IV Therapy Quiz

The nurse is administering an IV push medication through an IV lock. After injecting the medication, which action will be taken next?

Flushing the lock

The health care provider has ordered a hypotonic intravenous (IV) solution to be administered. Which IV bag will the nurse prepare?

0.45% sodium chloride (1/2 NS)

A patient is to receive hydromorphone (Dilaudid) 1.5 mg IV push now. The medication comes in a prefilled syringe, 2 mg/mL. Identify how many milliliters will the nurse administer for this dose. _______ mL

0.75

A patient presents to the emergency department with reports of vomiting and diarrhea for the past 48 hours. The health care provider orders isotonic intravenous (IV) therapy. Which IV will the nurse prepare?

0.9% sodium chloride (NS)

A nurse is preparing to start peripheral intravenous (IV) therapy. In which order will the nurse perform the steps starting with the first one?

1. Apply tourniquet 2. Select Vein 3. Release tourniquet 4. Clean site 5. Reapply tourniquet 6. Insert vascular access device 7. Advance and secure

1 out of 1 points An intravenous piggyback (IVPB) antibiotic needs to infuse over 90 minutes. The IVPB bag contains 150 mL. Calculate the setting for the infusion pump: _______ mL/hr (enter calculated number only)

100

A nurse prepares to flush a peripherally inserted central catheter (PICC) line with 50 units of heparin. The pharmacy supplies a multi-dose vial of heparin with a concentration of 100 units/mL. Which of the syringes shown below should the nurse use to draw up and administer the heparin?

10ml syringe

A patient is to receive 1000 mL of 0.9% sodium chloride intravenously at a rate of 125 mL/hr. The nurse is using microdrip gravity drip tubing. Which rate will the nurse calculate for the minute flow rate (drops/min)?

125 drops/min

The nurse administers an intravenous (IV) hypertonic solution to a patient. In which direction will the fluid shift?

From intracellular to extracellular

A nurse is caring for a patient with peripheral intravenous (IV) therapy. Which task will the nurse assign to the nursing assistive personnel?

Recording intake and output

A nurse is selecting a site to insert an intravenous (IV) catheter on an adult. Which actions will the nurse take? ( Select all that apply.)

- Check for contraindications to the extremity. - Choose a vein with minimal curvature. - Avoid areas of flexion.

Which assessments will alert the nurse that a patient's IV has infiltrated? ( Select all that apply.)

- edema of the extremity near the insertion site - skin cool to the touch - skin discolored or pale in appearance

A client is prescribed 250 mL of normal saline to infuse over 4 hours via gravity. The facility supplies gravity tubing with a drip factor of 15 drops/mL. At what rate (drops/min) should the nurse set the infusion to deliver? ( Record your answer using a whole number.) _____ drops/min

16

A nurse begins infusing a 250-mL bag of IV fluid at 1845 on Monday and programs the pump to infuse at 50 mL/hr. At what time should the infusion be completed?

2345 Monday

The order reads, "Give 1500 mL of normal saline over 12 hours. The tubing drop factor is 15 gtt/mL." The nurse will set the gravity drip infusion at how many drops per minute (gtt/min). _______ (Enter the number calculated only)

31

A client is prescribed 1000 mL of normal saline to infuse over 24 hours. At what rate should the nurse set the pump (mL/hr) to deliver this infusion? ( Record your answer using a whole number.) ____ mL/hr

42

A nurse responds to an IV pump alarm related to increased pressure. Which action should the nurse take first?

Check for kinking of the catheter.

A nurse is caring for a patient who is receiving peripheral intravenous (IV) therapy. When the nurse is flushing the patient's peripheral IV, the patient reports pain. Upon assessment, the nurse notices a red streak that is warm to the touch. What is the nurse's initial action?

Discontinue the IV

A patient has dehydration. While planning care, the nurse considers that the majority of the patient's total water volume exists in with compartment?

Intracellular

When administering medication by IV bolus (push), the nurse will occlude the IV line by which method?

Pinching the tubing just above the injection port