Ch.6 Test Questions & Answers Infusion Therapy Maintenance

Chapter 6: Techniques for Initiation and Maintenance of Peripheral Infusion Therapy

Multiple Choice

Identify the choice that best completes the statement or answers the question.

1. A client is being discharged to home with continuous I.V. infusion therapy. Which assessment made by the nurse before proceeding with the discharge plan is most important?

A. If the client lives alone

B. If the client is medically stable

C. If the client has a working telephone

D. If the client has a working refrigerator

2. A nurse is time-taping an I.V. bag of 1,000 mL that is to infuse over 8 hours. The nurse places the 1100 hour marking at the 500-mL level. At which level should the nurse place the mark for 1200 hours?

A. 350 mL

B. 375 mL

C. 400 mL

D. 425 mL

3. A nurse is inspecting a container of infusate prior to client administration. Prior to use, the infusate solution container should be inspected for:

A. clarity, the expiration date, and air vents.

B. clarity, the expiration date, and punctures or cracks.

C. clarity, punctures or cracks, and the number of access ports.

D. air vents, the number of access ports, the expiration date, and floating particles.

5. A medical-surgical nurse is caring for multiple clients who have peripheral I.V. access devices. According to the Infusion Nurse Society (INS), how often should the nurse change the clients’ I.V. catheters?

A. As needed (PRN)

B. At 24- to 48-hour intervals

C. At 48- to 72-hour intervals

D. No more often than every 96-hour intervals

6. A nurse is calculating the drip rate before initiating an I.V. infusion. Upon which factor(s) should the calculation of the drip rate depend?

A. Drop factor of tubing and number of injection ports

B. Tubing length and filter size for infusate

C. Drop factor of the tubing and physician order of mL/hr

D. Filter size and number of injection ports on administration set

7. A nurse is preparing to initiate an I.V. infusion on a 3-year-old child. Which action should the nurse take first?

A. Explain the procedure completely.

B. Explain the procedure in simple terms.

C. Restrain the child to perform the venipuncture.

D. Provide reading materials before performing venipuncture.

8. A nurse is attempting to obtain venous access on a 2-month-old infant. Which cannula size should the nurse select for use with this client?

A. 16-gauge scalp vein (metal) needle

B. 18-gauge over-the-needle catheter (ONC)

C. 22- to 24-gauge ONC

D. 23- to 25-gauge scalp vein (metal) needle

9. A nurse is preparing to initiate an I.V. infusion on a toddler. To prevent fluid overload, the nurse calculates that the toddler’s I.V. container should contain no more than:

A. 500 mL of fluid in an 18-hour period.

B. 1,000 mL of fluid in a 12-hour period.

C. 24-hour volume requirements of fluid.

D. Hourly volume requirements of fluid.

10. A prudent medical-surgical nurse frequently monitors the I.V. sites of his older adult clients because:

A. older adult clients always pull at their I.V. lines.

B. the veins of older adults always rupture, causing infiltration.

C. older adult clients need to be mobile, placing I.V. patency at risk.

D. age-related neurologic changes can reduce tactile sensation.

11. A nurse is applying a transparent, semipermeable membrane dressing to an I.V. site. The nurse should take care to place the dressing so that it:

A. covers only the area surrounding the I.V. entry site.

B. can be removed for observation of the site every 4 hours.

C. covers the area surrounding the I.V. entry site up to the top margin of the cannula hub.

D. covers the I.V. entry site, the catheter hub, and the connection between the I.V. device and the administration set tubing.

12. A client is scheduled for surgical insertion of a midline catheter. A nurse explains to the client that a midline catheter is any peripheral catheter that is placed:

A. with the tip in any location between the antecubital fossa and the subclavian vein.

B. with 3 to 5 cm distal to the axillary vein and between the antecubital fossa.

C. between the antecubital fossa and 6 to 8 cm proximal to one of the innominate veins.

D. between the antecubital fossa and the head of the clavicle, with optimal tip location level with the axilla.

13. According to Infusion Nurses Society Standards of Practice (2016), which of the following should be used to secure the infusion device after insertion?

A. Paper tape

B. Stabilization device

C. Sutures

D. Transparent tape

Multiple Response

Identify one or more choices that best complete the statement or answer the question.

1. A nurse is selecting a peripheral vein for I.V. access. Which factors should affect the nurse’s choice of an I.V. site? (Select all that apply.)

A. Type of solution

B. Condition of vein

C. Whether client is right or left handed

D. Presence of disease, shunts, or grafts in the extremity

E. Client age

2. Documentation of initiation of a short-peripheral infusion (PIV) device should include which of the following? (Select all that apply.)

A. Device type, length, and gauge

B. Manufacturer and lot number

C. Date and time of insertion

D. Number and location of attempts

E. Infusate, dose, rate, time, route and method of administration

Completion

Complete each statement.

1. A physician orders 1,000 mL of 5% dextrose in water at 50 mL/hr. A nurse uses tubing with a drop factor of 15. The nurse calculates that the I.V. solution should be infused at _____ drops per minute (gtt/min). Fill in the blank.

2. A physician orders 0.45% sodium chloride to be infused intravenously at 45 mL/hr for an 8-month-old infant. A nurse calculates that, using a microdrip controller, the solution should infuse at a rate of _____ drops per minute (gtt/min). Fill in the blank.

3. A physician orders 1,000 mL of 5% dextrose and 0.45% sodium chloride to be infused intravenously at 125 mL/hr. A nurse uses tubing with a drop factor of 20. The nurse calculates that the I.V. solution should be infused at _____ drops per minute (gtt/min). Fill in the blank.

Short Answer

1. A nurse has just successfully inserted an I.V. cannula into a client’s vein. Which action should the nurse take next? Place each nursing action in the order of priority.

a.___ Adjust the flow rate.

b.___ Attach the primed I.V. tubing.

c.___ Observe for signs of infiltration.

d.___ Begin the flow of I.V. fluid.

2. A nurse is preparing to flush a client’s I.V. catheter before injecting medication. Which steps should be taken by the nurse when flushing the client’s intermittent locking device? Prioritize the nurse’s actions by placing each step in the correct order.

a. ___ Flush with sodium chloride using push-pause method.

b. ___ Check for patency of the catheter.

c. ___ Administer the medication.

d. ___ Flush with sodium chloride applying positive pressure.

Chapter 6: Techniques for Initiation and Maintenance of Peripheral Infusion Therapy

Multiple Choice

Identify the choice that best completes the statement or answers the question.

1. A client is being discharged to home with continuous I.V. infusion therapy. Which assessment made by the nurse before proceeding with the discharge plan is most important?

A. If the client lives alone

B. If the client is medically stable

C. If the client has a working telephone

D. If the client has a working refrigerator