NCLEX review questions IV therapy and blood Administration
The nurse is making a worksheet and listing the tasks that need to be performed for assigned adult clients during the shift. The nurse writes on the plan to check the IV of an assigned client who is receiving fluid replacement therapy how frequently?
Every hour
The nurse is doing a routine assessment of the clients peripheral intravenous IV site. The nurse notes that the site is cool, pale and swollen as that the IV has stopped running. The nurse determines that which has probably occurred?
Infiltration
The nurse is checking the insertion site of the peripheral venous IV catheter the nurse notes the site to be reddened, warm, painful and slightly edematous in the area of the vein proximal To the IV catheter the nurse interprets that this is likely the result of which?
Phlebitis of the vein
The nurse takes a client's temp before giving a blood transfusion. The temp is 100• F (37.7• C) orally. the nurse reports findings to the RN and anticipates which action will take place?
The blood will be held, and the primary health care provider will be notified
A client who is receiving a blood Transfusion pushes the call light for the nurse. When entering the room, the nurse notices that the. Client is flushed, dyspneic, and complaining of generalized itching. How should the nurse correctly interpret these findings?
Transfusion Reaction
The nurse is assisting with the caring for a client who will receive a unit of blood. Just before the infusion, it is most important for the nurse to check which item?
Vital Signs
Which of the clients is/are MOST LIKELY to develop fluid (circulatory) overload?
A premature infant A 101 yr old man A client with heart failure A client receiving renal dialysis
A client is going to be transfused with a unit of packed red blood cells the nurse understands that it is necessary to remain with the client for what time. After the transfusion has started
15 minutes
The nurse is preparing an intravenous solution and tubing for a client who requires IV fluids while preparing to prime the tubing the tubing drops and hits the top of the medication cart the nurse should plan to take which action?
Change the IV tubing
The nurse is assisting with the caring for a client who is receiving a unit of packed red blood cells. the nurse should tell the client that it is most important to report which signs immediately
Chills, itching, or rash
A client has a prescription to receive 1000 ml of 5% dextrose in 0.45% sodium chloride. After gathering the appropriate equipment, the nurse take which action FIRST before spiking the IV bag with tubing?
Closes the roller clamp on the IV *to prevent the solution from running freely through the tubing after it's attached to the IV bag.
The nurse is assigned to the care of a client with a peripheral intravenous IV infusion. The nurse is providing hygiene care to the client and should avoid which while changing the client's hospital gown?
Disconnecting the IV tubing from the catheter in the vein
The nurse has been instructed to remove the intravenous line the nurse remove the catheter by withdrawing the catheter by applying pressure to the site with which item?
Sterile 2x2 gauze
A client who was receiving a blood transfusion has experienced a transfusion reaction. The nurse send the blood bag that was used for the client to which area?
The blood bank
The nurse is assisting with the caring of a client who has received a transfusion of platelets the nurse determines that the client is benefiting most from this therapy if the client exhibits which findings?
A decrease in losing from the puncture sites and gums *platelets are necessary for proper blood clotting.
