Amanda Burton
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Fundamentals Quiz am Administering Intravenous solutions and medications , erstellt von Amanda Burton am 10/10/2017.

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Amanda Burton
Erstellt von Amanda Burton vor etwa 7 Jahre
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Administering Intravenous solutions and medications

Frage 1 von 52

1

Because of a communication error, the pharmacy says that there is a long delay for a replacement bag of total parenteral nutrition TPN to be mixed and delivered to the unit for the patient. The nurse recognizes that a physicians order is needed for which type of IV fluid while awaiting the replacement bag of TPN?

Wähle eine der folgenden:

  • 0.45% Saline

  • 5% Dextrose in water

  • 10% Dextrose water

  • Lactate ringer

Erklärung

Frage 2 von 52

1

A nurse is assessing the patient who has severe vomiting and diarrhea. The purpose of IV infusions for this patient is to:

Wähle eine der folgenden:

  • Provide fluids to reduce elevation in temperature

  • Control the nausea and vomiting

  • Replenish fluids and correct dehydration

  • Deliver medication to stabilize blood pressure

Erklärung

Frage 3 von 52

1

What is the nurses primary responsibility in the daily care of a patient with a central line?

Wähle eine der folgenden:

  • Use sterile technique during insertion

  • Flush the line according to agency policy

  • Verify catheter placement with an x-ray examination

  • Rotate the insertion site every 72 hours

Erklärung

Frage 4 von 52

1

A patient receives a total of 4000 ML's of D5W over 48 hours. How many calories will this fluid supply?

Wähle eine der folgenden:

  • 800

  • 600

  • 500

  • 250

Erklärung

Frage 5 von 52

1

A nurse is adding a secondary piggyback to the patients existing IV. To use the gravity system, the nurse should hang:

Wähle eine der folgenden:

  • The piggyback bag higher than the maintenance IV bag

  • The maintenance IV bag at the same height as the piggyback bag

  • The piggyback bag and the maintenance IV bag using Y tubing

  • The maintenance IV bag after the piggyback bag is completed

Erklärung

Frage 6 von 52

1

The nurse needs to establish a peripheral IV access on adult trauma patient. Which catheter is the best choice?

Wähle eine der folgenden:

  • #24

  • #22

  • #20

  • #18

Erklärung

Frage 7 von 52

1

In which circumstance would be used of a burette be advised as a safety device

Wähle eine der folgenden:

  • A trauma patient needs several units of packed red blood cells

  • The patient needs IV fluids, but no infusion pump is available

  • An infant is at risk for IV fluid overload

  • A confused patient keeps trying to unplug the infusion pump

Erklärung

Frage 8 von 52

1

The nurse must assess for complications of IV therapy signs of common complications include:

Wähle eine oder mehr der folgenden:

  • Swelling and coldness at the site

  • Redness along the vein

  • Pale skin at the insertion site

  • Immobility of the extremity

  • Erythema and tenderness

  • Vomiting and diarrhea

Erklärung

Frage 9 von 52

1

The patient is receiving a blood transfusion in and begins to have symptoms within 10 minutes after the start of the transfusion. What is the priority action?

Wähle eine der folgenden:

  • Take vital signs and call the physician

  • Place the patient in a Supine position and start oxygen

  • Stop the blood and change the IV tubing

  • Slow the blood and check the vital signs

Erklärung

Frage 10 von 52

1

A patient returns from physical therapy, and her IV has a very sluggish flow, but it was functioning well before going to PT. What is the priority nursing action?

Wähle eine der folgenden:

  • Call PT and ask if anything happened to the IV during the treatment session

  • Discontinue the IV and restart be IV at a new site

  • Assess the IV insertion site and tubing and try repositioning the extremity

  • Use a heparin flush to clear the line

Erklärung

Frage 11 von 52

1

Fülle die Lücke, um den Text zu vervollständigen

The doctor orders the D5W (5 % dextrose in water) to infuse at 150 mL/hr the nurse is using macrodrop tubing (10 gtt/mL.) what is the drop rate? gtt/min

Erklärung

Frage 12 von 52

1

Fülle die Lücke, um den Text zu vervollständigen

The doctor orders 1000 ML's of normal normal saline to infuse over eight hours. What is the pump setting? mL/hr.

Erklärung

Frage 13 von 52

1

This has greater concentration also having greater tonicity then blood, solution Enters the vessel.

Wähle eine der folgenden:

  • Hypotonic

  • Hypertonic

  • Isotonic

Erklärung

Frage 14 von 52

1

This solution is of equal solute concentration; solutions that have the same concentration, or osmolality, as blood and are used to expand the fluid volume of the body. It stays where I put it.

Wähle eine der folgenden:

  • Isotonic

  • Hypotonic

  • Hypertonic

Erklärung

Frage 15 von 52

1

This solution is lesser concentration; containing less solute than extravascular fluid. This solution goes Out of the vessels.

Wähle eine der folgenden:

  • Hypertonic

  • Hypotonic

  • Isotonic

Erklärung

Frage 16 von 52

1

This route is the main method of supplying The patient with fluids and medications when the patient is unable to take them orally.

Wähle eine der folgenden:

  • Intervenous

  • Rectally

  • Topically

  • Orally

Erklärung

Frage 17 von 52

1

This is a concentrated dose given in a short period of time intravenously.

Wähle eine der folgenden:

  • Bolus

  • TPN

  • Colloids

  • Infusion

Erklärung

Frage 18 von 52

1

Solutions that are given intravenously must be sterile they are supplied in plastic bags that come in what mLs?

Wähle eine oder mehr der folgenden:

  • 250

  • 500

  • 1000

  • 700

  • 300

Erklärung

Frage 19 von 52

1

This type of administration set consist of a bag a solution, a regular tubing set, and a needleless connector, and an IV stand.

Wähle eine der folgenden:

  • Primary IV sets

  • Secondary IV sets

  • Y site sets

  • Controlled volume IV sets

Erklärung

Frage 20 von 52

1

This administration set, where medication is to be given intravenously and often added to an existing IV line by using what method.

Wähle eine der folgenden:

  • Primary IV sets

  • Piggyback IV sets

  • Y site sets

  • Controlled volume IV sets

Erklärung

Frage 21 von 52

1

This administration set is used to infuse certain blood products.

Wähle eine der folgenden:

  • Primary IV sets

  • Piggyback IV sets

  • Secondary IV sets

  • Y site sets

Erklärung

Frage 22 von 52

1

You can administer blood products with any type of medication.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 23 von 52

1

This type of administration set has a dose of diluted medication that can also be given through and infusion pump a machine that delivers Abby fluids at a rate that is set by the nurse.

Wähle eine der folgenden:

  • Primary IV sets

  • Secondary IV sets

  • Y site sets

  • Controlled volume IV sets

Erklärung

Frage 24 von 52

1

You should be checking your pumps how often?

Wähle eine der folgenden:

  • 1-2 hours

  • 6-8 hours

  • Every shift

  • Once a day

Erklärung

Frage 25 von 52

1

You can use these to trap particles such as undissolved medication or salts that have precipitated from solution.

Wähle eine der folgenden:

  • Filters

  • Cannula

  • Hubs

  • Aseptic

Erklärung

Frage 26 von 52

1

What is the slogan that was developed to emphasize the importance of using a sterile alcohol pad with friction and time when assessing a central line injection port for IV connection.

Wähle eine der folgenden:

  • Scrub the hub

  • Start low go slow

  • Being clean is the way to be

  • Nurses are the greatest

Erklärung

Frage 27 von 52

1

What are some signs and symptoms of fluid overload

Wähle eine oder mehr der folgenden:

  • Weight gain

  • Weight loss

  • Crackles in the Lungs

  • Peripheral edema

  • Clear lungs on auscultation

  • Bradycardia

Erklärung

Frage 28 von 52

1

The wingtip or butterfly needle is meant for what type of therapy

Wähle eine der folgenden:

  • Short term

  • Long term

  • Blood products

  • Viscous fluids

Erklärung

Frage 29 von 52

1

The wing tips for butterfly needles, and what type of gauges

Wähle eine der folgenden:

  • Odd numbered

  • Even numbered

Erklärung

Frage 30 von 52

1

For clear aqueous solutions what size gauge needle is used

Wähle eine der folgenden:

  • 17-18 gauge

  • 20 - 22 gauge

  • 18 - 19 gauge

  • 23-25 gauge

Erklärung

Frage 31 von 52

1

For a more viscous fluid, blood products or a rapid administration of large amounts of fluid what size gauge needle should you use?

Wähle eine der folgenden:

  • 18-19 gauge

  • 20-22 gauge

  • 23-25 gauge

  • Filtered needle

Erklärung

Frage 32 von 52

1

You should never take a blood pressure on the arm that has a Picc or ML catheter in place.

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 33 von 52

1

Correct placement of the subclavian catheter's must be verified by what type of procedure before any fluid is infuse through them?

Wähle eine der folgenden:

  • X-ray

  • MRI

  • Ct scan

  • Palpation

Erklärung

Frage 34 von 52

1

Never use a syringe that is smaller than what mL for flushing a central line?

Wähle eine der folgenden:

  • 10

  • 3

  • 5

  • 20

Erklärung

Frage 35 von 52

1

This is when a piece of the catheter travels through a vessel and lodges, obstructing blood flow.

Wähle eine der folgenden:

  • Air embolus

  • Catheter embolus

  • Infiltration

  • Extravasation

Erklärung

Frage 36 von 52

1

This occurs when fluid or medication leaks out of the vein into the tissue with signs and symptoms including edema around the site and cool, pale tissue. The flow can be slow and sluggish.

Wähle eine der folgenden:

  • Infiltration

  • Extravasation

  • Catheter embolus

  • Air embolus

Erklärung

Frage 37 von 52

1

This is the infiltration of the second drug from an IV line with the appearance of the site the patient's subjective complaints may initially be similar to those with infiltration the damage may go unnoticed for 48 to 72 hours.

Wähle eine der folgenden:

  • Infiltration

  • Extravasation

  • Septicemia

  • Phlebitis

Erklärung

Frage 38 von 52

1

When administering blood products you must use a 20 gauge or larger needle

Wähle eins der folgenden:

  • WAHR
  • FALSCH

Erklärung

Frage 39 von 52

1

This is caused by irritation of the vein by the needle, the catheter, medications, or additives in the IV solution. The typical signs are your Erythema, warmth, swelling, and tenderness.

Wähle eine der folgenden:

  • Phlebitis

  • Thrombosis

  • Septicemia

  • Speed shock

Erklärung

Frage 40 von 52

1

This is a type a blood stream infection that occurs when infectious pathogens are introduced into the bloodstream.

Wähle eine der folgenden:

  • Phlebitis

  • Septicemia

  • Thrombosis

  • Speed shark

Erklärung

Frage 41 von 52

1

Your patient has an air embolus which can occur when changing bags or an opening the line and the subclavian have a sudden drop in the blood pressure increase in the pulse, what would be a nursing implication?

Wähle eine der folgenden:

  • Place in Trendelenburg with patient on their left side

  • Elevate the head of the bed keep warm assessed for Edema, slowdown infusion rate and notify the physician

  • Remove IV catheter and restart IV in the other extremity

  • Nothing this is a normal function of the body

Erklärung

Frage 42 von 52

1

This occurs when fluids or medications are given by bolus or administered to rapidly?

Wähle eine der folgenden:

  • Speed shock

  • Air embolus

  • Phlebitis

  • Circulatory overload

Erklärung

Frage 43 von 52

1

What is a nursing action if your patient has a catheter embolus?

Wähle eine der folgenden:

  • Place a tourniquet it high on a limb above the IV site.

  • Place a tourniquet below the IV site

  • Nothing they will pass it themselves

  • Press the code button and start CPR

Erklärung

Frage 44 von 52

1

Wähle von der Aufklappliste, um den Text zu vervollständigen.

The primary fluid must be ( higher, lower ) to flow before the secondary fluid.

Erklärung

Frage 45 von 52

1

Your flushing an IV after administering medications, how many mLs should you flush with?

Wähle eine der folgenden:

  • 3 mLs

  • 5 mLs

  • 2 mLs

  • You dont have to flush after

Erklärung

Frage 46 von 52

1

How long do signed consents for blood last?

Wähle eine der folgenden:

  • 48-72 hours

  • 12-24 hours

  • They don't expire

  • 6 months

Erklärung

Frage 47 von 52

1

Evidence based practice indicates that what type of solution is the only solution used in combination with infusion of a blood products.

Wähle eine der folgenden:

  • Normal saline

  • D5W

  • D5LR

  • Dextrose 5%

Erklärung

Frage 48 von 52

1

Wähle von der Aufklappliste, um den Text zu vervollständigen.

TPN must be replaced every ( 24 hours, 12 hours, 36 hours, 7 days ).

Erklärung

Frage 49 von 52

1

Blood must be infused within how long of release from the blood bank.

Wähle eine der folgenden:

  • 4 hours

  • 20 minutes

  • 8 hours

  • After med pass

Erklärung

Frage 50 von 52

1

Your going to stay with your patient for the first little bit of blood administration, how long is minimum?

Wähle eine der folgenden:

  • 5 minutes

  • 10 minutes

  • 15 minutes

  • 30 minutes

Erklärung

Frage 51 von 52

1

Wähle von der Aufklappliste, um den Text zu vervollständigen.

Your going to take your patient's vitals while administering blood at the beginning to get a baseline and again ( 15, 10, 30, 60 ) minutes after start of administration.

Erklärung

Frage 52 von 52

1

What is the first nursing action when a transfusion reaction occurs?

Wähle eine der folgenden:

  • Stop the IV infusion

  • Flush with normal saline and new IV tubing

  • Notify the physician

  • Start low-flow oxygen

Erklärung