WorksheetsEducation
Total questions: 10
Worksheet time: 6mins
The nurse has a prescription to hang a 1000-mL intravenous (IV) bag of 5% dextrose in water with 20 mEq of potassium chloride and needs to add the medication to the IV bag. The nurse should plan to take which action immediately after injecting the potassium chloride into the port of the IV bag?
Rotate bag gently
attach tubing to patient
Prime the tubing with the IV solution
Check for yellow discoloration
The nurse is making initial rounds on the nursing unit to assess the condition of assigned clients. The nurse notes that a client’s intravenous (IV) site is cool, pale, and swollen, and the solution is not infusing. The nurse concludes that which complication has occurred?
Infection
Phlebitis
Infiltration
Thrombosis
The nurse is inserting an intravenous line into a client’s vein. After the initial stick, the nurse would continue to advance the catheter in which situation?
The catheter advances easily
The vein is distended under the needle
The patient does not complain of discomfort
Blood return shows in the backflash chamber of the catheter
The nurse notes that the site of a client’s peripheral intravenous (IV) catheter is reddened, warm, painful, and slightly edematous proximal to the insertion point of the IV catheter. After taking appropriate steps to care for the client, the nurse should document in the medical record that the client experienced which condition?
Phlebitis of the vein
Infiltration of the line
Hypersensitivity to the IV solution
Allergic reaction to the IV
Nurse Sandra will infuse 1,200 mL of 0.45% Normal Saline at 125 mL/hr. Drop Factor: 12 gtt/mL. How many gtt/min will nurse Sandra regulate the IV? Fill in the blank and round your final answer to a whole number.
(a)
On morning assessment of your patient in room 2502 who has severe burns. You notice that fluid is starting to accumulate in his abdominal tissue. You note that his weight has not changed and his intake and output is equal. What do you suspect?
Third spacing
This is normal and expected after a burn
Intravascular compartment syndrome
Document this finding
A patient is admitted to the ER with the following findings: heart rate of 110 (thready upon palpation), 80/62 blood pressue, 25 ml/hr urinary output, and Sodium level of 160. What interventions do you expect the medical doctor to order for this patient?
Restrict fluid intake and monitor daily weights
No interventions are expected
Administer hypotonic IV fluid and administer sodium tablets.
Administer hypertonic solution of 5% Dextrose 0.45% Sodium Chloride and monitor urinary output
Which patient is at most risk for fluid volume deficient?
A patient who has been vomiting and having diarrhea for 2 days.
A patient with continuous nasogastric suction.
A patient with an abdominal wound vac at intermittent suction.
All the above
A patient is admitted with exacerbation of congestive heart failure. What would you expect to find during your admission assessment?
Flat neck and hand veins
Furrowed dry tongue
Increased blood pressure and crackles through lungs
Bradycardia and pitting edema in lower extremities
A client had a 1000-mL bag of 5% dextrose in 0.9% sodium chloride hung at 3 PM. The nurse making rounds at 3:45 PM finds that the client is complaining of a pounding headache and is dyspneic, is experiencing chills, and is apprehensive, with an increased pulse rate. The intravenous (IV) bag has 400 mL remaining. The nurse should take which action first?
Slow the infusion
Sit the patient up in bed
Remove IV catheter
Call MD
