Chapter 38 Peripheral IV Therapy

Chapter 38  Peripheral IV Therapy

Complete Chapter Questions And Answers
 

Sample Questions

Multiple Choice
Identify the choice that best completes the statement or answers the question.

____ 1. The nurse is providing IV push meperidine (Demerol) through a free-flowing IV line and notes a hazy appearance in the tubing. It is necessary to
A.
Stop the infusion.
B.
Discontinue the IV site.
C.
Put all doses of meperidine on hold.
D.
Notify the supervisor.

____ 2. The nurse is providing care for a patient with an allergy to corn. Which of the following solutions, if ordered by the physician, would the nurse question?
A.
0.9% sodium chloride (NS).
B.
0.45% sodium chloride (1/2 NS).
C.
Dextrose 5% in water (D5W).
D.
Lactated Ringer’s (LR).

____ 3. The nurse is providing care for a patient who is receiving a blood transfusion. Pre-transfusion vital signs were BP, 144/78 mm Hg; T, 98.4°F; P, 86; R, 14. Approximately an hour after the transfusion is initiated, the patient’s vital signs were BP, 168/92 mm Hg; P, 98; R, 20. Next the nurse should
A.
Record the vital signs.
B.
Listen to the patient’s breath sounds.
C.
Notify the physician.
D.
Slow the transfusion rate.

____ 4. Which of the following intravenous solutions is most similar to the electrolyte content of the blood?
A.
0.22% sodium chloride (1/4 NS)
B.
Dextrose 5% in 0.45% sodium chloride (D5 1/2 NS)
C.
Dextrose 5% in water (D5W)
D.
Lactated Ringer’s (LR)

____ 5. The nurse is providing care to a patient who was admitted with a suspected Coumarin overdose. Which of the following blood products will most likely be included in the patient’s plan of care?
A.
Cryoprecipitate
B.
Fresh frozen plasma
C.
Whole blood
D.
Albumin

Chapter 38. Peripheral IV Therapy
Answer Section

MULTIPLE CHOICE

1. ANS: A

Feedback
A
The nurse should never allow an infusion to continue if he or she sees precipitates forming in the fluid. Chapter Objective: Apply knowledge of IV therapy in specific scenarios.
B
There is no need to discontinue the IV site.
C
There is no need to place meperidine on hold.
D
Notifying the supervisor is not necessary.

PTS: 1 REF: Chapter: 38 | Page: 917 OBJ: Chapter Objective: 38-13
KEY: Content Area: Medication Administration | Integrated Process: Nursing Process/Implementation | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Application

2. ANS: C

Feedback
A
This fluid is safe to use in patients who are allergic to corn.
B
This fluid is safe to use in patients who are allergic to corn.
C
Safety: Do not use D5W in patients who are allergic to corn. Chapter Objective: Relate possible complications of IV therapy and their causes.
D
This fluid is safe to use in patients who are allergic to corn.

PTS: 1 REF: Chapter: 38 | Page: 919 OBJ: Chapter Objective: 38-7
KEY: Content Area: Medication Administration | Integrated Process: Nursing Process/Evaluation | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Application

3. ANS: B

Feedback
A
These vital signs are significantly increased and further investigation is needed.
B
Elevated BP, P, and R are symptoms of fluid overload and the most appropriate action is to listen to breath sounds. Chapter Objective: Summarize how to prepare, initiate, and monitor infusion of blood and blood products.
C
Further assessment is needed.
D
It is best to stop the infusion if the patient has symptoms of distress, fully assess the patient, and then proceed by continuing or discontinuing the transfusion.

PTS: 1 REF: Chapter: 38 | Page: 942 OBJ: Chapter Objective: 38-12
KEY: Content Area: Medication Administration | Integrated Process: Nursing Process/Implementation | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Analysis

4. ANS: D

Feedback
A
LR is the most similar.
B
LR is the most similar.
C
LR is the most similar.
D
Because it is most similar to electrolyte content of the blood, LR may be used for fluid replacement in all types of dehydration and fluid volume deficits. Chapter Objective: Compare the effects of infusing hypotonic, isotonic, and hypertonic IV fluids.

PTS: 1 REF: Chapter: 38 | Page: 919 OBJ: Chapter Objective: 38-4
KEY: Content Area: Medication Administration | Integrated Process: Nursing Process/Assessment | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Knowledge

5. ANS: B

Feedback
A
Cryoprecipitate replaces coagulation factors I, VII, and XIII.
B
Fresh frozen plasma replaces coagulation factors V and XI and is a drug reversal of Coumarin. Chapter Objective: Apply knowledge of IV therapy in specific scenarios.
C
Whole blood is rarely used, but it restores blood volume along with all its components, and it is mostly broken down for use of its individual components.
D
Albumin increases plasma volume.

PTS: 1 REF: Chapter: 38 | Page: 943 OBJ: Chapter Objective: 38-13
KEY: Content Area: Medication Administration | Integrated Process: Nursing Process/Plan | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Application