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concept of nursing 2
maintenance of IV therapy 2
| Question | Answer |
|---|---|
| If a nurse fails to monitor a patient's intravenous (IV) infusion, what complications could develop? | -The patient may experience infiltration. -The catheter may clot off. -The patient may receive less than the prescribed amount of IV fluids. -The patient may receive more than the prescribed amount of IV fluids. |
| Calculate the following problem. Remember to round off the answer to the nearest whole number, because fractions of a drop are to be avoided when calculating IV drip rates. Order: 1000 mL of D51/2NS (dextrose 5% in 0.45% sodium chloride) in 8 hours | -- |
| Available: 1 liter of D51/2NS (dextrose 5% in 0.45% sodium chloride); IV macrodrip tubing 10 gtt per milliliter The patient should receive gtt per minute. | 21 |
| Calculate the following problem. Remember to round off the answer to the nearest whole number, because fractions of a drop are to be avoided when calculating IV drip rates. Order: 500 mL of D5W in 2 hours | -- |
| Available: 500 mL of D5W; IV macrodrip tubing 15 gtt per milliliter The patient should receive gtt per minute. | 63 |
| Calculate the following problem. Remember to round off the answer to the nearest whole number, because fractions of a drop are to be avoided when calculating IV drip rates. Order: 500 mL of D5W in 5 hours | -- |
| Available: Electronic infusion device; 500 mL of D5W, microdrip tubing (drop factor 60 gtt/mL) The electronic infusion device rate is gtt per minute. | 100 |
| Calculate the following problem. Remember to round off the answer to the nearest whole number, because fractions of a drop are to be avoided when calculating IV drip rates. Order: 0.9% normal saline at 80 mL per hour | -- |
| It will take hours for 2000 mL to infuse. | 25 |
| The nursing staff attended an in-service on IV fluid management with discussion on patient safety. Which of the following statements, if made by one of the staff, indicates further instruction is needed? | “It is unnecessary to monitor infusion rates when an electronic infusion device is being used.” |
| The nurse has received an order to infuse an IV medication. Which of the following would be the safest choice of equipment to use? | A smart pump |
| A patient has an order for the administration of 1000 mL of 0.9% normal saline at 100 mL/hr. The nurse begins the infusion at 0900. At noon the nurse notices that 500 mL has infused. Of the following options, | -- |
| which should be the nurse’s highest priority action? | Assess the patient for symptoms of fluid volume overload. |
| A patient has received 1000 mL of IV fluid in 2 hours. The patient has dyspnea, tachycardia, crackles in the lungs, and peripheral edema. What is the nurse’s priority action at this time? | Slow infusion to KVO and notify health care provider. |
| A nurse working in the emergency room has elected to use macrodrip IV tubing. For which patient would this be most appropriate? | A hypotensive adult trauma victim with cool, clammy skin. |
| Remember to round off the answer to the nearest whole number, because fractions of a drop are to be avoided when calculating IV drip rates. A patient is to receive 1000 mL of 0.45% normal saline over 12 hours. | -- |
| The nurse begins the infusion at 0800. Four hours later, the nurse notes there is 750 mL left in the IV bag. The nurse recalculates the flow rate. The nurse should set the electronic infusion device at mL/hr. | 94 |
| The nurse hangs 1000 mL of 0.9% normal saline at 0900. The ordered rate is 80 mL/hr and is infusing with microdrip tubing and an EID. The nurse would expect to hang a new IV bag at approximately at what time? (in military time—remember 2400 is midnight) | 2130 |
Created by:
Lightnning54
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