University:
Minnesota State University Moorhead
Course:
NURS-250 | Foundations of Professional Nursing
Academic year:

2020
Views:

406

Pages:

4
Author:

Ean Mason

IV therapy and peripheral access Pusttest CLOSE A nurse is removing a client's IV catheter. Which of the following actions should the nurse take? Apply firm pressure over the vein Leave the roller clamp slightly open Pull the catheter straight back from the insertion site. Lift the hub slighty upward away from the skin. A nurse is inserting a peripheral IV catheter and observes a blood return in the flashback chamber after puncturing the skin and selected vein. Which of the following actions should the nurse perform next? Secure the catheter to the skin with a transparent dressing Advance the catheter into the vein with the finger hub. Release the tourniquet from the client's arm Attach a primed piece of extension tubing to the catheter. A client is to receive a 1,000 mi bag of 5% dextrose in lactated Ringer's over 8 hr. Using tubing with a drop factor of 15 gtt/ml, the nurse should regulate the fluid to infuse at how many drops per minute? (Round the answer to the nearest whole number. Use a leading zero if it applies. Do not use a trailing zero.) A nurse assesses a client's IV insertion site and fines that it is red, warm, and slightly edematous. Which of the following actions should the nurse take? Check for a blood return Elevate the extremity, Discontinue the IV line Apply warm, moist heat A nurse has just initiated an IV infusion and is teaching the client about possible complications. The nurse should include that which of the following findings is an indication of early infiltration? Moisture Bruising Tingling Coolness Which of the following actions should a nurse take when converting an IV infusion to a saline lock? Open the roller clamp of the primary infusion to prime the saline lock Apply pressure with a syringe to dear resistance in the IV catheter. Attach secondary tubing to allow mobility. Flush the iv catheter to confirm patency A nurse is caring for a client who is in early stage renal failure and has a prescription for the infusion of IV fluids. Which of the following IV fluids does the nurse anticipate a prescription for and why? 10% dextrose in water because it pulls fluid from the cells and increases vascular volume 2.45% sodium chloride because it dilutes extracellular fluid and rehydrates the cells 03% sodium chloride because it replaces extracellular volune and maintains intravascular volume 3% sodium chloride because it draws fluid into blood vessels and reduces interstitial compartments A nurse is discontinuing a peripheral IV catheter. Upon removal, the nurse should assess the catheter for which of the following? An intact catheter tip Catheter erosion Blood within the catheter Discoloration of the catheter A nurse has just inserted a peripheral IV catheter. Which of the following actions should the nurse take to secure the catheter? Apply an IV securement device. Wrap tape around the circumference of the client's arm Tape the IV catheter's hub securely to the client's skin. Place a piece of paper tape over the insertion site.