IV Therapy - TopHat Qs Flashcards

1
Q
When a nurse  administers the hypertonic solution such as 3% NaCl to patient with hyponatremia. Which assessment findings indicate that the solution needs to be stopped? Select all that apply.
A. Crackles in lung basis
B. BP of 120/70
C. Na+ 150 mEq/L
D. Seizures
E. Mental Confusion
A

A. Crackles in lung basis

C. Na+ 150 mEq/L

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2
Q

The IV order reads D5 1/4 NS infused at 100ml/hr. Using a drip factor of 15gtts/mL, what is the drip rate (gtts/min)?

A

25

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3
Q
The nurse is caring for a patient recovering from surgery. A physician orders 1L LR to be delivered over 8 hrs. Which hourly rate should the nurse set the IV pump?
A. 100mL/hr
B. 125mL/hr
C. 150mL/hr
D. 200mL/hr
A

B. 125 mL/hr

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4
Q

After assessing the patency of the patient’s IV catheter, the nurse attempts to flush the catheter and meets resistance. What actions should the nurse take next?
A. Get a larger size syringe and repeat the flush attempt
B. Use a heparinized solution and repeat the flush attempt
C. Gently force flush the catheter and check for blood return
D. Stop the flush attempt and discontinue the IV

A

D. Stop the flush attempt and discontinue the IV

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5
Q

The nurse assesses the patient’s IV fluids (via gravity) and notices that it is running slowly. Which action should the nurse take first?
A. Discontinue the IV site and notify the IV team for a restart
B. Lower the bag below the heart and check for blood return
C. Apply a warm soak because venus spasms may be present
D. Check the tubing for kinks and straighten the line as needed

A

D. Check the tubing for kinks and straighten the line as needed

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6
Q

What would be included on the IV order? (select all that apply)
A. Specific type of solution
B. Rate of administration
C. Specific drug to be added to the solution
D. Method for diluting the drugs for the solution
E. Specific type of administration equipment

A

A. Specific type of solution
B. Rate of administration
C. Specific drug to be added to the solution

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