N308 IV Therapy (Exam 1 questions with correct
answers
A nurse who has just initiated an IV infusion explains to the patient that
complications are possible and that she will monitor the infusion
regularly. The nurse should teach the patient that which of the following
findings is an indication of early infiltration? Correct Answer-cooling
Which of the following is an important nursing action when converting
an IV infusion to a saline lock? Correct Answer-Flush the IV catheter to
confirm patency.
A nurse has just inserted a peripheral IV catheter for continuous
infusion. To secure the catheter, the nurse should: Correct Answer-
Leave the connection between the hub and the tubing uncovered.
(possible to replace the tubing without removing the dressing)
A nurse initiating a peripheral IV infusion punctures the skin and
selected vein and observes blood return in the flashback chamber of the
IV catheter. Which of the following actions should the nurse perform
next. Correct Answer-Lower the catheter until is is almost flush with the
skin. (facilitates full penetration of the wall of the vein)
A nurse is removing an IV catheter from a patient whose IV infusion has
been discontinued. Which of the following actions is appropriate?
Correct Answer-Pull the catheter straight back from the insertion site.
(make sure to keep the hub parallel to the skin)
,A nurse is discontinuing an IV infusion. For which of the following
reasons is it important to verify and document the integrity and condition
of the IV catheter? Correct Answer-A broken-off catheter tip indicates
the risk for an embolus.
A patient in early stage renal failure is prescribed an infusion of 0.45%
sodium chloride. This type of solution is appropriate because it: Correct
Answer-Dilutes extracellular fluid and rehydrates the cells. (infusing a
hypotonic solution moves fluid into the cells)
A nurse has just initiated a new peripheral IV infusion with 5% dextrose
in water for continuous infusion. How often should the nurse plan to
replace the primary infusion tubing? Correct Answer-every 96 hours
A nurse finds a patient's IV insertion site red, warm, and slightly
edematous. Which of the following actions should the nurse perform
first? Correct Answer-discontinue the IV line
the slanted surface at the tip of a needle Correct Answer-bevel
division into two branches; fork Correct Answer-bifurcation
a small, winged-tip needle used to initiate intravenous access Correct
Answer-butterfly needle
a tube inserted into a vessel, duct, or cavity Correct Answer-cannula
, the "handle" of an intravenous catheter, the part that allows access to the
catheter's lumen for a variety of functions, such as the injection or
infusion of fluids or drugs or the introduction of a guide wire Correct
Answer-catheter hub
implantation and growth of a micro-organism on or in a host Correct
Answer-colonization
a blood-vessel access device usually inserted into the subclavian or
jugular vein with the distal tip resting in the superior vena cava just
above the right atrium; used for long-term intravenous therapy or
parenteral nutrition Correct Answer-central venous catheter
the portion of an intravenous administration set that lies just below the
tubing insertion spike and allows visualization of the individual drops of
solution being infused; the portion squeezed and released to begin the
flow of solution immediately after insertion of the spike into the solution
bag or bottle when preparing an intravenous infusion set Correct
Answer-drip chamber
the calibration or number of drops per milliliter of solution delivered for
a particular drip chamber Correct Answer-drip factor or drop factor
a blood clot or a bolus of air developed in or introduced into a blood
vessel that moves from its place of origin and is capable of obstructing
blood circulation Correct Answer-embolus
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