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Pharmacology and Intravenous Therapies: Exam, Kaplan Pharmacological- Parental Therapy C AND Pharmacology - Exam 3 EAQ Questions Verified for Academic Excellence$27.99
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Pharmacology and Intravenous Therapies:
Exam, Kaplan Pharmacological- Parental
Therapy C AND Pharmacology - Exam 3 EAQ
Questions Verified for Academic Excellence
A nurse notes that the site of a client's peripheral intravenous (IV) catheter is reddened,
warm, painful, and slightly edematous near the insertion point of the catheter. On the basis
of this assessment, the nurse first:
A Removes the IV catheter
B Slows the rate of infusion
C Notifies the healthcare provider
D Checks for loose catheter connections - CORRECT ANS- -A Removes the IV catheter
A nurse hangs a 500-mL bag of intravenous (IV) fluid for an assigned client. One hour later
the client complains of chest tightness, is dyspneic and apprehensive, and has an irregular
pulse. The IV bag has 100 mL remaining. Which of the following actions should the nurse
take first?
A Removing the IV
B Sitting the client up in bed
C Shutting off the IV infusion
D Slowing the rate of infusion - CORRECT ANS- -C Shutting off the IV
A nurse discontinues infusion of a unit of packed red blood cells (RBCs) because the client
is experiencing a transfusion reaction. After discontinuing the transfusion, which of the
following actions does the nurse take next?
A Removing the IV catheter
B Contacting the healthcare provider
C Changing the solution to 5% dextrose in water
,D Obtaining a culture of the tip of the catheter device removed from the client - CORRECT
ANS- -B Contacting the healthcare provider
A client with heart failure is being given furosemide (Lasix) and digoxin (Lanoxin). The client
calls the nurse and complains of anorexia and nausea. Which action should the nurse take
first?
A Administering an antiemetic
B Administering the daily dose of digoxin
C Discontinuing the morning dose of furosemide
D Checking the result of laboratory testing for potassium on the sample drawn 3 hours ago
- CORRECT ANS- -D Checking the result of laboratory testing for potassium on the sample
drawn 3 hours ago
A physician prescribes the administration of parenteral nutrition (PN), to be started at a rate
of 50 mL/hr by way of infusion pump through an established subclavian central line. After
the first 2 hours of the PN infusion, the client suddenly complains of difficulty breathing
and chest pain. The nurse immediately:
A Obtains blood for culture
B Clamps the PN infusion line
C Obtains a sample for blood glucose testing
D Obtains an electrocardiogram (ECG) - CORRECT ANS- -B Clamps the PN infusion line
A physician prescribes 2000 mL of 5% dextrose and normal saline 0.45% for infusion over
24 hours. The drop factor is 15 gtt/mL. At how many drops per minute does the nurse set
the flow rate? (Round to the nearest whole number). - CORRECT ANS- -21
A nurse is assessing a peripheral intravenous (IV) site and notes blanching, coolness, and
edema at the insertion site. What should the nurse do first?
A Remove the IV
,B Apply a warm compress
C Check for blood return
D Measure the area of infiltration - CORRECT ANS- -A Remove the IV
A home care nurse has been assigned a client who has been discharged home with a
prescription for parenteral nutrition (PN). Which of the following parameters does the nurse
plan to check at each visit as a means of identifying complications of the PN therapy?
Select all that apply.
A Weight
B Glucose test
C Temperature
D Peripheral pulses
E Hemoglobin and hematocrit - CORRECT ANS- -A Weight
B Glucose test
C Temperature
A nurse is caring for a group of adult clients on an acute care nursing unit. Which of the
following clients does the nurse recognize as the most likely candidate for parenteral
nutrition (PN)?
A A client with pancreatitis
B A client with severe sepsis
C A patient with renal caliculi
D A client who has undergone repair of a hiatal hernia
E A client with a severe exacerbation of ulcerative colitis - CORRECT ANS- -A A client with
pancreatitis
B A client with severe sepsis
E A client with a severe exacerbation of ulcerative colitis
, A client with a peripheral intravenous (IV) line in place has a new prescription for infusion of
parenteral nutrition (PN), a solution containing 25% glucose. Which of the following actions
should be taken by the nurse?
A Hanging the IV solution as prescribed
B Questioning the healthcare provider about the prescription
C Hanging the IV solution but setting the infusion at just half the prescribed rate
D Diluting the solution with sterile water to half-strength - CORRECT ANS- -B Questioning
the healthcare provider about the prescription
The first bag of parenteral nutrition (PN) solution has arrived on the clinical unit for a client
beginning this nutritional therapy. The solution is to be infused by way of a central line.
Which of the following essential pieces of equipment does the nurse obtain before hanging
the solution?
A nurse is monitoring a client who is receiving parenteral nutrition (PN). Which of the
following signs and symptoms causes the nurse to suspect that the client is experiencing
hyperglycemia as a complication?
A Pallor, weak pulse, and anuria
B Nausea, vomiting, and oliguria
C Nausea, thirst, and increased urine output
D Sweating, chills, and decreased urine output - CORRECT ANS- -C Nausea, thirst, and
increased urine output
At 1600 the nurse checks a client's parenteral nutrition (PN) infusion bag and finds 1100 mL
remaining in the 3000-mL bag. The solution is running at a rate of 100 mL/hr. The bag was
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