IV Final Exam Questions And Already Passed Solutions.
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Course
IV THERAPY
Institution
IV THERAPY
A nurse is caring for a client who needs a blood transfusion. The client has O negative blood. What does the nurse understand about this client's blood?
a. This client has antibodies to both the A and B blood antigens, and will also have D antigen antibodiy's if they've been exposed to Rh positi...
IV Final Exam Questions And Already
Passed Solutions.
A nurse is caring for a client who needs a blood transfusion. The client has O negative blood. What does
the nurse understand about this client's blood?
a. This client has antibodies to both the A and B blood antigens, and will also have D antigen antibodiy's
if they've been exposed to Rh positive blood.
b. This client has all of the common blood antigens, but is negative for antibodies.
c. This person does not have antibodies to any of the major blood groups unless they've been exposed to
them.
d. This client is the universal recipient, they can receive any type of blood - Answer a
A nurse is preparing to give a non-vesicant medication through an existing IV with a main infusion
running. The nurse should:
a. Check to be sure the drug is being injected upstream from the infusion pump
b. Check to be sure that the main infusion is clamped upstream from the pump
c. Check the compatibility of the drug with the main IV solution
d. Check to be sure the IV site was started within 24 hours. - Answer c
The nurse is checking the doctor's order to be sure the dose of chemotherapeutic agent is correct. The
drug recommendations are given in mg/m2. What does the m2 represent?
a. The square of the client's height in meters.
b. mass in kg times meters in high
c. The square root of the client's BMI times their height.
d. Body surface area - Answer d
Which of the following clients is most at risk for a non-hemolytic febrile reaction?
,a. A 16 year old with sickle cell who has a history of multiple previous transfusions
b. A 45 year-old male recently diagnosed with colon CA, who is B+ blood type but will be receiving O+
due to a shortage
c. An 82 year old female who needs transfusion due to traumatic blood loss secondary to a motor vehicle
collision
d. A 25 year-old female with post-partum hemorrhage who is AB- and is to receive B-blood. - Answer a
A nurse is hanging a piggyback infusion into a client who has a main solution running. Where will the
IVPB be hung and the intermittent infusion set attached to the primary infusion set?
a. The IVPB will be hung above the level of the primary solution container, and attached to the primary
infusion set at a port upstream from the infusion pump
b. The IVPB will be hung level with the primary solution and attached to the primary tubing at a port
upstream from the infusion pump.
c. The IVPB solution container will be hung below the level of the client's heart and attached to the
primary infusion set downstream from the infusion pump.
d. The IVPB solution will be hung below the main solution and attached to a port downstream from the
infusion pump - Answer a
During interleukin therapy a client is showing signs of severe fluid retention, with no urine output in the
last 8 hours, increasing dyspnea, lightheadedness when standing, and severe peripheral edema. The next
dose of interleukin is due now. What should the nurse do?
a. Hold the drug and notify the prescriber
b. Hold the dose for 2 hours, then give at a reduced rate if the clients condition improves.
c. Notify the prescriber and give the dose
d. Give acetaminophen and Benadryl, then give the dose - Answer a
A patient with sepsis is receiving the first of three needed units of packed cells. The first one will be done
at 1200. It is now 9am, and the client has an IV antibiotic due at 1000 which needs to infuse over 1 hour.
What is the most correct procedure in this case?
, a. Spike the antiobiotic container on the second spike of the Y set, and infuse with the transfusion.
b. Hold the antibiotic until the transfusion is done.
c. Stop the transfusion, infuse the antibiotic, then resume the transfusion
d. Administer the IV antibiotic on time through a second IV site - Answer d.
You are getting set up to do a packed RBC transfusion, which solution do you pick to run through the
other side of the Y set during the infusion?
a. Any isotonic fluid
b. Sterile water
c. Normal Saline
d. No other solution is needed - Answer c
Which of the following are reasons to transfuse blood products? Select all that apply.
a. Restoration of circulatory volume
b. Providing nutrition when the GI tract is not accessible
c. Improving the oxygen carrying capacity of blood
d. Assisting with coagulation problems
d. Treatment of electrolyte imbalance - Answer acd
You are caring for a client with a brain injury. Which fluid order would you question?
a. 5% Dextrose solution
b. 5% Dextrose in 0.9% Sodium Chloride solution (D5NS)
c. 0.9% Sodium Chloride solution (NS)
d. Lactated Ringer's solution - Answer a
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