Test Generator Questions, Chapter 22, Intravenous Therapy

Format: Multiple Choice

Chapter: 22

Client Needs: Physiological Integrity: Pharmacological and Parenteral Therapies

Cognitive Level: Remember

Integrated Process: Nursing Process

Learning Objective: 2

Page and Header: TPN and PPN, p. 538.

1. Total parenteral nutrition is hypertonic. What is the percentage of dextrose in these solutions?

A) 2.5% dextrose

B) 5% dextrose

C) 10% dextrose

D) 50% dextrose

2. A client requiring frequent chemotherapeutic products will require a(an):

A) multi-lumen central line.

B) peripheral intravenous line.

C) over-the-needle catheter.

D) Hickman catheter.

3. The nurse has an order to infuse 1000 mL of dextrose 5% with 0.45 normal saline. The infusion is ordered over 8 hours. The solution set delivers 10 gtts/cc. How many drops per minute will the nurse need to infuse the intravenous fluids?

A) 5 gtts/minute

B) 15 gtts/minute

C) 21 gtts/minute

D) 30 gtts/minute

4. The nurse is educating a client with a peripheral intravenous infusion of dextrose 5%. What is the most important information to share with the client who has an IV infusing in the right hand?

A) Keep the IV fluids 18 inches above the extremity.

B) Caution the client not to bend the right wrist.

C) Instruct on ambulating with an IV pole.

D) Instruct the client on fluid volume excess.

5. A nurse is preparing to start an intravenous infusion on an adult. Which action is appropriate?

A) Prepare the skin with chlorhexidine 5% in 70% alcohol.

B) Apply sterile gloves before inserting the intravenous device.

C) Place a cold cloth over the intended site for greater access.

D) Apply a tourniquet 2 below the selected site.

6. A young woman has an IV infusing with magnesium sulfate to treat preterm labor. The woman develops a fever. What is the first assessment the nurse should make?

A) Monitor the IV infusion rate.

B) Assess the vaginal mucosa.

C) Assess the IV site for redness.

D) Assess the client’s blood pressure.

7. Which nursing action is appropriate in the care of a client with an implanted vascular access device?

A) Cleanse around the site of insertion with an antibacterial solution.

B) Clean the external portion of the catheter after infusion is complete.

C) Maintain patency by routine flushing with a heparinized solution.

D) Observe the site only; only the physician will assess the site.

8. A central line is inserted by the medical team on an older adult client. During the insertion, the nurse assesses the client’s sudden shortness of breath. What does this symptom indicate?

A) Pneumothorax

B) Myocardial infarction

C) Hemothorax

D) Pulmonary embolism

9. A client suffers from infectious diarrhea. Based on the client’s loss of fluid, the client’s protein level is below normal. What blood product will the physician order to restore intravascular volume?

A) Whole blood

B) Packed red cells

C) Platelets

D) Albumin

10. A client suffers from a genetic bleeding deficiency involving a deficit in factor VIII. Which blood product will the nurse most likely administer?

A) Whole blood

B) Albumin

C) Platelets

D) Cryoprecipitate

11. The nurse is preparing to insert an intravenous line in a 1-year-old child for a one-time administration of fluids due to dehydration. Which needle would the nurse likely select?

A) A 22-gauge intravenous catheter

B) A 19-gauge winged infusion set

C) A 23-gauge winged infusion set

D) An 18-gauge intravenous catheter

12. What is required to manually regulate an IV drip? Select all that apply.

A) A clock

B) A minimum of 1000 cc of fluid

C) Tubing with a roller clamp

D) An antecubital access site

13. The charge nurse on the medical/surgical unit is reviewing physician orders for a client with a diagnosis of heart failure. Which infusion orders would the nurse question?

A) 50 mL D5W to run in 60 minutes

B) 250 mL 0.9 NaCl to run in 60 minutes

C) 1000 D5W to run in 30 minutes

D) 20 mL 0.9 NaCl to run in 20 minutes

14. The nurse manager is discussing epidural analgesia with a group of new nurses. Which of statement by the group indicates a need for additional education?

A) "Epidural analgesia is always administered in a continuous infusion to prevent or treat pain."

B) "The client may be able to control the epidural analgesia infusion."

C) "The epidural analgesia may be used in the laboring client."

D) "The epidural is always discontinued after delivery of the newborn."

15. A 2-year-old child has been injured in a motor vehicle accident and is in immediate need of a blood transfusion for profuse bleeding. Which access site might the nurse expect to use for the infusion?

A) Antecubital

B) Dorsalis pedis

C) Great saphenous vein

D) Scalp vein

E) Intraosseous access

16. A client with chronic anemia is admitted for the administration of blood. What would the nurse expect the physician to order?

A) Whole blood

B) Packed cells

C) White blood cells

D) Platelets

E) D5W 1000 mL

17. A client receiving chemotherapy has been admitted for thrombocytopenia. Which blood product will the nurse anticipate administering?

A) Platelets

B) Fresh frozen plasma

C) Whole blood

D) Packed cells

E) White blood cells

18. The nurse is administering blood to the client. During the infusion, the client reports a headache and feeling very tired. What will the nurse do first?

A) Notify the physician.

B) Notify the blood bank.

C) Check the client’s vital signs.

D) Pause the infusion.

19. The nurse manager is discussing IV fluid overload with the stage. What will the nurse manager include in the discussion? Select all that apply.

A) The use of packed cells instead of whole blood will decrease the fluid volume delivered to the client.

B) A symptom of fluid overload is distended neck veins.

C) The client will likely develop a fever in the presence of fluid overload.

D) Fluid overload is more likely in very young children.

E) The infusion rate must be carefully monitored during the administration of blood.

20. A client is hypotensive secondary to hypovolemia resulting from dehydration. Based on the nurse’s knowledge about intravenous solutions, the nurse would expect the physician to prescribe which type of solution?

A) Isotonic

B) Hypotonic

C) Hypertonic

D) Volume expander

21. A client with a central venous catheter develops a central line–associated bloodstream infection (CLABSI). The nurse understands that which route is likely the potential cause for this type of infection?

A) Catheter tip contamination due to skin organisms encountered during insertion

B) An infection in another part of the body traveling to the catheter tip

C) Contamination of the infusion solution being used

D) Irregularities in the catheter’s material

22. A child brought to the emergency department is exhibiting significant signs of hypovolemic shock for which intravenous therapy is prescribed. The physician is unable to obtain intravenous access and decides to use intraosseous access. The nurse would prepare which site to be used?

A) Proximal tibia

B) Distal radius

C) Patella

D) Femur

23. A nurse enters a client’s room to check on the intravenous infusion. An electronic infusion device is not being used. When checking the solution container and rate, the nurse notes that the fluid is infusing at a rate slower than intended. When assessing the client, which finding would the nurse identify as most likely contributing to the slowed rate of infusion?

A) The client is resting the arm with the IV on the head.

B) The tubing is visible, running freely from the solution to the access site.

C) The fluid, although running slow, is infusing.

D) The client is using his or her non-IV hand to push the IV pole when ambulating.

24. A nurse is preparing the site for insertion of a peripheral venous catheter using chlorhexidine. Which actions would be appropriate for the nurse to do? Select all that apply.

A) Apply deep pressure.

B) Rub in a side-to-side motion.

C) Rub in a circular motion.

D) Use a back and forth motion.

E) Apply alcohol after the chlorhexidine.

25. A nurse is inspecting the IV access site of a client receiving intravenous therapy. The nurse suspects that the IV has infiltrated based on which finding at the site? Select all that apply.

A) Swelling

B) Redness

C) Pallor

D) Warmth to touch

E) Pain