IVPB quiz

The nurse is preparing to backprime by gravity. Drag and Drop in order from first to last, the actions the nurse will perform. Use all options a) Spike the new bag b) Compress the drip chamber and allow it to fill about halfway full c) Close the roller Clamp on the tubing d) Connect the secondary bag to the primary bag at the appropriate port e) hang the spiked bag on the IV Pole

Answer: Close the roller clamp on the tubing Spike the new bag Hang the spiked bag on the IV pole Compress the drip chamber and allow it to fill about halfway full connect the secondary bag to the primary bag at the appropriate port Rationale: When preparing to backprime a secondary tubing by gravity, the nurse should first close the roller clamp on the tubing to prevent any accidental loss of medication, then spike the new bag and hang on the IV pole. The Nurse should compress the drip chamber and allow the drip chamber to become about halfway full. Then open the roller clamp carefully and prime the rest of the tubing, close the clamp again, connect the tubing to the appropriate port and unclamp the roller clamp and begin the infusion at the prescribed rate

The Nurse returns to a clients room after the infusion of IV pain medication via a volume controlled administration set has been completed. Which sequence would the nurse now perform? a) close the roller clamp, turn off the pump, remove the volume control device, recap it, and recheck the flow rate of the primary infusion b) Open the roller clamp, remove the volume control device, and recheck the flow rate of the primary infusion c) recheck the flow rate of the primary infusion, close the roller clamp, turn off the pump, remove the volume control device and recap it d) Remove the volume control device, recap it, close the roller clamp, and recheck the flow rate of the primary infusion

Answer: a) close the roller clamp, turn off the pump, remove the volume control device, recap it, and recheck the flow rate of the primary infusion Rationale: When removing the equipment following an infusion via a volume control administration set, the nurse would close the roller clamp, turn off the pump, remove the volume control device, recap it, and recheck the flow rate of the primary infusion. The roller clamp is closed to prevent IV leakage. The flow rate of the primary infusion is rechecked at the end in case it was disturbed during removal of the equipment

The nurse is preparing to reuse an intermittent administration set for administering a medication intravenous piggyback. The label on the tubing indicates that it was hung 12 hours ago. What action should the nurse take next? b) continue with preparing to hang the medication

Answer: continue with preparing to hang the medication Rationale: The nurse should continue with preparing to hang the medication. Intermittent administration sets can be used for 24 hours. Intermittent administration sets disconnected after use should be replaced every 24 hours to prevent complications, especially infection. Because the tubing label indicates it is well within the 24 hour time frame there is no need for the nurse to obtain a new set, complete an incident report, or to report this to charge nurse

The nurse is preparing to administer medication to a client using a piggyback IV infusion. The client is receiving a continuous IV infusion of dextrose 5% and water (D5W). Which would be most important for the nurse to do before administering the medication? a) put on sterile gloves to set up the piggyback infusion b) Check the compatibility of the medication with the IV solution c) readjust the flow rate of the continuous infusion d) ask the pharmacy about the medication\'s adverse effects

Answer: Check the compatibility of the medication with the IV solution Rationale: When administering a piggyback IV medication, it is important that the nurse check to make sure that the prescribed medication to compatible with the continuous infusion to prevent the risk of injury. There is no need to readjust the flow rate of the continuous infusion. Rather the nurse would ensure that the piggyback medication is infusion at the correct rate. The nurse should be knowledgeable about the medication to be administered and any potential adverse effects. The nurse would typically consult a drug reference. IF additional information is needed, the nurse could check with the pharmacy. Clean, disposable gloves, not sterile gloves, are used

When administering an IV antibiotic to a client, Where would the nurse hang the piggyback container? a) on a separate IV pole at the same height as the primary IV solution container b) on the IV pole, at the same height as the primary IV solution container c) On the IV pole, lower than the primary IV solution container d) On the IV pole, higher than the primary IV solution container

Answer: On the IV pole, higher than the primary IV solution container Rationale: THe nurse would hang the piggyback container on the same IV pole, positioning it higher than the primary IV solution according to manufacturers recommendations. The position of containers influences the flow of the IV fluid into the primary setup

The nurse is caring for a client receiving IV medication. Which would be the appropriate action when the piggyback infusion does not infuse? a) make sure the piggyback infusion bag is lower than the primary infusion bag b) make sure the connections are tight and the clamps are closed c) If the IV is in the arm, make sure the arm is not raised above heart level d) if the IV is in the wrist or antecubital fossa, make sure the elbow or wrist is bent

Answer: If the IV is in the arm, make sure the arm is not raised above heart level Rationale: If the piggyback infusion does not infuse, the nurse would make sure the connections are tight and the clamps are open and make sure the piggyback infusion bag is higher than the primary infusion bag. IF the IV is in the wrist or antecubital fossa, the nurse would make sure the elbow or wrist is not bent for too long. IF the IV is in the arm, the nurse would make sure that the arm is not raised above heart level

The nurse is attaching the infusion tubing to the medication container when administering a piggyback IV infusion of medication. What motion would the nurse use when inserting the tubing spike into the port? a) gentle pushing motion b) gentle twisting motion c) firm pulling and twisting motion d) Firm pushing and twisting motion

Answer: Firm pushing and twisting motion Rationale: When administering a piggyback infusion, the nurse would attach the infusion tubing to the medication container by inserting the tube spike into the port with a firm pushing and twisting motion, taking care to avoid contaminating either end

After injecting the medication into the injection port of a volume control administration set, what would the nurse do with the volume control chamber to mix the medications? a) invert it b) no action needed c) inject air into it d) Agitate it gently

Answer: Agitate it gently Rationale: the nurse would rotate or gently agitate the volume control chamber to ensure that the medication is evenly mixed with the solution. Air would not be injected into the chamber

The nurse is administering a mediation to a client by piggyback IV infusion. Which accurately describes a step in this procedure a) using clean technique, remove the cap on the tubing spike and port of medication container b) after assessing the IV site, close the clamp on the long, primary infusion tubing c) attach the infusion tubing spike into the port of the medication container d) after assessing the IV site, open the clamp on the short, secondary infusion tubing

Answer: attach the infusion tubing spike into the port of the medication container Rationale: the nurse is administering an IV medication via piggyback infusion would assess the IV site, close the clamp on the short, secondary infusion tubing, use aseptic technique to remove the cap on the tubing spike and the port of the medication container, and attach the infusion tubing to the medication container by inserting the tubing spike into the port of the medication container

The nurse is teaching a student nurse the advantages of using a volume control administration set to administer IV Medication. What is the primary advantage of using this device? a) it reduces the risk of accidental contamination with microorganisms b) it prevents accidental needlestick injuries c) it is easier to administer than other IV routes d) When fluid volume is concerned, it limits how much fluid can be infused at one time

Answer: When fluid volume is concerned, it limits how much fluid can be infused at one time Rationale: The main advantage of using a volume controlled set is that it limits how much fluid can be infused at one time, for clients for whom fluid volume is a concern. The possibility of contamination and needlestick injuries is the same with all methods