Amanda Burton
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Fundamentals Quiz sobre Administering Intravenous solutions and medications , criado por Amanda Burton em 10-10-2017.

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Amanda Burton
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Administering Intravenous solutions and medications

Questão 1 de 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?

Selecione uma das seguintes:

  • 0.45% Saline

  • 5% Dextrose in water

  • 10% Dextrose water

  • Lactate ringer

Explicação

Questão 2 de 52

1

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

Selecione uma das seguintes:

  • Provide fluids to reduce elevation in temperature

  • Control the nausea and vomiting

  • Replenish fluids and correct dehydration

  • Deliver medication to stabilize blood pressure

Explicação

Questão 3 de 52

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 4 de 52

1

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

Selecione uma das seguintes:

  • 800

  • 600

  • 500

  • 250

Explicação

Questão 5 de 52

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 6 de 52

1

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

Selecione uma das seguintes:

  • #24

  • #22

  • #20

  • #18

Explicação

Questão 7 de 52

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 8 de 52

1

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

Selecione uma ou mais das seguintes:

  • 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

Explicação

Questão 9 de 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?

Selecione uma das seguintes:

  • 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

Explicação

Questão 10 de 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?

Selecione uma das seguintes:

  • 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

Explicação

Questão 11 de 52

1

Preencha o espaço em branco para completar o texto.

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

Explicação

Questão 12 de 52

1

Preencha o espaço em branco para completar o texto.

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

Explicação

Questão 13 de 52

1

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

Selecione uma das seguintes:

  • Hypotonic

  • Hypertonic

  • Isotonic

Explicação

Questão 14 de 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.

Selecione uma das seguintes:

  • Isotonic

  • Hypotonic

  • Hypertonic

Explicação

Questão 15 de 52

1

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

Selecione uma das seguintes:

  • Hypertonic

  • Hypotonic

  • Isotonic

Explicação

Questão 16 de 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.

Selecione uma das seguintes:

  • Intervenous

  • Rectally

  • Topically

  • Orally

Explicação

Questão 17 de 52

1

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

Selecione uma das seguintes:

  • Bolus

  • TPN

  • Colloids

  • Infusion

Explicação

Questão 18 de 52

1

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

Selecione uma ou mais das seguintes:

  • 250

  • 500

  • 1000

  • 700

  • 300

Explicação

Questão 19 de 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.

Selecione uma das seguintes:

  • Primary IV sets

  • Secondary IV sets

  • Y site sets

  • Controlled volume IV sets

Explicação

Questão 20 de 52

1

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

Selecione uma das seguintes:

  • Primary IV sets

  • Piggyback IV sets

  • Y site sets

  • Controlled volume IV sets

Explicação

Questão 21 de 52

1

This administration set is used to infuse certain blood products.

Selecione uma das seguintes:

  • Primary IV sets

  • Piggyback IV sets

  • Secondary IV sets

  • Y site sets

Explicação

Questão 22 de 52

1

You can administer blood products with any type of medication.

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 23 de 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.

Selecione uma das seguintes:

  • Primary IV sets

  • Secondary IV sets

  • Y site sets

  • Controlled volume IV sets

Explicação

Questão 24 de 52

1

You should be checking your pumps how often?

Selecione uma das seguintes:

  • 1-2 hours

  • 6-8 hours

  • Every shift

  • Once a day

Explicação

Questão 25 de 52

1

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

Selecione uma das seguintes:

  • Filters

  • Cannula

  • Hubs

  • Aseptic

Explicação

Questão 26 de 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.

Selecione uma das seguintes:

  • Scrub the hub

  • Start low go slow

  • Being clean is the way to be

  • Nurses are the greatest

Explicação

Questão 27 de 52

1

What are some signs and symptoms of fluid overload

Selecione uma ou mais das seguintes:

  • Weight gain

  • Weight loss

  • Crackles in the Lungs

  • Peripheral edema

  • Clear lungs on auscultation

  • Bradycardia

Explicação

Questão 28 de 52

1

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

Selecione uma das seguintes:

  • Short term

  • Long term

  • Blood products

  • Viscous fluids

Explicação

Questão 29 de 52

1

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

Selecione uma das seguintes:

  • Odd numbered

  • Even numbered

Explicação

Questão 30 de 52

1

For clear aqueous solutions what size gauge needle is used

Selecione uma das seguintes:

  • 17-18 gauge

  • 20 - 22 gauge

  • 18 - 19 gauge

  • 23-25 gauge

Explicação

Questão 31 de 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?

Selecione uma das seguintes:

  • 18-19 gauge

  • 20-22 gauge

  • 23-25 gauge

  • Filtered needle

Explicação

Questão 32 de 52

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 33 de 52

1

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

Selecione uma das seguintes:

  • X-ray

  • MRI

  • Ct scan

  • Palpation

Explicação

Questão 34 de 52

1

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

Selecione uma das seguintes:

  • 10

  • 3

  • 5

  • 20

Explicação

Questão 35 de 52

1

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

Selecione uma das seguintes:

  • Air embolus

  • Catheter embolus

  • Infiltration

  • Extravasation

Explicação

Questão 36 de 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.

Selecione uma das seguintes:

  • Infiltration

  • Extravasation

  • Catheter embolus

  • Air embolus

Explicação

Questão 37 de 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.

Selecione uma das seguintes:

  • Infiltration

  • Extravasation

  • Septicemia

  • Phlebitis

Explicação

Questão 38 de 52

1

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

Selecione uma das opções:

  • VERDADEIRO
  • FALSO

Explicação

Questão 39 de 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.

Selecione uma das seguintes:

  • Phlebitis

  • Thrombosis

  • Septicemia

  • Speed shock

Explicação

Questão 40 de 52

1

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

Selecione uma das seguintes:

  • Phlebitis

  • Septicemia

  • Thrombosis

  • Speed shark

Explicação

Questão 41 de 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?

Selecione uma das seguintes:

  • 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

Explicação

Questão 42 de 52

1

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

Selecione uma das seguintes:

  • Speed shock

  • Air embolus

  • Phlebitis

  • Circulatory overload

Explicação

Questão 43 de 52

1

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

Selecione uma das seguintes:

  • 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

Explicação

Questão 44 de 52

1

Selecione da lista do Menu para completar o texto.

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

Explicação

Questão 45 de 52

1

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

Selecione uma das seguintes:

  • 3 mLs

  • 5 mLs

  • 2 mLs

  • You dont have to flush after

Explicação

Questão 46 de 52

1

How long do signed consents for blood last?

Selecione uma das seguintes:

  • 48-72 hours

  • 12-24 hours

  • They don't expire

  • 6 months

Explicação

Questão 47 de 52

1

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

Selecione uma das seguintes:

  • Normal saline

  • D5W

  • D5LR

  • Dextrose 5%

Explicação

Questão 48 de 52

1

Selecione da lista do Menu para completar o texto.

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

Explicação

Questão 49 de 52

1

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

Selecione uma das seguintes:

  • 4 hours

  • 20 minutes

  • 8 hours

  • After med pass

Explicação

Questão 50 de 52

1

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

Selecione uma das seguintes:

  • 5 minutes

  • 10 minutes

  • 15 minutes

  • 30 minutes

Explicação

Questão 51 de 52

1

Selecione da lista do Menu para completar o texto.

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.

Explicação

Questão 52 de 52

1

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

Selecione uma das seguintes:

  • Stop the IV infusion

  • Flush with normal saline and new IV tubing

  • Notify the physician

  • Start low-flow oxygen

Explicação