ATI Fundamentals IV Therapy
A patient is to receive 1,000 mL of 5% dextrose in lactated Ringers over 8 hours. Using tubing with a drop factor of 15 gtt/mL, the nurse should regulate the fluid to infuse at how many drops per minute?
31gtt/min 31.25=31
A nurse is discontinuing an IV infusion. For which of the following reasons is it important to verify and document the integrity and condition of the IV catheter?
A broken-off catheter tip indicates the risk for an embolus the tip of the catheter can break off, thus creating an embolus. to imit the movement of the embolus. the nurse should apply a tourniquest high on the extremeity where the iv line was located and notify the provider immediately.
A nurse who has just initiated an IV infusion explains to the patient that complications are possible and that she will monitor the infusion regularly. The nurse should teach the patient that which of the following findings is an indication of early infiltration?
Coolness collness is a classic sign of infiltration , along with swelling , pallor , and possibly tenderness. infiltration is a leakage of iv solution out of the intrcacular compartment into the surrounding tissue.
A nurse finds a patient's IV insertion site red, warm, and slightly edematous. Which of the following actions should the nurse perform first?
Discontinue the IV Line the patient has classic signs of phlebitis, an inflammation of the vein. the iv line must be discontinued immediately to reduce the risk of hrobophlebitis and embolism.
A nurse has just inserted a peripheral IV catheter for a continuous infusion. To secure the catheter, the nurse should
Leave the connection between the hub and the tubing uncovered this makes ti posssible to replace the tubing without removing the dressing
A nurse has just initiated a peripheral IV infusion of 5% dextrose in water. How often should the nurse plan to replace the primary infusion tubing?
Every 72 hours the center for disease control and prevention recommends chaging iv tubing no more often than a 72 hour intervals unless the tubing has been contaminated, punctured or obstructed.
Which of the following is an important nursing action when converting an IV infusion to a saline lock?
Flush the IV catheter to confirm patency it is esential to attach the primed saline lock adapter to the extension tubing and to flush the tubing with normal saline to confirm patency.
A nurse initiating a peripheral IV infusion punctures the skin and selected vein and observes blood return in the flashback chamber of the IV catheter. Which of the following actions should the nurse perform next?
lower the catheter until it is almost flush with the skin lowering the angle and then advancing the catheter slightly facilitates full penetration of the wall of the vein, thus placing the catheter within the vein's lumen and making ti easy to advance the catheter off the stylet. advancing the catheter at this point in the insertion process might puncture the opposite wall of the vein
A nurse is removing an IV catheter from a patient whose IV infusion has been discontinued. Which of the following actions is appropriate?
pull the catheter straight back from the insertion site with the catheter stabilized and using a slow, steady movement, the nurse should withrwa the catheter stright back and away from the insertion site. making sure to keep the hub parallel to the skin
A patient in early stage renal failure is prescribed an infusion of 0.45% sodium chloride. This type of solution is appropriate because it
dilutes extracellular fluid re hydrates the cells infusing a hypotonic solution such as 0.45%sodium chloride moes fluid into the cells. thus enlarging and rehydrating them
