NURA 1500 - IV THERAPY (study guide questions)
17 drops per minute - ANS-The physician orders 1000ml 0.45% NS to be infused over 10 hours.
The drop factor on the tubing is 10 drops per mL. The solution should infuse at _________
drops per minute?
18. Patients ideally going to the operating room should have an 18 gauge catheter. This is large
enough to handle blood products and large amounts of fluid if needed during surgery. A 20
gauge would be the second choice. 21 butterfly is not stable enough to go to surgery. 25 gauge
is too small. - ANS-An order is written to start an IV on a 74 year old female who is getting ready
to go to the operating room for a total hip replacement. What gauge of catheter would best meet
the needs of this patient?
18
20
21 butterfly
25
A vein that is most distal, avoiding the fingers
(Duration of IV therapy: Select a vein that supports IV therapy for at least 72 hours. Begin
therapy at the most distal area for long-term therapy. Avoid using the fingers. Choose a soft,
straight vein for venipuncture.) - ANS-When choosing a site for IV therapy, the nurse chooses:
A site close to a valve in the vein
A vein that is most distal, avoiding the fingers
A site that is most proximal to the elbow
A site that supports IV therapy for 48 hours or less
a. 3 mL of normal saline - ANS-45. The nurse is flushing a patient's short peripheral IV catheter.
What solution and volume does the nurse typically use for this procedure?
a. 3 mL of normal saline
b. 5 mL of heparin
c. 10 mL of normal saline
d. 30 mL of bacteriostatic saline
a. Assess the dressing and insertion site of the central line.
b. Use aseptic technique when administering medications and changing tubing.
e. Use sterile technique when inserting a central line.
,f. Use proper handwashing and nonsterile gloves before coming into contact with a central line.
- ANS-27. Which nursing interventions are essential to prevent an infection in a patient with a
central line? (Select all that apply.)
a. Assess the dressing and insertion site of the central line.
b. Use aseptic technique when administering medications and changing tubing.
c. Change the catheter every 72 hours and tubing every 24 hours.
d. Monitor the patient's temperature for any elevation and give acetaminophen as needed.
e. Use sterile technique when assisting doctor with inserting a central line.
f. Use proper handwashing and nonsterile gloves before coming into contact with a central line.
a. Before puncture, palpate the port to locate the septum.
c. Flush the port before each use.
d. Use a noncoring needle to access the port
f. Check for blood return before giving any drug through a port. - ANS-21. Which nursing
interventions are implemented when caring for a patient with an implanted port? Select all that
apply.
a. Before puncture, palpate the port to locate the septum.
b. Use a large-bore needle to access the port.
c. Flush the port before each use.
d. Use a noncoring needle to access the port.
e. Flush the port at least once a month.
f. Check for blood return before giving any drug through a port.
a. Catheter-related infection in the blood - ANS-22. A 65-year-old patient has been receiving IV
fluids at 100 mL/hr of D51/2% normal saline (NS) for the past 3 days, along with IV antibiotic
therapy. After receiving the new antibiotic, the patient reports chills and a headache. On
assessment, the patient's temperature is elevated. What complication do these assessment
findings indicate?
a. Catheter-related infection in the blood
b. Allergic reaction to the antibiotics
c. Speed shock
d. Circulatory overload
a. Delivers fluids under pressure
c. Is pole-mounted or ambulatory and portable
d. Is best for accurate infusion
f. Decreasing drug errors through smart technology - ANS-37. Which characteristics apply to IV
infusion pumps (Select all that apply.)
a. Delivers fluids under pressure
b. Relies on gravity to create fluid flow
c. Is pole-mounted or ambulatory and portable
, d. Is best for accurate infusion
e. Counts drops to regulate flow
f. Decreasing drug errors through smart technology
a. Develop evidence-based policies and procedures.
b. Insert and maintain peripheral and central venous catheters.
d. Consult on product selection and purchasing decisions.
e. Monitor patient outcomes of infusion therapy.
f. Provide education to staff, patients, and families. - ANS-1. Which activities are performed by
infusion nurses? (Select all that apply)
a. Develop evidence-based policies and procedures.
b. Insert and maintain peripheral and central venous catheters.
c. Develop new products for more effective infusion therapy.
d. Consult on product selection and purchasing decisions.
e. Monitor patient outcomes of infusion therapy.
f. Provide education to staff, patients, and families.
a. Ecchymosis and possibly a hematoma - ANS-12. A patient has been on prolonged steroid
therapy. In assessing the patient for IV insertion, what finding does the nurse expect to see?
a. Ecchymosis and possibly a hematoma
b. Skin that is thick, tough, dry, and difficult to puncture
c. Edema or puffiness, making visualization of veins difficult
d. Rash with excoriation from scratching, which limits site selection
a. Every 24 hours - ANS-14. When using an intermittent administration set to deliver
medications, how often does the Infusion Nurses Society recommend that the set be changed?
a. Every 24 hours
b. Every shift
c. Every morning
d. After every dose
a. Hold pressure on the site until hemostasis is achieved.
c. Assess the catheter tip to make sure it is intact and completely removed.
e. Remove the peripheral catheter dressing.
f. Document catheter removal and the appearance of the IV site. - ANS-46. The patient is ready
for discharge. Which actions must the nurse follow to remove the patient's peripheral
catheter?(Select all that apply.)
a. Hold pressure on the site until hemostasis is achieved.
b. Flush the peripheral catheter with normal saline before removing.
c. Assess the catheter tip to make sure it is intact and completely removed.
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