Exam (elaborations)
Chapter 10 Overview of Infusion Therapies
- Course
- Medical-Surgical Nursing
- Institution
- Broward Community College
Chapter 10 Overview of Infusion Therapies
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Stuvia.com - The Marketplace to Buy and Sell your Study MaterialChapter 10: Overview of Infusion Therapies
Multiple Choice
Identify the choice that best completes the statement or answers the question.
____ 1. The nurse anticipates which fluid movement when administering an isotonic IV fluid to a patient?
1. Fluid moves from the cells into the intravascular space
2. Fluid moves from the intravascular space into the intracellular space
3. Causes no or equal movement of fluid into or out of cells
4. Fluid moves from the intravascular space into the interstitial spaces
____ 2. The nurse is reviewing new healthcare provider orders on a patient admitted for treatment of
severe dehydration. The patient’s serum osmolality is 300 mOsm/kg. It is a priority for the nurse to
follow up with the provider if which solution is ordered?
1. 5% Dextrose in lactated Ringer’s solution (D5LR)
2. Dextrose 5% in 0.45% normal saline
3. 0.45% Normal saline
4. Dextrose 5% in 0.9% normal saline
____ 3. In providing care to a patient with a severe fluid deficit, which prescribed intravenous solution
does the nurse recognize as most effective in expanding plasma volume?
1. 0.9 % Normal saline
2. Dextrose 10%
3. 0.45 % Normal saline
4. Albumin
____ 4. 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 Ringer’s
____ 5. 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 Ringer’s
____ 6. 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 Ringer’s
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____ 7. The nurse prepares to initiate intravenous (IV) access for an older adult patient who requires a
blood transfusion. Which gauge needle is best for the nurse to use for this procedure?
1. 18
2. 20
3. 22
4. 24
____ 8. 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
____ 9. The nurse is initiating intravenous (IV) therapy for an adult patient who requires IV fluid infusion
for 2 to 3 days and might require blood administration. Which would the nurse choose as the best
option for IV catheterization?
1. Butterfly
2. Midline catheter
3. Short over-the-needle catheter
4. Implantable venous access device
____ 10. The nurse is caring for a patient who needs to have a peripheral intravenous catheter placed. When
the patient requests to have the intravenous (IV) started in the foot, what is the best response by the
nurse?
1. “There is an increased risk of infection if an IV is started in your feet or legs.”
2. “There is an increased risk of a clot or inflammation if an IV is started in your
foot.”
3. “Placing an IV in your foot decreases blood flow to your feet.”
4. “Placing an IV in your foot is more painful.”
____ 11. The nurse is caring for a patient who is to have a peripherally inserted central catheter (PICC) line
inserted tomorrow. Because 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
____ 12. The nurse performs an hourly check of a patient’s intravenous site and notes erythema. The patient
denies pain or discomfort. Based on this data, what should the nurse document in the patient’s
medical record?
1. Grade 1 phlebitis
2. Grade 2 phlebitis
3. Grade 3 phlebitis
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4. Grade 4 phlebitis
____ 13. 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. Occlusion
____ 14. The nurse correlates the administration of which blood component to the patient with acute blood
loss?
1. Platelets
2. Albumin
3. Fresh frozen plasma
4. Packed red blood cells
____ 15. 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
____ 16. Which component should the nurse anticipate will be prescribed for a patient who is not
responding to crystalloids for volume expansion?
1. Platelets
2. Albumin
3. Fresh frozen plasma
4. Packed red blood cells
____ 17. 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
____ 18. The nurse provides care to several patients on a medical-surgical unit. Which situation requires the
nurse to follow up with the healthcare provider before administering the prescribed treatment?
1. The patient who requires volume expansion and who is prescribed albumin
2. The patient diagnosed with thrombocytopenia who is prescribed fresh frozen
plasma
3. The patient diagnosed with symptomatic anemia who is prescribed packed red
blood cells
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