EAQ Math/ IV therapy

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 normal saline? A. Remove the IV catheter and restart the saline lock in another site B. Document the findings per protocol and reassess the site in 8 hours C. Flush the IV catheter and saline lock again vigorously with normal saline D. Change the dressing and apply a new clean dressing per IV care protocol

A

An infant weighing 13 lb is prescribed potassium to be added to rehydration IV solution. The prescribed infusion rate is 15 mL/kg weight every 24 hr. What would the nurse calculate as the IV fluid intake per 24 hours period?

88.6 mL

Which type of insulin would the nurse recognize as compatible with IV solutions when caring for a client with DM who is scheduled to receive an IV administration of 25 units of insulin in 250 mL normal saline? A. NPH insulin B. Insulin lispro C. Insulin detemir D. Insulin glargine

B

A 2 yo child is admitted with gastroenteritis and dehydration. IV fluids are prescribed. Which is the most appropriate site for the first IV insertion? A. Scalp vein near the fontanel B. Venous arch on top of the foot C. Dorsal metacarpals of the hand D. Basilic vein at the antecubtial fossa

C

A client with pelvic inflammatory disease is prescribed 2g of IV cefotetan twice a day. The cefotetan vial is labeled as reconstitute 20 mL of diluent to yield 1g/ 10.5 mL. How much solution would the nurse add to the 100-mL bag of 0.9% sodium chloride?

21 mL

Which finding by the nurse when assessing a client who is receiving IV fluids indicates for a change in the fluid infusion rate? A. Crackles in lungs B. Supple skin turgor C. Urine output 480 mL over 8 hours D. HR decrease from 126 bpm to 96 bpm

A

An IV solution of 1000 mL 5% dextrose in water is to be infused at 125 mL/h. The infusion set delivers 15 drops/mL. To ensure that the solution will infuse over an 8 hr period, at how many drops per minute will the nurse set the rate of flow?

31 gtt/min

The health care provider prescribed 1000 mL normal saline to be infused over 8 hours. The IV tubing delivers 15 drops per milliliter. The nurse will administer the IV infusion at how many drops per minue?

31 gtts/min

How will the nurse respond to a client who expresses concern about air in the piggyback tubing after the nurse piggybacks an IV antibiotic solution into a primary IV line using gravity flow tubing? A. "Air in the tubing, even if it got into the vein, will not be fatal unless it is a large amount" B. " The antibiotic and now the air are flowing into the primary IV bag, not into the venous system directly" C. "The solution from the large IV bag begins to flow when the solution from the smaller bag ceases to flow" D. "The clamps on the tubing leading from both bags will be closed for a few minutes to prevent air from entering the vein"

C

Which number would a nurse document as the client's fluid balance after an 8 hr shift where a client has a 6 oz cup of tea and 360 mL of water, vomits 100 mL, and the instilled IV fluids equaled the urinary output? A. 240 mL B. -340 mL C. 440 mL D. 540 mL

C

The nurse is caring for an alert client with diabetes whose blood glucose level is 30 mg/dL. Which would the nurse give to the client if the protocol calls for treatment of hypoglycemia with 15 g of a simple carb? A. Provide 12 ounces of nondiet soda B. Give 25 mL dextrose 50% by slow IV push C. Have the client drink 8 ounces of fruit juice D. Ask the client to ingest 1 tube of glucose gel

D

An IVPB of cefazolin 500 mg in 50 mL of 5% dextrose in water is to be administered over a 20 minute period. The tubing has a drop factor of 15 drop/ mL. The nurse regulates the infusion to run at how many drops per minute?

38

The nurse working the 7 am to 3 pm shift is caring for an adolescent for whom intake and output are being monitored. The primary health care provider prescribes an IV infusion to be administered at a rate of 50 mL/hr. The adolescent had 4oz (120 mL) of milk and a muffin for breakfast at 8:30. At 9 the adolescent vomited 200 mL. At 10 the adolescent had 60 mL of water with meds. At 1 the adolescent voided 550 mL of urine. For lunch, the adolescent ate 3 oz (90 mL) of soup and 4 oz (120 mL) of ice cream. The adolescent voided 450 mL at 2 pm. Calculate the adolescents total intake for the 7 am to 3 pm shift.

790

The nurse is administering IV fluids to a dehydrated infant. Which intervention is most important at this time? A. Calculating the total caloric intake B. Continuing the prescribed flow rate C. Making hourly temperature assessments D. Maintaining the fluid at body temperature

B

A client is prescribed 4 mg of hydromorphone IV every 4 hrs, as needed. Hydromorphone is supplied at 10 mg/mL. How many mL of hydromorphone will the nurse administer per dose?

0.4 mL

The health care provider prescribes ziprasidone 15 mg IM stat. The medication package is labeled 20 mg/mL. How many mL of ziprasidone solution will the nurse administer?

0.75 mL

A client is to receive 125 mL of IV fluid every hour. The drop factor of the IV tubing is 10 gtt/mL. How many drops per minute will the nurse administer?

21 gtts/min

Which role would the UAP have when caring for a client receiving IV therapy? A. Monitoring clinical manifestations B. Collecting the data to be used in the assessment of the IV site C. Administering IV fluids and medications D. Evaluating the client for clinical manifestations

A

Which assessment would the nurse perform before administering a dose of vancomycin to a client? SAP A. Creatinine B. Trough level C. Hearing ability D. Intravenous site E. BUN

A, B,C,D,E

The nurse is caring for a child receiving furosemide for pulmonary edema. Which nursing interventions would the nurse implement? SAP A. Checking the child's weight every day B. Administering the medication on an empty stomach C. Calculating the dose of medication as carefully as possible D. Exposing the child to sunlight for increasing periods E. Assessing the child regularly to help prevent electrolyte loss

A, C, E

How would the nurse prepare an IV piggyback medication for administration to a client who has an established IV infusion? SAP A. Wear clean gloves to assess the IV site B. Flus the IV insertion site with 2 mL saline C. Place the IVPB at a lower level than the existing IV D. Use a sterile technique when preparing the medication E. Establish the flow rate for infusion

A, D, E

How would the nurse respond to a client admitted for dehydration who has an IV infusion of normal saline is started at 125 mL/h and one hour later begins screaming " I can't breathe?" A. Discontinue the IV and notify the health care provider B. Elevate the head of the client's bed and obtain vitals C. Assess the client for allergies and change the IV to an intermittent lock D. Contact the health care provider to request a prescription for a sedative

B

Which clinical finding leads the nurse to conclude that an IV has infiltrated rather than caused inflammation? A. Pain B. Coolness C. Localized swelling D. Cessation in flow of solution

B

Which nursing intervention will be implemented when the health care provider prescribes verapamil to be administered IV to a 70 yo client with hypertension? A. Monitor the ECG for reflux tachycardia B. Keep the client in bed for an hour after giving medication C. Dilute the dose in 50 mL of normal saline and administer it over 15 minutes D. Assess the client for wheezes and history of asthma before administering the medication

B

Which factor must the nurse determine to adjust the drip rate when administering IV fluids to be delivered at 80 mL/h? A. Total volume of fluid in the IV bag B. Size of the needle or catheter in the vein C. Drops per mL delivered by the infusion set D. Diameter of the tubing being used to intstill the fluid

C

A health care provider prescribes 250 mg of an antibiotic IVPB. A vial containing 1 gram of the powdered form of the medication must be reconstituted with 2.8 mL of diluent to form a volume of 3 mL. How many mL of the solution will the nurse administer?

0.8 mL

A client is scheduled to receive an IV solution of lactated Ringer to run at 150 mL/h. The administration set delivers 15 gtt/mL. How many drops per minute will the nurse set the IV controller to administer?

38 gtt/min

Which action would the nurse perform first when assessing if an IV infusion of a vesicant has extravasated? A. Elevate the IV site B. Stop the infusion C. Contact the prescriber D. Aspirate residual medication from the IV catheter

B

Which information would the nurse require to calculate the drip rate for a client who requires IV fluids postoperatively and has been prescribed 5% dextrose in water to infuse to 125 mL/h? A. Total fluid volume in the bag B. Diameter of the tubing being used C. Size of the needle or catheter D. Drops per milliliter delivered by the infusion set

D

The nurse needs to administer lidocaine HCl at 1.5 mg per minute. The medication is available as 500 mg in 100 mL of D5W. The nurse will set the IV infusion pump to deliver how many mL per hour?

18 mL/h

During an 8hr shift a client drinks two 6 ounce cups of tea and vomits 125 mL of fluid. IV fluids absorbed equaled the urinary output. What is the client's fluid balance during this 8 hr period?

235 mL

The health care provider prescribes IV fluids to be infused at 100 mL/h. The IV tubing delivers 15 drops/mL. The nurse will infuse the solution at a flow rate of how many drops per minute?

25 drops/min

Ceftriaxone 2.5 IVPB every 8 hours is prescribed. The pharmacy sends a vial labeling 5 grams per 10 mL. How many mL of ceftriaxone will the nurse add to the IVPB solution?

5 mL

Which clinical indicator would the nurse expect when an IV line as infiltrated? SAP A. Heat B. Pallor C. Edema D. Decreased flow rate E. Increased BP

B, C, D

The nurse is preparing to insert an IV catheter in a thin, emaciated client who is scheduled to begin IV fluid therapy. Which interventions would the nurse follow to provide high-quality care? SAP A. Insert an 18-gauge IV catheter B. Change the IV line every 7 days C. Flush the IV line with normal saline D. Insert the IV catheter in the client's femur E. Stop the insertion procedure when there is a break in technique

C, E

A health care provider prescribes 500 mg of an antibiotic IVPB every 12 hours. The vial of antibiotic contains 1 gram and indicates that the addition of 2.5 mL of sterile water will yield 3 mL of reconstituted solution. How many mL of the antibiotic will be added to the 50 mL IVPB bag?

1.5 mL

IV azithromycin 10mg/kg is prescribed for a toddler who weighs 33 pounds. A vial containing 300 mg of the powdered form of the med must be reconstituted with 3.8 mL of sterile water to yield a volume of 4 mL. How many mL of reconstituted medication will the nurse add to the IVPB solution?

2 mL

A glucose tolerance test is prescribed for a pediatric client. The prescription reads, "Administer glucose 1g/kg". The client weights 60 pounds. How many grams of glucose will the nurse administer?

27 g

A health care provider prescribes 2 L of IV fluid to be administered over 12 hours to a client who sustained a brain injury. The drop factor of the tubing is 10 gtt/mL. The nurse will set the flow rate at how many drops per minute?

28 gtts/min

____ The nurse has 100 units regular insulin in 100-mL normal saline infusion. There is a prescription to calculate the infusion rate based on the client's glucose levels using the formula: Glucose mg/dl / 100 = ____ units/h. The clients glucose level is 350 mg/dL. The insulin will need to infuse at how many mL per hour? _____

3.5 units/h 100 3/5 mL/h

The client needs to receive 1L of IV fluid every 8 hours. If the equipment delivers 15 drops/mL, the nurse will regulate the flow to deliver how many drops per minute?

31 drops/minute

Which nursing intervention would be the priority for the nurse preparing to administer an IVPB medication to a client who is receiving a continuous infusion of IV fluids? A. Get an additional IV infusion pump for the medication B. Check the compatibility of the medication and the continuous IV solution C. Disconnect the continuous IV solution while administering the piggyback medication D. Flush the client's venous access devise to ensure patency

B

A client with stage 4 ovarian cancer is admitted for dehydration. The client is to receive an IV bolus of 500 mL D5W for 1 hour, after which the rate is to be changed to 150 mL/h. The drop factor is 15 gtt/mL. At which rate, in drops per minute, would the nurse regulate the IV after delivery of the 500 mL bolus? A. 15 B. 25 C. 38 D. 42

C

An IV injection of morphine sulfate, 2mg , is prescribed for an 8-moth-old infant weighing 15 lb 7 oz. The recommended dos for an infant is 0.1 mg/kg. The nurse would question the prescription for which reason? A. This amount of the opioid will be ineffective B. The information needed to calculate the opioid dosage is incomplete C. This amount of morphine sulfate is unsafe for an infant of this weight D. Administration of morphine sulfate is contraindicated in infants younger than 1 year

C

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? SAP A. Restart the IV in a different vein B. Assist the client through guided imagery C. Assess the IV site D. Ask the health care provider for pain meds E. Verify that the potassium is adeuqately diluted and not infusing too rapidly

C, E

At 10 AM the nurse hangs a 1000-mL bag of 5% dextrose in water with 20 mEq of potassium chloride to be administered at 80 mL/h. At noon the health care provider prescribes a stat infusion of an IV antibiotic of 100 mL to be administered via piggyback over 1 hr. How much longer than expected will it take the primary bag to empty if the nurse interrupts the primary infusion of the antibiotic? A. 15 minutes B. 30 minutes C. 45 minutes D. 60 minutes

D

A health care provider prescribes an IV infusion of ampicillin 375 mg every 6 hours. The medication is supplies as 500 mg of powder in a vial. The directions are to mix the powder with 1.8 mL of diluent, which yields 250 mg/mL. How much prepared solution will the nurse administer?

1.5 mL

A prescription is written for famotidine 20 mg IVPB every 12 hours. The vial is labeled 10 mg/ 1 mL. How many mL will the nurse administer?

2 mL

One liter of 5% dextrose solution contains 50 grams of sugar. The nurse calculates that 3 L solution/day will supply approximately how many kilocalories? A. 400 B. 600 C. 800 D. 1000

B

Which medication is unsafe to administer as and IV bolus? A. Saline flush B. Potassium chloride C. Naloxone D. Adenosine

B