IV

The provider writes the following order. How many mL/hr will the nurse set on the IV pump? Include only the numeral (not the units) in your answer. Remember the IV pump can only be set in whole numbers. 1000mL D5 q.12h

83mL/hr 1000/12

The nurse starts an IV of 1,000 mL of NS at 2045 to infuse at 125 mL/hr. What is the completion time of the IV (in military time)?

1000/125=8 (8Hours) 2045+8 = 0445

A nurse has an order to infuse 1 L 0.45% NS at 75 mL/hr. The nurse starts infusion at 0215. What is the completion time (in military time)?

1000/75=13.33 0.33/1*60=19.8 (13 hours 20 Mins) 0215+1320=1535

The patient is to receive 500 mL D5W at 60 mL/hr. What is the infusion time?

8 hours 20 mins because... 500/60=8.33 0.33/1*60=19.8

The nurse has the following order. The nurse starts the IV at 0900. Order: Start 500mL 0.9% NaCL @ 60mL/hr

- The infusion time of the IV is 8 hours 20 minutes. - The completion time of the IV is 1720.

The nurse begins 250 mL of 0.9% NS at 0815 to infuse over 3 hours. What is the completion time (in military time) of the IV?

0815+0300=1115

The patient has an IV of 1,000 mL D5W infusing at 80 mL/hour. The IV is infusing correctly and 800 mL remains in the IV bag. Click on the number on the right side of the IV bag that indicates that 800 mL remains in the bag.

2

The nurse has the following order. What rate does the nurse set on the IV pump? Start 1L D5W to infuse over 15 hr.

67mL/hr 1000/15

What is the volume of this IV medication bag?

200mL

The physician's order for the patient's primary IV reads: Administer 1 L D5 ½ NS IV at 125 mL/hr. Which of the following statements is true about the physician's IV order?

All component parts of an IV order are included.

The nurse begins 500 mL 0.9% NS at 1515 to infuse over 5 hours. What is the completion time (in military time) of the IV?

1515+0500=2015

The IV piggyback:

Contains a medication diluted in an IV solution.

The patient has an IV of 1,000 mL 0.45% Sodium Chloride infusing at 100 mL/hour. The IV is infusing correctly and 300 mL remains in the IV bag. Click on the number on the right side of the IV bag that indicates that 300 mL remains in the bag and 700 mL has infused into the patient.

7

The nurse is given the following order. Which of the following is true?

Infusion time is 8 hours.

The order is for 500 mL of D5/0.9% NS at 1145 to infuse over 8.5 hours. What is the completion time of the IV (in military time)?

1100+800= 1900 45+30=75 (1 hour 15 mins) 1900+1015=2015

The nurse receives a new order to infuse an IV containing a potent cardiac medication. The best method to administer medication to the patient is:

Use an IV pump.

The nurse starts 1,000 mL D5/0.9% NaCl at 2330 to infuse at 125 mL/hr. What is the completion time of the IV?

0730 because... 1000/125=8 hr 2330 + 0800 ------ 3130 3130 - 2400 -------- 0730

The nurse is reviewing the physician's order (start 1 L D5/0.9% NaCl at 100 mL/hr) and the flow meter that is attached to the patient's IV bag. Enter the amount of IV fluid that has infused by 1600. Enter only the numeral in the answer. Do not enter the unit.

100mL

The prescriber orders 1,000 mL D5/0.9% NaCl over 6 hours. How many ml/hr will the nurse set on the IV pump. Include only the numeral (not the units) in your answer. Remember the IV pump can only be set in whole numbers.

167mL/hr 1000/6

The nurse is preparing to transfer a patient to the surgical unit at 1300. The nurse reports that the patient has an IV of 1,000 mL 0.9% Sodium Chloride started at 0900. The IV is infusing at 125 mL/hr.

The IV is infusing at 125 mL/hr. From 0900 (the start time) to 1300 is 4 hours (125 mL/hr x 4 hr = 500 mL). Therefore 500 mL of IV fluid has infused.

The physician orders an IV of 1,000 mL D5NS with 30 mEq KCl at 125 mL/hr. Which of the following statements is true about administering this IV via IV pump?

The nurse does not need to calculate the IV flow rate for this order.

The nurse receives the following new IV orders for a patient: Start 1,000 mL LR at 125 mL/hr Famotidine 20 mg IVPB q.12h Which of the following is true?

The nurse is correct to start the IV and administer the IVPB.

The physician writes the following IV order: Start 500 mL of D5 ½ NS IV at 50 mL/hr. Select the correct infusion time of the IV.

10 Hours because... 500/50

The nurse begins 500 mL of 0.9% Sodium Chloride at 100 mL/hr on the patient and labels and attaches the flow meter. Select the statement that applies to the flow meter.

The completion time should be 0400.

The nurse has the following order. What is the infusion time? Start 500mL LR @ mL/hr

6 hours 40 mins because... 500/75=6.66 0.66/1*60=40

The physician orders the following IV. The nurse on the previous shift set the IV pump at 125 mL/hr. Is the IV infusing at the correct flow rate? 1L D5 NS with 20 mEq KCl q.8h

The IV flow rate of 125 mL/hr is correct. 100/8=125mL/hr

Which of the following are correct about infusion by gravity? Select all that apply.

- The number of drops per milliliter varies with the type of tubing. - Microdrip infusion sets always have a drop factor of 60 gtt/mL. - In order to calculate the flow rate (gtt/min), the nurse needs the drop factor of the IV tubing, the volume to be infused, and the infusion time.

The patient has an IV that was started at 2000 to infuse over 8 hours. What is the completion time? Use military time.

0400 because... Start time. 2000 Infusion. +0800 Complete 2800 2800 -2400 0400

For the following IV order, choose the correct flow rate for an IV pump. 500mL 0.9% NaCl q.6h

83mL/hr 500mL/6hr

A 500 mL IV was started at 1200 with a completion time of 1600. The nurse reads the following flow meter. How much fluid was infused by 1400? How much fluid remains?

On the flow meter, 250 mL have infused by 1400 and 250 mL remain (500 - 250 = 250).

The nurse has an order to start 500 mL of D5W at 125 mL/hr. The nurse starts the IV at 1400 and attaches the following flow meter. Select the statement that applies to the flow meter.

The flow meter is labeled incorrectly, it indicates an hourly rate of 100 mL.

The following are true about the common IV solutions. Select all that apply.

- Normal Saline can also be written NS or 0.9% NaCl. - An IV solution with dextrose provides calories to the patient. - Lactated Ringers has the same concentration as body fluids.

The following are true about a primary IV and primary infusion set. Select all that apply.

- The drip chamber is an enlargement at the top of the primary IV tubing that allows a view of the drops of IV fluid infusing. - The injection ports provide needleless entry into the IV tubing. - The spike is a sharp plastic tip that allows the IV tubing to be inserted into the IV bag.

To effectively monitor an IV and communicate the status of the IV to other health team members, the nurse needs to ensure that the following are identified on the flow meter. Select all that apply.

- The start time of the IV. - The hourly fluid level based on the mL/hr. - The completion time of the IV.

The physician's order for a primary IV includes a time for infusion. Which of the following is true about time for infusion? Select all that apply.

- Time for infusion is always written as a decimal fraction. - Time for infusion can be ordered as a total number of hours. - Time for infusion can be ordered in mL/hr.

The nurse starts 1,000 mL 0.45% NaCl at 1830 to infuse at 150 mL per hour. The nurse calculates the infusion time of the IV to be 6 hours 40 minutes. Enter the remaining amount of IV fluid at 2330.

1000-750=250

The nurse has the following order. What is the infusion time? Start 1L 0.9% NaCL @ 80mL/hr

12 hours 30 Minutes because... 1000mL/80mL=12.5 0.5/1*60=30mins

The prescriber orders vancomycin 1 g IVPB q.12h. The pharmacy sends the following IVPB. The vancomycin is to infuse over 90 minutes. How many mL/hr will the nurse set on the IV pump?

133mL/hr 200/1.5

A patient takes his medication every night at 9:45 PM before he goes to sleep. What is the corresponding military time?

2145

The nurse is to infuse 1 L D5 ½ NS over 15 hours. The IV tubing set has a drop factor of 20 gtt/mL. Calculate the flow rate in gtt/min.

22gtt/min because... 1000*20/15*60=22

The patient has an IV infusion of 0.9% NaCl. The IV is infusing as ordered at 50 mL/hr, and 300 mL of IV solution has infused into the patient. Click on the number on the IV bag that indicates that 300 mL has infused.

3

The IV order is to infuse 250 mL 0.9% NS with 10 mEq KCl over 6 hours. How many ml/hr will the nurse set on the IV pump?

42mL/hr because... 250/6

The IV order states: Start 500 mL of 0.9% Sodium Chloride at 0900 to infuse at 75 mL/hr. How would the nurse label the flow meter?

50 mL remains at 1500 50/75*1=0.66 0.66/1*60=39.6 -> 40 - The infusions time for the remaining amount of IV fluid is 40 Minutes.

The IV order is to start 250 mL D10W at 40 mL/hr. What is the infusion time?

6 hours and 15 minutes because... 250/40=6.25 0.25/1hr*60min=15mins

The order is to infuse 500 mL D5/0.225% NaCl over 10 hours. The nurse has the following tubing. What is the drop factor? image shows "60 drops/mL Approx."

60 gtt/mL

Which of the following statements are true about an IV set up? Select all that apply.

- Line markings indicate how much fluid has infused into the patient. - The injection port provides needle-less entry into the IV tubing. - The IV bag includes information about the type and volume of IV solution.

The patient is to receive 500 mL of LR at 3:30 PM. What is the corresponding time in military time?

1530

The IV order is to infuse Ciprofloxacin 100 mg in 50 mL 0.9% NS q.12h. The pharmacy sends the mixed IVPB with instructions to infuse over 45 minutes. The drop factor of the IV tubing is 15 gtt/mL. Calculate the flow rate in gtt/min for this IVPB.

17gtt/min because... 50 X 15/45

The patient is to receive an IVPB of Nafcillin 1,000 mg q.6h. The pharmacy sends the following IV bag to the clinical unit. Click on the total amount of drug on the IV bag label.

1g

The order is for 250 mg of Ampicillin IVPB q.8h. The IVPB comes prepared from the pharmacy in a 50 mL IV bag with instructions to infuse the IVPB over 15 min. How many mL/hr will the nurse set on the IV pump?

200mL/hr because... 50/0.25

The physician writes the following IVPB order: Give CefTRIAXone 2 g IVPB q.12h. The pharmacy sends an IVPB of CefTRIAXone 2 g in 100 mL 0.9% NaCl with instructions to infuse at 200 mL/hr.

30 mins because... 100/200=0.5 or 30 mins

Mrs. A has an IV of 1,000 mL D5W started at 0100. The IV is infusing at 100 mL/hr. The nurse would expect that____ mL would be in the IV bag at 0700. Enter the amount of IV fluid remaining in the IV bag at 0700. Enter only the numeral (not the unit) in your answer.

400mL because... 1000-600=400

The patient is to receive a primary IV of 0.9% Sodium Chloride Injection. The nurse examines the IV bag sent by the pharmacy. Click on the area on the IV bag label that indicates the total volume in the IV bag.

500mL

The prescriber orders 500 mL D5/0.225% NaCl to infuse over 8 hr. Calculate the flow rate (mL/hr).

63mL/hr 500/8

The physician orders 1,000 mL D5 ¼ NS q.12h. The IV bag was hung by the nurse on the previous shift. When the 12-hour infusion has completed, the nurse is correct to:

Take down the empty IV bag and hang a new 1,000 mL D5 ¼ NS IV bag.

The patient has 1,000 mL 0.45% NaCl infusing at 150 mL/hr. The IV was started at 1830. At 2230, the nurse assesses that the IV is infusing on time and there are ____ mL in the IV bag. Enter the remaining amount of IV fluid at 2230. Enter only the numeral (not the unit) in your answer.

400 because... At 2230 the remaining amount of IV fluid is 400 mL.

The order is for 1 L NS with 30 mEq KCl q.10h. The nurse has IV tubing with a drop factor of 15 gtt/mL. The nurse infuses the IV at 20 gtt/min. Which of the following is true?

The IV is infusing too slowly because... 1000 X 15/10 X 60

The patient has an IV of 0.9% Sodium Chloride infusing at 50 mL/hr. The nurse started the IV at 1000 and attaches the following flow meter. Select the statement that applies to the flow meter.

The time, 1900, should be placed between the number 4 and the end of the bag.

The healthcare provider writes the following IV order: Start 1,000 mL 0.9% NaCl at 75 mL/hr. Select the infusion time of the IV.

13 hours 20 mins because... 1000/75=13.33 0.33 X 60=19.8