Pharmacology practice quiz

The nurse is assessing a client for local complications or intravenous therapy. Which are local complications? select all that apply A. Extravasation B. Infection C. Hematoma D. Phlebitis E. Speed shock

A, B, C, D

The client is to receive two units of packed red blood cells (PRBC) for anemia following surgery. The nurse is preparing to administer the first unit. What interventions would the nurse take to administer the PRBC safely? select all that apply A. Obtain baseline vital signs prior to beginning the transfusion B. Verify client identification and blood product information with a second nurse C. Wear clean gloves when spiking the blood container with the administration set. D. set the IV infusion pump to administer the unit in 1 hour. E. prime the blood administration set with the dextrose solution. F. check that informed consent has been obtained from the client

A, B, C, F

The nurse is preparing to perform venipuncture. Which items will the nurse plan to gather? Select all that apply. A. Clean glove B. tourniquet C. Antiseptic swabs D. Transparent dressing E. Adhesive tape F. Antimicrobial ointment

A,B,C,D,E

A nurse is caring for an obese client with lung cancer who needs intermittent infusion of an IV solution and medication for several months. Which central venous catheters are most suitable for long-term access in this client without the catheter protruding from the skin? Select all that apply A. Tunneled catheters B. Multi-lumen catheters C. nontunneled catheter D. Peripherally inserted central catheter E. Implanted access device.

A. Tunneled catheters, D. Peripherally inserted central catheter, E. Implanted access device.

air embolism is a potential complication of IV therapy. the nurse should be alert to which clinical manifestation associated with air embolism? A. Chest pain B. hypertension C. slow pulse D. Jaundice

A. chest pain, is often the first noted symptom of air emboli. hypertension, slow pulse, and jaundice would not be symptoms

Within 15 minutes after the start of a blood transfusion, the client complains of chills and headache. during frequent vital signs, the nurse begins to see an elevation in the temperature. what condition is the client experiencing? A. febrile reaction. B. allergic reaction. C. homelytic reaction. D. circulatory overload.

A. the client is experiencing a febrile reaction based on the symptoms listed.

The nurse is participating in the care of a client who had a peripherally inserted central catheter (PICC) place in the right arm. after catheter placement the nurse should complete which action? A. Send the client for a chest x-ray B. administer the prescribed IV fluids. C. Obtain written consent for the procedure D. Assess the client's BP on the right arm

A. the nurse should confirm placemtn before administering fluids, consent should be obtained before the procedure is performed and BP should not be taken on an extremety with a PICC line in place.

The nurse is assessing a client's intravenous line and notes small air bubbles within the tubing. what is the priority nursing action? A. tighten the roller clamp to stop the infusion B. Milk the air in the direction of the drip chamber C. Tap the tubing below the air bubbles D. disconnect the tubing from saline lock and clear air.

A. tighten the roller clamp to stop the infusion

a patient is receiving IV therapy and has air in the line and experiencing symptoms of an air embolism. What is the priority actions for the nurse at this time? A. place a tourniquet proximal to the IV site B. Clamp the tubing. C. slow the IV infusion rate. D. reprime the line and restart the infusion

B. clamp the tubing, the nurse should immediately clamp the tubing to avoid air from entering into the IV site.

A nurse is preparing to re-site a client's IV during the client's hospital stay following a mastectomy. what accurately describes an assessment that should be made before starting the infusion? A. the nurse should assess the arms and hands for a potential site, preferably in the antecubital vein. B. the nurse should assess the preferred site, ideally the dorsal and ventral surfaces of the upper extremities. C. the nurse should choose the clients dominant arm, if possible D. the nurse should use the extremity on the same side as the mastectomy, if possible, to avoid immobilizing both extremities.

B. the nurse should assess the preferred site, ideally the dorsal and ventral surfaces of the upper extremities, this is the correct assessment and preferred placement of a peripheral IV

A nurse is changing a peripheral venous acess dressing for a patient. which of the following is a recommended step in this procedure? A. Observe clean technique to minimize the possibility of contamination B. Cleanse site thoroughly with sterile saline or according to facility policy C. Apply chlorhexidine using a back and forth friction scrub for at least 30 seconds D. Wipe or blot the site dry and allow to dry completely before covering

C. apply chlorhexidine using a back and forth friction scrub for at least 30 seconds, cleaning the site this way keeps it

the nurse is caring for a client who has a peripheral IV in place for fluid replacement. What should the nurse do when caring for the clients IV site? A. Ensure that anticoagulants are placed on hold for the duration of IV therapy B. Replace the IV dressing with a new, clean dressing if it is soiled. C. ensure that the tubing is firmly secured to the client's skin. D. periodically remove hair from 2cm around the IV site.

C. ensure that the tubing is firmly secured to the client's skin. there is no need to hold anticoagulant therapy and if the IV dressing is soiled the IV most likely has complications and should be removed, there is no need to remove hair around the site.

a nurse is preparing to initiate an infusion of packed red blood cells (PRBCs) while observing the information on the blood bag, it is essential to verify which information with another nurse? Select all that apply A. patency of the clients venous access device. B. Client's room number C. clients vital signs D. Number on the client's identification band E. Name on the client's identification band.

D. number on the clients identification band and E. name on the clients identification band. both of these need to be verified with another nurse, the others should be checked but there is no need to check with another nurse.

The nurse is determining a site for an IV infusion . what guideline should the nurse consider? A Veins in surgical areas should be used to increase the potency of medication B. Veins in the leg should be used to keep the arms free for the client's use. C. Antecubital veins should be used for long term infusions. D. Scalp veins should be selected for infants because of their accessibility.

D. scalp veins are the easiest access for babies and should be considered an IV placement guideline.

The nurse is administering a blood transfusion to a client. After 15 minutes the client complains of difficulty breathing. what is the FIRST action by the nurse? A. apply oxygen via nasal cannula at 2 Liter/min B. Check the client's vital signs C. Stop the transfusion and infuse normal saline using the blood tubing. D. stop the transfusion and infuse normal saline using a new administration set.

D. the nurse should stop the transfusion and infusion normal saline using a new administration set