IV Administration Review

The patient complains of burning pain at the iv site, the nurse assesses the site to be warm to touch with red streaks under the skin that feel cord- like when palpated. The nurse suspects that the patient has a(n)

• infiltration

• phlebitis

• fluid shift

• air embolus

Answer explanation

a phlebitis is an inflammation of the vein. palpation will reveal warmth. The site will be flat with visible redness under the skin that feels like a cord when touched. The iv should be removed and physiciaon notified.

Septicmia would be a complication of phlebitis that would cause: fever and chills. The patient would need immediate treatment

The purposes of IV therapy include providing daily body fluid and electrolytes, replacing abnormal loss of fluids and electrolytes, and providing IV administration of medications.

• T

• F

Signs of IV infiltration

• skin is cold to the touch

• area is swollen

• pallor

• erythema at IV site

• skin is hot to the touch

A Microdrip set delivers 60 gtt/mL

• True

• False

What part of an IV is shown here?

• Drip Chamber

• Dial-a-Flow Device

• Rollar Clamp

Isotonic is a solution that has a matching concentration to the body.

• True

• False

One of the following is Isotonic crystalloid fluid.

• 5% albumin 

• Dextran 40 

• Lactated Ringer’s

• 10%DW

When a patient asks how a transfusion of packed red blood cells (PRBCs) differs from the usual whole blood transfusion, which nursing explanation is most correct?

• A unit of PRBC has the same number of red blood cells in less fluid volume

• A unit of PRBC contains more red blood cells in the same amount of fluid

• A unit of PRBC is less likely to cause an allergic transfusion reaction

• A unit of PRBC will stimulate the bone marrow to make more red blood cells

• D5W

• D5050

• DW5

• D20W

Answer explanation

The nurse should not infuse corn-derived dextrose solutions to any patient with a corn allergy, infusion could cause anaphylactic reaction.

D5W, D10W, D 5 1/2 are examples.

The physician gives orders to infuse 1 unit (250 mL) of packed red blood cells over 4 hours. Calculate the flow rate in milliliters per hour.

Mathematical Equivalence

ON

Tags

clinical calculations