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concept of nursing 2
maintenance of IV therapy 3
| Question | Answer |
|---|---|
| The nurse performed hand hygiene and applied clean gloves to perform an intravenous (IV) tubing change. Which step(s) described in the following was missed or performed incorrectly? Remove IV dressing covering catheter hub and slow rate of | -- |
| infusion to keep-vein-open (KVO) by regulating the roller clamp. Fill drip chamber of old tubing, remove IV container from IV pole, and remove old tubing from the solution. Place insertion spike of new tubing into the old fluid | -- |
| container opening and hang it on the IV pole. Fill tubing rapidly with solution, creating air bubbles in the tubing. Turn roller clamp to the "off" position on the new tubing and remove as much air as possible. Turn roller clamp on the old | -- |
| tubing from the catheter hub, and quickly insert adapter of new tubing into catheter hub. Open roller clamp on new tubing, and regulate IV drip according to health care provider's orders. Secure tubing with a piece of tape. | -- |
| Place label with date and time on tubing below drip chamber. Discard old tubing and used supplies, remove gloves, and perform hand hygiene. | Failing to close the roller clamp on the new tubing before inserting it into the fluid container. |
| The patient has an order to infuse gentamicin (Garamycin) 500 mg IV in 50 mL sodium chloride at a rate of 100 mL/hr every 4 hours. The patient does not have an order for continuous fluids, and therefore the medication | -- |
| is infused with primary tubing and the peripheral access device is saline locked between doses. Which of the following actions could cause contamination or increase the risk of infection? | -When changing tubing, the nurse disconnects the old tubing and attempts to insert the adapter of the new tubing without removing the protective cap. |
| -- | -The nurse changes the primary intermittent tubing set every 96 hours. |
| -- | -When it is time to hang a new dose of gentamicin (Garamycin), the nurse connects the tubing to the injection port using the same needleless adapter that has been hanging on the IV pole for 4 hours without a protective cover. |
| The electronic infusion device (EID) is alarming after changing the bag of IV fluids on a continuous infusion. What could be the possible cause(s)? | -The roller clamp is in the “off” position. -Air is present in the tubing. |
| The nursing students are studying in a group. Which of the following statements, if made by a nursing student, indicates further instruction is needed? | “The bag of fluids should be changed when there is approximately 100 mL of solution left in the bag to avoid disruption in fluid therapy to the patient.” |
| The nurse is changing IV fluids. She has performed hand hygiene and applied clean gloves. The nurse hung the new bag of fluids on the IV pole, removed the protective cover of the tubing port, removed the spike from the old bag, | -- |
| and accidentally touched the spike with her hand. Which action should be taken at this time? | Obtain a new IV tubing set, remove the protective cover of the spike and insert it into the tubing port of the IV bag she just hung. Prime the tubing. |
Created by:
Lightnning54
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