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Administering Intravenous solutions and medications

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Fundamentals Quiz on Administering Intravenous solutions and medications , created by Amanda Burton on 10/10/2017.
Amanda Burton
Quiz by Amanda Burton, updated more than 1 year ago
Amanda Burton
Created by Amanda Burton over 6 years ago
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Resource summary

Question 1

Question
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?
Answer
  • 0.45% Saline
  • 5% Dextrose in water
  • 10% Dextrose water
  • Lactate ringer

Question 2

Question
A nurse is assessing the patient who has severe vomiting and diarrhea. The purpose of IV infusions for this patient is to:
Answer
  • Provide fluids to reduce elevation in temperature
  • Control the nausea and vomiting
  • Replenish fluids and correct dehydration
  • Deliver medication to stabilize blood pressure

Question 3

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

Question 4

Question
A patient receives a total of 4000 ML's of D5W over 48 hours. How many calories will this fluid supply?
Answer
  • 800
  • 600
  • 500
  • 250

Question 5

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

Question 6

Question
The nurse needs to establish a peripheral IV access on adult trauma patient. Which catheter is the best choice?
Answer
  • #24
  • #22
  • #20
  • #18

Question 7

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

Question 8

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

Question 9

Question
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?
Answer
  • 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

Question 10

Question
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?
Answer
  • 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

Question 11

Question
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? [blank_start]25[blank_end] gtt/min
Answer
  • 25

Question 12

Question
The 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.
Answer
  • 125

Question 13

Question
This has greater concentration also having greater tonicity then blood, solution Enters the vessel.
Answer
  • Hypotonic
  • Hypertonic
  • Isotonic

Question 14

Question
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.
Answer
  • Isotonic
  • Hypotonic
  • Hypertonic

Question 15

Question
This solution is lesser concentration; containing less solute than extravascular fluid. This solution goes Out of the vessels.
Answer
  • Hypertonic
  • Hypotonic
  • Isotonic

Question 16

Question
This route is the main method of supplying The patient with fluids and medications when the patient is unable to take them orally.
Answer
  • Intervenous
  • Rectally
  • Topically
  • Orally

Question 17

Question
This is a concentrated dose given in a short period of time intravenously.
Answer
  • Bolus
  • TPN
  • Colloids
  • Infusion

Question 18

Question
Solutions that are given intravenously must be sterile they are supplied in plastic bags that come in what mLs?
Answer
  • 250
  • 500
  • 1000
  • 700
  • 300

Question 19

Question
This type of administration set consist of a bag a solution, a regular tubing set, and a needleless connector, and an IV stand.
Answer
  • Primary IV sets
  • Secondary IV sets
  • Y site sets
  • Controlled volume IV sets

Question 20

Question
This administration set, where medication is to be given intravenously and often added to an existing IV line by using what method.
Answer
  • Primary IV sets
  • Piggyback IV sets
  • Y site sets
  • Controlled volume IV sets

Question 21

Question
This administration set is used to infuse certain blood products.
Answer
  • Primary IV sets
  • Piggyback IV sets
  • Secondary IV sets
  • Y site sets

Question 22

Question
You can administer blood products with any type of medication.
Answer
  • True
  • False

Question 23

Question
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.
Answer
  • Primary IV sets
  • Secondary IV sets
  • Y site sets
  • Controlled volume IV sets

Question 24

Question
You should be checking your pumps how often?
Answer
  • 1-2 hours
  • 6-8 hours
  • Every shift
  • Once a day

Question 25

Question
You can use these to trap particles such as undissolved medication or salts that have precipitated from solution.
Answer
  • Filters
  • Cannula
  • Hubs
  • Aseptic

Question 26

Question
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.
Answer
  • Scrub the hub
  • Start low go slow
  • Being clean is the way to be
  • Nurses are the greatest

Question 27

Question
What are some signs and symptoms of fluid overload
Answer
  • Weight gain
  • Weight loss
  • Crackles in the Lungs
  • Peripheral edema
  • Clear lungs on auscultation
  • Bradycardia

Question 28

Question
The wingtip or butterfly needle is meant for what type of therapy
Answer
  • Short term
  • Long term
  • Blood products
  • Viscous fluids

Question 29

Question
The wing tips for butterfly needles, and what type of gauges
Answer
  • Odd numbered
  • Even numbered

Question 30

Question
For clear aqueous solutions what size gauge needle is used
Answer
  • 17-18 gauge
  • 20 - 22 gauge
  • 18 - 19 gauge
  • 23-25 gauge

Question 31

Question
For a more viscous fluid, blood products or a rapid administration of large amounts of fluid what size gauge needle should you use?
Answer
  • 18-19 gauge
  • 20-22 gauge
  • 23-25 gauge
  • Filtered needle

Question 32

Question
You should never take a blood pressure on the arm that has a Picc or ML catheter in place.
Answer
  • True
  • False

Question 33

Question
Correct placement of the subclavian catheter's must be verified by what type of procedure before any fluid is infuse through them?
Answer
  • X-ray
  • MRI
  • Ct scan
  • Palpation

Question 34

Question
Never use a syringe that is smaller than what mL for flushing a central line?
Answer
  • 10
  • 3
  • 5
  • 20

Question 35

Question
This is when a piece of the catheter travels through a vessel and lodges, obstructing blood flow.
Answer
  • Air embolus
  • Catheter embolus
  • Infiltration
  • Extravasation

Question 36

Question
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.
Answer
  • Infiltration
  • Extravasation
  • Catheter embolus
  • Air embolus

Question 37

Question
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.
Answer
  • Infiltration
  • Extravasation
  • Septicemia
  • Phlebitis

Question 38

Question
When administering blood products you must use a 20 gauge or larger needle
Answer
  • True
  • False

Question 39

Question
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.
Answer
  • Phlebitis
  • Thrombosis
  • Septicemia
  • Speed shock

Question 40

Question
This is a type a blood stream infection that occurs when infectious pathogens are introduced into the bloodstream.
Answer
  • Phlebitis
  • Septicemia
  • Thrombosis
  • Speed shark

Question 41

Question
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?
Answer
  • 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

Question 42

Question
This occurs when fluids or medications are given by bolus or administered to rapidly?
Answer
  • Speed shock
  • Air embolus
  • Phlebitis
  • Circulatory overload

Question 43

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

Question 44

Question
The primary fluid must be [blank_start]higher[blank_end] to flow before the secondary fluid.
Answer
  • higher
  • lower

Question 45

Question
Your flushing an IV after administering medications, how many mLs should you flush with?
Answer
  • 3 mLs
  • 5 mLs
  • 2 mLs
  • You dont have to flush after

Question 46

Question
How long do signed consents for blood last?
Answer
  • 48-72 hours
  • 12-24 hours
  • They don't expire
  • 6 months

Question 47

Question
Evidence based practice indicates that what type of solution is the only solution used in combination with infusion of a blood products.
Answer
  • Normal saline
  • D5W
  • D5LR
  • Dextrose 5%

Question 48

Question
TPN must be replaced every [blank_start]24 hours[blank_end].
Answer
  • 24 hours
  • 12 hours
  • 36 hours
  • 7 days

Question 49

Question
Blood must be infused within how long of release from the blood bank.
Answer
  • 4 hours
  • 20 minutes
  • 8 hours
  • After med pass

Question 50

Question
Your going to stay with your patient for the first little bit of blood administration, how long is minimum?
Answer
  • 5 minutes
  • 10 minutes
  • 15 minutes
  • 30 minutes

Question 51

Question
Your 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.
Answer
  • 15
  • 10
  • 30
  • 60

Question 52

Question
What is the first nursing action when a transfusion reaction occurs?
Answer
  • Stop the IV infusion
  • Flush with normal saline and new IV tubing
  • Notify the physician
  • Start low-flow oxygen
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