Quiz
Administering Intravenous solutions and medications
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Questions in this quiz (52)
1Because 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?
- A0.45% Saline
- B5% Dextrose in water
- C10% Dextrose water
- DLactate ringer
2A nurse is assessing the patient who has severe vomiting and diarrhea. The purpose of IV infusions for this patient is to:
- AProvide fluids to reduce elevation in temperature
- BControl the nausea and vomiting
- CReplenish fluids and correct dehydration
- DDeliver medication to stabilize blood pressure
3What is the nurses primary responsibility in the daily care of a patient with a central line?
- AUse sterile technique during insertion
- BFlush the line according to agency policy
- CVerify catheter placement with an x-ray examination
- DRotate the insertion site every 72 hours
4A patient receives a total of 4000 ML's of D5W over 48 hours. How many calories will this fluid supply?
- A800
- B600
- C500
- D250
5A nurse is adding a secondary piggyback to the patients existing IV. To use the gravity system, the nurse should hang:
- AThe piggyback bag higher than the maintenance IV bag
- BThe maintenance IV bag at the same height as the piggyback bag
- CThe piggyback bag and the maintenance IV bag using Y tubing
- DThe maintenance IV bag after the piggyback bag is completed
6The nurse needs to establish a peripheral IV access on adult trauma patient. Which catheter is the best choice?
- A#24
- B#22
- C#20
- D#18
7In which circumstance would be used of a burette be advised as a safety device
- AA trauma patient needs several units of packed red blood cells
- BThe patient needs IV fluids, but no infusion pump is available
- CAn infant is at risk for IV fluid overload
- DA confused patient keeps trying to unplug the infusion pump
8The nurse must assess for complications of IV therapy signs of common complications include:
- ASwelling and coldness at the site
- BRedness along the vein
- CPale skin at the insertion site
- DImmobility of the extremity
- EErythema and tenderness
- FVomiting and diarrhea
9The 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?
- ATake vital signs and call the physician
- BPlace the patient in a Supine position and start oxygen
- CStop the blood and change the IV tubing
- DSlow the blood and check the vital signs
10A 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?
- ACall PT and ask if anything happened to the IV during the treatment session
- BDiscontinue the IV and restart be IV at a new site
- CAssess the IV insertion site and tubing and try repositioning the extremity
- DUse a heparin flush to clear the line
11The 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? [blank_start]25[blank_end] gtt/min
- A25
12The doctor orders 1000 ML's of normal normal saline to infuse over eight hours. What is the pump setting? [blank_start]125[blank_end] mL/hr.
- A125
13This has greater concentration also having greater tonicity then blood, solution Enters the vessel.
- AHypotonic
- BHypertonic
- CIsotonic
14This 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.
- AIsotonic
- BHypotonic
- CHypertonic
15This solution is lesser concentration; containing less solute than extravascular fluid. This solution goes Out of the vessels.
- AHypertonic
- BHypotonic
- CIsotonic
16This route is the main method of supplying The patient with fluids and medications when the patient is unable to take them orally.
- AIntervenous
- BRectally
- CTopically
- DOrally
17This is a concentrated dose given in a short period of time intravenously.
- ABolus
- BTPN
- CColloids
- DInfusion
18Solutions that are given intravenously must be sterile they are supplied in plastic bags that come in what mLs?
- A250
- B500
- C1000
- D700
- E300
19This type of administration set consist of a bag a solution, a regular tubing set, and a needleless connector, and an IV stand.
- APrimary IV sets
- BSecondary IV sets
- CY site sets
- DControlled volume IV sets
20This administration set, where medication is to be given intravenously and often added to an existing IV line by using what method.
- APrimary IV sets
- BPiggyback IV sets
- CY site sets
- DControlled volume IV sets
21This administration set is used to infuse certain blood products.
- APrimary IV sets
- BPiggyback IV sets
- CSecondary IV sets
- DY site sets
22You can administer blood products with any type of medication.
- ATrue
- BFalse
23This 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.
- APrimary IV sets
- BSecondary IV sets
- CY site sets
- DControlled volume IV sets
24You should be checking your pumps how often?
- A1-2 hours
- B6-8 hours
- CEvery shift
- DOnce a day
25You can use these to trap particles such as undissolved medication or salts that have precipitated from solution.
- AFilters
- BCannula
- CHubs
- DAseptic
26What 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.
- AScrub the hub
- BStart low go slow
- CBeing clean is the way to be
- DNurses are the greatest
27What are some signs and symptoms of fluid overload
- AWeight gain
- BWeight loss
- CCrackles in the Lungs
- DPeripheral edema
- EClear lungs on auscultation
- FBradycardia
28The wingtip or butterfly needle is meant for what type of therapy
- AShort term
- BLong term
- CBlood products
- DViscous fluids
29The wing tips for butterfly needles, and what type of gauges
- AOdd numbered
- BEven numbered
30For clear aqueous solutions what size gauge needle is used
- A17-18 gauge
- B20 - 22 gauge
- C18 - 19 gauge
- D23-25 gauge
31For a more viscous fluid, blood products or a rapid administration of large amounts of fluid what size gauge needle should you use?
- A18-19 gauge
- B20-22 gauge
- C23-25 gauge
- DFiltered needle
32You should never take a blood pressure on the arm that has a Picc or ML catheter in place.
- ATrue
- BFalse
33Correct placement of the subclavian catheter's must be verified by what type of procedure before any fluid is infuse through them?
- AX-ray
- BMRI
- CCt scan
- DPalpation
34Never use a syringe that is smaller than what mL for flushing a central line?
- A10
- B3
- C5
- D20
35This is when a piece of the catheter travels through a vessel and lodges, obstructing blood flow.
- AAir embolus
- BCatheter embolus
- CInfiltration
- DExtravasation
36This 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.
- AInfiltration
- BExtravasation
- CCatheter embolus
- DAir embolus
37This 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.
- AInfiltration
- BExtravasation
- CSepticemia
- DPhlebitis
38When administering blood products you must use a 20 gauge or larger needle
- ATrue
- BFalse
39This 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.
- APhlebitis
- BThrombosis
- CSepticemia
- DSpeed shock
40This is a type a blood stream infection that occurs when infectious pathogens are introduced into the bloodstream.
- APhlebitis
- BSepticemia
- CThrombosis
- DSpeed shark
41Your 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?
- APlace in Trendelenburg with patient on their left side
- BElevate the head of the bed keep warm assessed for Edema, slowdown infusion rate and notify the physician
- CRemove IV catheter and restart IV in the other extremity
- DNothing this is a normal function of the body
42This occurs when fluids or medications are given by bolus or administered to rapidly?
- ASpeed shock
- BAir embolus
- CPhlebitis
- DCirculatory overload
43What is a nursing action if your patient has a catheter embolus?
- APlace a tourniquet it high on a limb above the IV site.
- BPlace a tourniquet below the IV site
- CNothing they will pass it themselves
- DPress the code button and start CPR
44The primary fluid must be [blank_start]higher[blank_end] to flow before the secondary fluid.
- Ahigher
- Blower
45Your flushing an IV after administering medications, how many mLs should you flush with?
- A3 mLs
- B5 mLs
- C2 mLs
- DYou dont have to flush after
46How long do signed consents for blood last?
- A48-72 hours
- B12-24 hours
- CThey don't expire
- D6 months
47Evidence based practice indicates that what type of solution is the only solution used in combination with infusion of a blood products.
- ANormal saline
- BD5W
- CD5LR
- DDextrose 5%
48TPN must be replaced every [blank_start]24 hours[blank_end].
- A24 hours
- B12 hours
- C36 hours
- D7 days
49Blood must be infused within how long of release from the blood bank.
- A4 hours
- B20 minutes
- C8 hours
- DAfter med pass
50Your going to stay with your patient for the first little bit of blood administration, how long is minimum?
- A5 minutes
- B10 minutes
- C15 minutes
- D30 minutes
51Your going to take your patient's vitals while administering blood at the beginning to get a baseline and again [blank_start]15[blank_end] minutes after start of administration.
- A15
- B10
- C30
- D60
52What is the first nursing action when a transfusion reaction occurs?
- AStop the IV infusion
- BFlush with normal saline and new IV tubing
- CNotify the physician
- DStart low-flow oxygen
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- Fundamentals Quiz on Administering Intravenous solutions and medications , created by Amanda Burton on 10/10/2017.
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- Amanda Burton
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- English
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