NEW
Font size
WorksheetsPNP IV Final Review
Total questions: 25
Worksheet time: 13mins
A client is receiving Keflex IV for 7 days. All of the following interventions apply except for which one?
watch for cross-sensitivity to PCN
do not give during pregnancy or to children under 8 years of age
monitor BUN and creatinine
watch for signs/symptoms of phlebitis
Your client's IV site feels warm. It's red and edematous. These signs may indicate which IV complication?
cellulitis
hematoma
extravasation
phlebitis
A client is admitted with a diagnosis of dehydration and has a history of cirrhosis. Which is the best IV solution to administer?
NS
LR
D51/2 NS
D5NS
In SIADH (Syndrome of Inappropriate Antidiuretic Hormone), what is occurring?
Excess ADH is released and the client voids a large amount of pale yellow urine.
Excess ADH is released, water is reabsorbed, internal fluid volume increases and urine output is scant and concentrated.
No changes occur in fluid balance.
ADH is not produced which results in scant urine output.
The following are all causes of fluid volume deficit except:
hypernatremia
hyperventilation
bleeding
diarrhea
Your client is receiving their first dose of Zosyn IV for cellulitis when you notice his eyes are watering and he is wheezing and short of breath. Your #1 priority is:
administer an antihistamine
monitor vital signs
maintain a patent airway
verify client's allergies
Medication teaching for a client taking aminophylline IV should include the following:
Take this med with Protonix.
Have your PT and INR checked three times a week.
Avoid caffeine.
Call your doctor if you develop ringing in your ears.
Which of the following solutions is the best choice for a client with CHF?
D5W
NS
LR
D51/2 NS
Your client is complaining of chest pain. His pulse is 87% and he has unequal breath sounds. Since you suspect an air embolus, what position should he be in?
high fowlers
prone
left side/trendelenberg
semi-fowlers
The RN you're working with asks you to hang her client's TPN bag because she's very busy. What is your best response?
"Sure. You help me when I need it."
"Okay, but don't tell anyone I did it."
"Sorry but I can't. It's not within my scope of practice. Is there something else I can help you with?"
Your client complains that her IV is uncomfortable. You notice the site is puffy and cool and fluid is collecting under the tegaderm. What should you do first?
Stop the infusion.
Call the physician.
Silence the pump alarm.
Increase the pump rate.
All of the following are factors that affect drug solubility and compatibility except:
the concentration of drug
the half-life of medications
the order in which they are mixed
how long the meds are in contact with each other
All of these central venous access devices must be inserted by a doctor except:
percutaneous non-tunnelled catheter
groshong catheter
port-a-cath
PICC line
A potential complication of a non-tunneled percutaneous device is:
pneumothorax
CHF
phlebitis
DVT
Your client has been receiving an IV infusion of NS to treat dehydration. The rate of the IV is set at 175 ml/hr. The client has gained 4 lbs in a week, BP is 160/90 (was 130/80 on admission), and you note bilateral crackles in lung bases upon auscultation. Which problem do you suspect?
air embolism
circulatory overload
septicemia
pneumothorax
You want to avoid all off the following IV sites except:
wrist
leg veins
affected arm with an AV shunt
metacarpal veins
An abnormal connection of an artery to a vein in which a capillary bed is bypassed is called a/an:
varicosity
arteriovenous malformation
aneurysm
arteriole
It may be more difficult to insert an IV for an elderly client because:
muscle mass decreases as we age
there is a decrease in elasticity and an increase in varicosities as we age
the veins in the elderly are deeper under the skin
Good practice during IV insertion to assist in vein dilation includes:
using warm compresses and lightly tapping the vein
using cold compresses and lightly tapping the vein
holding the client's hand for two minutes
elevating the arm above the client's heart
Hypotonic IV solutions cause which of the following shifts in fluids?
Fluids shift out of the cells and into the blood
Fluid stays in the blood vessels
Fluids shift from the blood vessels into cells
A middle-aged woman presents to the ER with abdominal pain. Lab results indicate her hemoglobin is 6.8. Which gauge IV would you insert?
24 g
22 g
18 g
doesn't matter
The following are all reasons to use a butterfly needle except:
they have a decreased risk of phlebitis
they are easier to insert
they can be left in for a week
they are often used to collect blood samples
What is the saline flush protocol for a peripheral IV line?
every two hours
before and after every med administration
once a day
once a week
Which type of central line does not require a heparin flush?
implanted port
PICC line
Groshong catheter
jugular non-tunnelled catheter
Which medication is commonly used to treat Clostridium dificile (Cdif)?
Keflex
Flagyl
Aminophylline
Tetracycline
