for blood last?

Select one of the following:

  • 48-72 hours

  • 12-24 hours

  • They don't expire

  • 6 months

Explanation

Question 47 of 52

1

Evidence based practice indicates that what type of solution is the only solution used in combination with infusion of a blood products.

Select one of the following:

  • Normal saline

  • D5W

  • D5LR

  • Dextrose 5%

Explanation

Question 48 of 52

1

Select from the dropdown list to complete the text.

TPN must be replaced every ( 24 hours, 12 hours, 36 hours, 7 days ).

Explanation

Question 49 of 52

1

Blood must be infused within how long of release from the blood bank.

Select one of the following:

  • 4 hours

  • 20 minutes

  • 8 hours

  • After med pass

Explanation

Question 50 of 52

1

Your going to stay with your patient for the first little bit of blood administration, how long is minimum?

Select one of the following:

  • 5 minutes

  • 10 minutes

  • 15 minutes

  • 30 minutes

Explanation

Question 51 of 52

1

Select from the dropdown list to complete the text.

Your going to take your patient's vitals while administering blood at the beginning to get a baseline and again ( 15, 10, 30, 60 ) minutes after start of administration.

Explanation

Question 52 of 52

1

What is the first nursing action when a transfusion reaction occurs?

Select one of the following:

  • Stop the IV infusion

  • Flush with normal saline and new IV tubing

  • Notify the physician

  • Start low-flow oxygen

Explanation

Previous
Check answer
Next