IV Skills/Fluid quiz

Which IV fluid is a hypertonic solution?

5% dextrose in NS

Hypotonic

5% dextrose in water

For a client with extensive burns and receiving treatment with silver nitrate 0.5% dressings, the nurse notes client's sodium level is 135 and potassium levels is 3.0 one week after treatments began. The nurse notifies the primary health care provider. Which prescription would the nurse anticipate administering?

Add potassium chloride (KCI) to the existing in ringer solution

A client either hypoglycemia is admitted into the hospital. Which duties can the RN delegate to the LPN

Administering oral medications Administering IM medications

Which action would the nurse take when caring for a 3- month old infant who is receiving IV fluids via an antecubital vein?

Applying arm boards to prevent bending at the elbow

Which action will the nurse take when caring for a client whose IV site is tender with erythema, warmth, and mild edema

Change the IV site

Which nursing interventions would be the priority for the nurse preparing to administer an IVPB medication to a client who is receiving a continuous inclusion of IV fluids

Check for compatibility of the medication and the continuous IV solutions

A 9 year old child is returned to the PACU after surgery with D5% 0.45% NS infusing at 70ml/h. Which action would the nurse implement?

Continue the current solution and flow rate

Which clinical finding leads the nurse to conclude that an IV has infiltrated rather than caused inflammation?

Coolness

A 2 year old toddler is to have IV antibiotic therapy. Which action will the nurse take to prevent the child from pulling out the veins

Cover the IV site with a protective device

Colloids

Draw fluid from edematous tissue back into the bloodstream

How would the nurse respond to a. Client admitted for dehydration who has an IV infusion of NS is started at 125ml/h and 1hr later begin s creaming " I CAN't Breathe"

Elevate the head of the clients bed to facilitate breathing by decreasing the pressure on the diaphragm Obtain VS reflect the current status of the client

What causes diuresis

Hypertonic glucose and mannitol: fluid loss

What replace fluid and electrolytes

Hypertonic saline and LR

In which category of fluids would the nurse classify an IV solution of 0.45% sodium chloride

Hypotonic

A 6-year old child is receiving an IV solution of 10% glucose and mannitol to reduce cerebral edema. Which complication would the nurse monitor the child for?

Hypovolemic shock

Which action would the nurse anticipate taking next when the HCP in the ED prescribes an infusion of 1 liter of NS over an hour for a client with a traumatic injury and no peripheral IV line is available?

Insert an intraosseous line and start the prescribed infusions

Alkaline solution that replaces bicarbonate ions lost from T-tube bile drainage, thus preventing or treating acidosis

Lactated Ringers solution

Which is the priority nursing intervention for a young infant with an IV line in place after undergoing abdominal surgery?

Maintaining latency of the IV catheter and tubing

Which condition will improve if an IV solution of lactated ringers solution to replace the T-tube. Output of a client who has had a cholecystectomy and common bile duct exploration is effective?

Metabolic acidosis

Which clinical indicator would the nurse expect when an IV line has infiltrated?

Pallor Edema Decreased flow rate

For a client during the emergent phase of a severe burn injury, which parental intervention prescribed by the HCP would the nurse question?

Potassium

Which medication is unsafe to administer as an IV bolus

Potassium chloride

A 5 month old infant experiences severe diarrhea and is given IV fluids. What is the most important reason for the nurse to closely monitor the IV flow rate

Prevention of the cardiac overload

Which health acre team member is responsible for providing IV media action therapy to a client?

RN

Which action would the nurse take when a client reports pain and burning at a peripheral IV site after the nurse has flushed the saline lock with NS?

Remove the IV catheter and restart the saline lock in another site

Isotonic solution

Ringer and lactated Ringers(LR)

Which action will the nurse take when it is time to administer vancomycin to a client with a continuous IV heparin drip?

Start a 2nd IV line for vancomycin and continue the heparin as prescribed

Which intervention would be the priority for the nurse to implement when providing care to a child brought to the emergency department with partial and full thickness burns of the lower extremities?

Starting an IV line with a large bore catheter so hypovolemic shock can be prevented and fluid restoration and access for pain medications is available

Which action would the nurse take first for a client on IV medication who experienced an anaphylactic reaction

Stop the IV medication

Which action would the nurse perform first when assessing if an IV infusion of a vesicant has extravasated?

Stop the infusion

How will the nurse respond to a client who expresses concern about air in the piggyback tubing after the nurse piggyback an IV antibiotic solution into a primary IV line using gravity flow tubing?

The solution from the larger IV bag begins to flow when the solution from the same IV bag ceases to flow

Which nursing assessment would be performed by a nurse before administering IV infusion of potassium chloride(KCI) 40 meq in 100 ml of 5% dextrose and water to be infused over 2hrs?

Urinary output( too low can damage renal cells) Last serum potassium level Potency of the IV access

How would the nurse prepare an IV piggyback (IVPG) medication for administration to a client who has an established IV infusion?

Wear clean gloves to assess the IV site Use a sterile technique when preparing the medication Establish a flow rate for infusion

The nurse is preparing to insert an IV catheter in a thin, emancipated client who is scheduled to begin IV fluid therapy. Which interventions would the nurse follow to provide high quality care?

Flush the IV line with NS Stop the insertion procedure when there is a break in technique

Which role would the UAP have when caring for a client receiving IV therapy

Monitoring clinical manifestations

Which action will the nurse take when a client with an IV infusion containing 40 meq of potassium reports a stinging pain at the IV site?

Assess the IV site Verify that the potassium is adequately diluted and not infusing too rapidly