Module 8: Pharmacology and Intravenous Therapies Exam Questions With Correct Answers
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Course
Pharmacology
Institution
Pharmacology
Module 8: Pharmacology and Intravenous
Therapies Exam Questions With Correct
Answers
A nurse notes that the site of a client's peripheral intravenous (IV) catheter is reddened, warm,
painful, and slightly edematous near the insertion point of the catheter. On the basis of this
assessment, the ...
Module 8: Pharmacology and Intravenous
Therapies Exam Questions With Correct
Answers
A nurse notes that the site of a client's peripheral intravenous (IV) catheter is reddened, warm,
painful, and slightly edematous near the insertion point of the catheter. On the basis of this
assessment, the nurse first:
A Removes the IV catheter
B Slows the rate of infusion
C Notifies the healthcare provider
D Checks for loose catheter connections - answer✔A Removes the IV catheter
A nurse hangs a 500-mL bag of intravenous (IV) fluid for an assigned client. One hour later the
client complains of chest tightness, is dyspneic and apprehensive, and has an irregular pulse. The
IV bag has 100 mL remaining. Which of the following actions should the nurse take first?
A Removing the IV
B Sitting the client up in bed
C Shutting off the IV infusion
D Slowing the rate of infusion - answer✔C Shutting off the IV
A nurse discontinues infusion of a unit of packed red blood cells (RBCs) because the client is
experiencing a transfusion reaction. After discontinuing the transfusion, which of the following
actions does the nurse take next?
A Removing the IV catheter
B Contacting the healthcare provider
C Changing the solution to 5% dextrose in water
D Obtaining a culture of the tip of the catheter device removed from the client - answer✔B
Contacting the healthcare provider
A client with heart failure is being given furosemide (Lasix) and digoxin (Lanoxin). The client
calls the nurse and complains of anorexia and nausea. Which action should the nurse take first?
A Administering an antiemetic
B Administering the daily dose of digoxin
C Discontinuing the morning dose of furosemide
D Checking the result of laboratory testing for potassium on the sample drawn 3 hours ago -
answer✔D Checking the result of laboratory testing for potassium on the sample drawn 3 hours
ago
A physician prescribes the administration of parenteral nutrition (PN), to be started at a rate of 50
mL/hr by way of infusion pump through an established subclavian central line. After the first 2
hours of the PN infusion, the client suddenly complains of difficulty breathing and chest pain.
The nurse immediately:
A Obtains blood for culture
B Clamps the PN infusion line
C Obtains a sample for blood glucose testing
D Obtains an electrocardiogram (ECG) - answer✔B Clamps the PN infusion line
A physician prescribes 2000 mL of 5% dextrose and normal saline 0.45% for infusion over 24
hours. The drop factor is 15 gtt/mL. At how many drops per minute does the nurse set the flow
rate? (Round to the nearest whole number). - answer✔21
A nurse is assessing a peripheral intravenous (IV) site and notes blanching, coolness, and edema
at the insertion site. What should the nurse do first?
A Remove the IV
B Apply a warm compress
C Check for blood return
D Measure the area of infiltration - answer✔A Remove the IV
A home care nurse has been assigned a client who has been discharged home with a prescription
for parenteral nutrition (PN). Which of the following parameters does the nurse plan to check at
each visit as a means of identifying complications of the PN therapy? Select all that apply.
A Weight
B Glucose test
C Temperature
D Peripheral pulses
E Hemoglobin and hematocrit - answer✔A Weight
B Glucose test
C Temperature
A nurse is caring for a group of adult clients on an acute care nursing unit. Which of the
following clients does the nurse recognize as the least likely candidate for parenteral nutrition
(PN)?
A 61-year-old client with pancreatitis
B 52-year-old client with severe sepsis
C 45-year-old client who has undergone repair of a hiatal hernia
D 24-year-old client with a severe exacerbation of ulcerative colitis - answer✔C 45-year-old
client who has undergone repair of a hiatal hernia
A client with a peripheral intravenous (IV) line in place has a new prescription for infusion of
parenteral nutrition (PN), a solution containing 25% glucose. Which of the following actions
should be taken by the nurse?
A Hanging the IV solution as prescribed
B Questioning the healthcare provider about the prescription
C Hanging the IV solution but setting the infusion at just half the prescribed rate
D Diluting the solution with sterile water to half-strength - answer✔B Questioning the healthcare
provider about the prescription
The first bag of parenteral nutrition (PN) solution has arrived on the clinical unit for a client
beginning this nutritional therapy. The solution is to be infused by way of a central line. Which
of the following essential pieces of equipment does the nurse obtain before hanging the solution?
A Pulse oximeter
B Blood glucose meter
C Electronic infusion device
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