NSG 201H -Infusion Therapies Assignment

NSG 201H -Infusion Therapies Assignment

NSG 201H -Infusion Therapies Assignment

Chapter 10: Overview of Infusion Therapies

 

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____     1.   The nurse is providing care to a patient who is receiving a blood transfusion. Ten minutes after the infusion is initiated, the patient reports a headache. Upon further assessment the nurse notes that the patient is experiencing dyspnea and feels warm to the touch. Which is the priority nursing action by the nurse?

1)	Stop the transfusion.
2)	Prepare for a full resuscitation.
3)	Notify the health-care provider.
4)	Decrease the rate of the transfusion.

 

____     2.   Which intravenous (IV) fluid should the nurse prepare when a patient requires an isotonic solution?

1)	0.9% normal saline
2)	2.5% dextrose in water
3)	0.33% sodium chloride
4)	5% dextrose in Lactated ringers

 

____     3.   The nurse adds a medication to an intravenous (IV) fluid container to be hung on the patient’s existing IV line. Which is the first action the nurse takes after adding the medication to the container?

1)	Connect the bag to the tubing.
2)	Rotate the bag to distribute the medication.
3)	Place a completed medication-added label to the bag.
4)	Connect the bag to new tubing and flush the air from the tubing.

 

NSG 201H -Infusion Therapies Assignment

____     4.   The nurse is initiating intravenous (IV) therapy for an adult patient who requires IV fluid infusion for 2–3 days and might require blood administration. Which would the nurse choose as the best option for IV catheterization?

1)	Butterfly
2)	Huber needle
3)	Angiocatheter
4)	Implantable venous access device

 

____     5.   The nurse is assessing an intravenous (IV) insertion site noting redness, warmth, and mild swelling. The patient reports a burning pain along the course of the vein during medication administration. Which term should the nurse use when documenting these findings in the medical record?

1)	Phlebitis
2)	Infiltration
3)	Extravasation
4)	Inflammation

 

____     6.   The nurse is caring for a patient with a medical diagnosis of increased intracranial pressure (ICP). Which intravenous (IV) fluid order would the nurse accept without questioning?

1)	Run normal saline at 125 mL/hour.
2)	Run half-normal saline at 200 mL/hour.
3)	Run 5% dextrose in water at 80 mL/hour.
4)	Run 5% dextrose in 0.45% NaCl at 75 mL/hour.

 

____     7.   The nurse working in the emergency department (ED) is caring for a patient who experienced deep-thickness burns over 40% of the body and is in shock. Which intravenous (IV) prescription does the nurse anticipate for this patient?

1)	Nutrient solutions
2)	Volume expanders
3)	Electrolyte solutions
4)	Total parenteral nutrition

 

____     8.   Which aspect of intravenous (IV) therapy could the nurse safely delegate to the unlicensed assistive personnel (UAP)?

1)	Changing the IV site dressing on the patient’s left hand
2)	Watching the IV insertion site of the patient who complained of pain at the site
3)	Reporting patient’s complaints of pain or leakage from the IV site when bathing the patient
4)	Replacing patient’s IV solution when bag runs dry if it is only D5W, without medications added

 

____     9.   The nurse is setting up an intravenous (IV) infusion on an electronic infusion pump for a patient recently admitted to the unit. After leaving the room, the pump alarms and reads high pressure. Which is the priority action by the nurse?

1)	Resetting the pump to resume infusion
2)	Asking the patient if the pump has been tampered with in any way
3)	Assessing the IV site and the tubing for kinks or closed roller clamps
4)	Discontinuing the patient’s IV access and restarting in a different area

 

NSG 201H -Infusion Therapies Assignment

____   10.   The nurse is administering a blood transfusion to an adult patient. The patient reports feeling cold and is shivering 15 minutes after the initiation of the transfusion. The patient’s blood pressure has decreased since the last assessment. Which is the nurse’s priority action?

1)	Notify the health-care provider.
2)	Monitor the blood pressure every five minutes.
3)	Stop the blood infusion, and run the normal saline on the other side of the Y tubing.
4)	Stop the blood infusion, and remove the tubing from the IV catheter, replacing it with normal saline.

 

____   11.   The nurse is caring for a patient with a central venous catheter used for intermittent medication administration. When flushing the catheter prior to administering the next dose of medication, which initial action by the nurse is the most appropriate?

1)	Aspirating the patient’s catheter for blood
2)	Positioning the patient in reverse Trendelenburg position
3)	Flushing the catheter, using as much force as required in order to clear the line
4)	Obtaining a 3 mL syringe and filling it with normal saline for flushing the line

 

____   12.   When removing a patient’s central line dressing, which action by the nurse is the priority?

1)	Applying sterile gloves
2)	Inspecting the insertion site for signs of infection
3)	Pulling the tape off in the direction of the catheter
4)	Pressing the catheter into the skin while removing the tape

 

____   13.   The nurse is caring for a patient who is to have a peripherally inserted central catheter (PICC) line inserted tomorrow afternoon. The patient’s current peripheral access line is infiltrated, and needs to be restarted. Which site would the nurse avoid using?

1)	Radial vein
2)	Cephalic vein
3)	Median cubital vein
4)	Dorsal metacarpal veins

 

____   14.   Which intravenous (IV) fluid should the nurse prepare when a patient requires a hypertonic solution?

1)	0.9% normal saline
2)	2.5% dextrose in water
3)	0.33% sodium chloride
4)	5% dextrose in Lactated ringers

 

____   15.   Which intravenous (IV) fluid should the nurse prepare when a patient requires a hypotonic solution?

1)	0.9% normal saline
2)	5% dextrose in water
3)	0.33% sodium chloride
4)	5% dextrose in Lactated ringers

 

____   16.   The nurse is providing care to a trauma patient who will require the rapid administration of large volumes of fluid in addition to a blood transfusion. Which gauge should the nurse use when initiating intravenous (IV) access for this patient?

1)	18
2)	20
3)	22
4)	24

 

NSG 201H -Infusion Therapies Assignment

____   17.   Which component should the nurse anticipate will be prescribed for a patient with acute blood loss?

1)	Platelets
2)	Albumin
3)	Fresh frozen plasma
4)	Packed red blood cells

 

____   18.   Which component should the nurse anticipate will be prescribed for a patient with an elevated prothrombin time (PT) and international normalized ratio (INR) who is at an increased risk for bleeding?

1)	Platelets
2)	Albumin
3)	Fresh frozen plasma
4)	Packed red blood cells

 

____   19.   Which component should the nurse anticipate will be prescribed for a patient is not responding to crystalloids for volume expansion?

1)	Platelets
2)	Albumin
3)	Fresh frozen plasma
4)	Packed red blood cells

 

____   20.   Which component should the nurse anticipate will be prescribed for a patient with severe thrombocytopenia?

1)	Platelets
2)	Albumin
3)	Fresh frozen plasma
4)	Packed red blood cells

 

KINDLY ORDER NOW FOR A CUSTOM-WRITTEN, PLAGIARISM-FREE PAPER

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

____   21.   The nurse is caring for a patient receiving intravenous (IV) medications. After infusing an IV antibiotic, the nurse assesses the IV site and finds it to be red and edematous, and the patient is reporting pain at the site. Which would the nurse document in the nursing notes regarding the infiltration? Select all that apply.

1)	Incident report
2)	Actions taken to correct the problem
3)	Size and location of erythematous area
4)	Health-care provider notification and any orders received
5)	Amount of fluid infused per shift on the intake and output record

 

NSG 201H -Infusion Therapies Assignment

____   22.   Which patients may benefit from central intravenous (IV) access? Select all that apply.

1)	The patient receiving caustic IV therapy.
2)	The patient requiring long-term IV therapy.
3)	The patient who is afraid of needles and does not want a catheter in the peripheral extremity.
4)	The patient requiring numerous IV infusions that are not compatible and cannot be infused together.
5)	The unstable patient requiring reliable IV access for administration of medications required. immediately.

 

____   23.   The nurse is performing venipuncture to initiate intravenous (IV) therapy. Which indicators should the nurse use when choosing the site for IV therapy? Select all that apply.

1)	Choosing a straight vein
2)	Avoiding a sclerotic vein
3)	Looking for sites distal to joints
4)	Using the dominant arm, whenever possible
5)	Choosing a vein that is visible in addition to palpable

 

____   24.   The nurse is providing care to patient who is receiving total parenteral nutrition (TPN). During the shift assessment, the nurse notes that the patient is lethargic and has an elevated temperature and white blood cell count. The nurse suspects the patient is septic. Which actions by the nurse are appropriate in this situation? Select all that apply.

1)	Changing the IV tubing
2)	Saving the remaining TPN
3)	Notifying the health-care provider
4)	Recording the lot number of the TPN
5)	Replacing the TPN with a normal saline solution

 

____   25.   The nurse is caring for a patient with a central venous catheter (CVC). Which nursing actions should the nurse implement to prevent an air embolism? Select all that apply.

1)	Using Luer-locked connections
2)	Frequently checking connections
3)	Wearing sterile gloves when accessing any connections
4)	Clamping catheters and injection sites when not in use
5)	Placing the patient in low-Fowler position to remove the CVC