Care of IV Lines Q's...except for ch. 11 & 13

12.) A nurse is caring for a client with albuminuria resulting in edema, what pressure change does the nurse determine as the cause of the edema? a. Decreased in tissue hydrostatic pressure b. Increased in plasma hydrostatic pressure c. Increase in tissue colloid oncotic pressure d. Decreased in plasma colloid oncotic pressure

D

7.) A nurse if reviewing a client's serum electrolyte labs report. What is a comparison between blood plasma and interstitial fluid? a. They both contain the same kinds of ions b. Plasma exerts lower osmotic pressure than does interstitial fluid c. Plasma contains more of each kind of ion than does interstitial fluids d. Sodium is higher in plasma, whereas potassium is higher in interstitial fluids

A

2.) How should a nurse prepare an IV piggyback (IVPB) medication for administration to a client receiving an IV infusion? Select all that apply. a. Wear clean gloves to check the IV site b. Rotate the bag after adding the medications c. Use 100mL of fluid to mix the medication d. Change the needle before adding the medication e. Place the IVPB at a lower level than the existing IV f. Use a sterile technique when preparing the medication

ABF

10.) A nurse is reviewing the lab report of a client with a tentative diagnosis of kidney failure. What mechanism does the nurse expect to be maintained when ammonia is excreted by healthy kidneys? a. Osmotic pressure of the blood b. Acid-base balance of the body c. Low bacterial levels in the urine d. Normal red blood cell production

B

14.) A nurse is analyzing how a hyperglycemic client's blood glucose can be lowered. The nurse considers that the chemical that buffers the client's excessive acetoacetic acid is: a. Potassium b. Bicarbonate c. Carbon dioxide d. Sodium chloride

B

17.) A client's serum potassium level has increased to 5.8 mEq/L. what action should the nurse implement first? a. Call the lab to repeat the test b. Take vital signs and notify the health care provider c. Inform the cardiac arrest team to place them on alert d. Take an electrocardiogram and have lidocaine available

B

22.) A nurse is receiving an IV infusion of 5% dextrose in water. The client loses weight and develops a negative nitrogen balance. What nutritional problem prompts the nurse to notify the health care provider? a. Excessive carbohydrate intake b. Lack of protein supplementation c. Insufficient intake of water-soluble vitamins d. Increased concentration of electrolytes in cells

B

23.) A nurse is caring for a client with ascites who is receiving albumin. What infusion rate and oral fluid intake should the nurse expect to have the greatest therapeutic effect? a. Slow IV rate and liberal fluid intake b. Slow IV rate and restricted fluid intake c. Rapid IV rate and withheld fluid intake d. Rapid IV rate and moderate fluid intake

B

4.) What clinical finding does a nurse anticipate when admitting a client with an extracellular fluid volume? a. Rapid, thread pulse b. Distended jugular vein c. Elevated hematocrit level d. Increased serum sodium level

B

5.) A nurse is caring for a client with diarrhea. In which clinical indicator does the nurse anticipate a decrease? a. Pulse rate b. Tissue turgor c. Specific gravity d. Body temperature

B

6.) A client reports vomiting and diarrhea for 3 days. What clinical finding will most accurately indicate that the client has a fluid deficit? a. A presence of dry skin b. Loss of body weight c. Decreased in BP d. Altered general appearance

B

8.) A nurse explains to an obese client that the rapid weight loss during the first week after initiating a diet is because of the fluid loss. The weight of extracellular body fluid is approximately 20% of the total body weight of an average individual. Which component of the extracellular fluid contributes the greatest proportion to this amount? a. Plasma b. Interstitial c. Dense tissue d. Body secretions

B

15.) For what clinical indicator should a nurse assess a client who is having a gastric lavage? a. A decreased serum pH b. Increased serum oxygen level c. Increased serum bicarbonate level d. A decreased serum osmotic pressure

C

16.) A nurse is concerned that a client is at risk for developing hyperkalemia. Which disease does the client have that had caused this concern? a. Crohns b. Cushing c. End-stage renal d. Gastroesophageal reflux

C

19.) A nurse adds 20 mEg of potassium chloride to the IV solution of a client with diabetic ketoacidosis. What is the primary purpose for administering this drug? a. Treat hyperpnea b. Prevent flaccid paralysis c. Replace excessive losses d. Treat cardiac dysthymias

C

21.) a nurse is caring for a client with ascites. What does the nurse consider to be the cause of ascites? a. Portal hypotension b. Kidney malfunction c. Diminished plasma protein level d. Decreased production of potassium

C

24.) You are caring for four clients who are receiving IV infusions of normal saline, which client is at highest risk for bloodstream infection? a. Client with an implanted port in the right subclavian vein b. Client who has a midline IV catheter in the left antecubital fossa c. Client who has a nontunneled central line in the left internal jugular vein d. Client with a peripherally inserted central catheter (PICC) line in the right upper arm.

C

3.) A nurse administers an intravenous solution of 0.35% sodium chloride. In what category of fluids does this solution belong? a. Isotonic b. Isomeric c. Hypotonic d. Hypertonic

C

1.) A nurse is assigned to change a central line dressing, the agency policy is to clean the site with Betadine and then cleanse with alcohol. The nurse recently attended a conference that presented information that alcohol should precede Betadine in a dressing change. In addition, an article in a nursing journal stated that a new product was more effective antibacterial than alcohol then Betadine. The nurse had a sample of the new product. How should the nurse proceed? a. Use the new product sample when changing the dressing b. Cleanse the site with alcohol first and then with Betadine c. Cleanse the site with the new product first and then follow the agency's protocol d. Follow the agency's protocol unless it is contradicted by a health care provider's orders

D

13.) A nurse is reviewing the health care provider's orders for a client who was admitted with dehydration as a result of prolonged watery diarrhea. Which order should the nurse question? a. Oral psyllium (Metamucil) b. Oral potassium supplement c. Parental half normal saline d. Parental albumin (albuminar

D

11.) A nurse is evaluating the effectiveness of treatment for a client with excessive fluid volume. What clinical finding indicates that treatment has been successful? a. Clear breath sounds b. Positive pedal pulses c. Normal potassium level d. Increased urine specific gravity

A

18.) What clinical indicators should the nurse expect a client with hyperkalemia to exhibit? Select all that apply. a. Tetany b. Seizures c. Diarrhea d. Weakness e. Dysrhythmias

CDE

9.) A nurse assesses a client's serum electrolyte levels in the lab report. What electrolyte in intracellular fluid should the nurse consider most important? a. Sodium b. Calcium c. Chloride d. Potassium

D