Module F
A nurse is caring for a client who requires long-term central venous access and is an avid swimmer. Which of the following central venous access devices is the best choice for this client?
An implanted port
A nurse is discontinuing a peripheral IV catheter. Upon removal, the nurse should assess the catheter for which of the following?
An intact catheter tip
A nurse has just inserted a peripheral IV catheter. which of the following actions should the nurse take to secure the catheter.
Apply an IV securement device
A nurse administers the first dose of a client's prescribed antibiotic via intermittent IV bolus. During the first 10-15 min of administration, which of the following assessments is the nurse's priority?
Assess the client for a systemic allergic reaction
A nurse is caring for a client who has a central venous catheter. When flushing the catheter, the nurse should use a 10-mL syringe to prevent which of the following complications associated with central vascular access devices?
Catheter rupture
A nurse is caring for a client who is receiving 0.9% NaCl IV at 75 mL/hr through a triple lumen central venous access device. The IV pump alarm sounds, indicating that there is an occlusion. Which of the following actions should the nurse take first?
Check the line at or above the hub for kinked tubing that is creating a resistance to flow.
A nurse is assessing a client who is receiving 0.9% sodium chloride IV at 125 mL/hr. Which of the following should the nurse recognize as a possible complication related to the IV therapy?
Client reports coughing and shortness of breath
A nurse has just initiated an IV infusion and is teaching the client about possible complications. The nurse should include that which of the following findings is an indication of early infiltration
Coolness
A nurse is caring for a client who has an implanted port that needs to be accessed for an infusion. Which of the following actions should the nurse take?
Cover the device and the needle with a sterile transparent dressing
A nurse assesses a clients IV insertion site and finds that is red, warm, and slightly edematous. Which of the following actions should the nurse take?
Discontinue the IV line
A nurse has just initiated a new peripheral IV infusion with 5% dextrose in water for continuous infusion. How often should the nurse plan to replace the primary infusion tubing?
Every 96 hr
A nurse is preparing to administer an IV medication to a client. The nurse should identify that which of the following is a disadvantage of administering IV medication?
IV medications are irreversible
A nurse is caring for a client who was admitted to the hospital for same surgery and has a new prescription for continuous IV therapy. Which of the following actions should the nurse take when administering IV therapy?
Inspect the IV solution for fluid color, clarity, and expiration date.
A nurse is caring for a client who has a central venous catheter and suddenly develops dyspnea, tachycardia, and dizziness. The nurse suspects and air embolism and clamps the catheter immediately. The nurse should reposition the client into which of the following positions?
On their left side in Trendelenburg position
A nurse is removing a clients IV catheter. Which of the following actions should the nurse take?
Pull the catheter straight back from the insertion site
A nurse is caring for a patient who has a central venous access device in place. Which of the following routine measures should the nurse use specifically to prevent lumen occlusion?
Use a pulsatile action while flushing
A nurse is caring for a client who is receiving dextrose 5% water with 20 mEq of potassium chloride at 75 mL/hr. The provider has prescribed 1 g ceftriaxone IV. When preparing to administer this medication by intermittent IV bolus, which of the following actions should the nurse take first?
Verify the medications compatibility with the primary IV solution
A nurse is caring for a client who is in early stage renal failure and has a prescription for the infusion of IV fluids. Which of the following IV fluids does the nurse anticipate a prescription for and why?
0.45% sodium chloride because it dilutes extracellular fluid and rehydrates the cells.
A nurse is preparing to administer ceftriaxone 1 g in 100 mL IV over 30 minutes. The drip rate is 10 gtt/mL. The nurse should set the infusion rate to administer how many gtt/min?
33 gtt/min
A nurse in the emergency department is caring for a client who was in a motor-vehicle crash. The provider determines that the client needs immediate central venous access for fluid and blood replacement. Which of the following central venous access devices should the nurse anticipate being inserted?
A non-tunneled percutaneous central catheter
A nurse is caring for a client who has a peripherally inserted central catheter (PICC) line. The nurse should identify that which of the following information is true about this type of IV route?
A picc line is a long catheter inserted through the veins of the antecubital fossa
A nurse is inserting a peripheral IV catheter and observes a blood return in the flashback chamber after puncturing the skin and selected vein. Which of the following actions should the nurse perform next?
Advance the catheter into the vein with the finger hub
A nurse is preparing to obtain a blood sample from a client who has a triple-lumen central catheter in place. Which of the following actions should the nurse take?
Turn off the distal infusions for 1 to 5 min before obtaining the blood sample
Which of the following actions should a nurse take when converting an IV infusion to a saline lock?
flush the IC catheter to confirm patency