Mod 9 DeWit Chap 36

Question 1

solutions most frequently used are those containing ?

Answer 1

glucose, saline, electrolytes, vitamins, and amino acids

Question 2

signs of crackles indicate what?

Answer 2

fluid overload

Question 3

what does a pts hemoglobin level need to be in order to safely leave the hospital?

Answer 3

11.5g/dL

Question 4

the viens preferred for infusions and intermittent doses of medications are ?

Answer 4

those distal to the antecubital area; a new site cannot be placed distal to an old site

Question 5

what are common IV sites for most adult pts?

Answer 5

The cephalic, basilica, and ante brachial veins of the lower arm and the veins on the back of the hand

Question 6

what is the device called that is used to illuminate the tissue and outline the vein

Answer 6

venoscope

Question 7

why are the veins in the antecubital space not used extensively for IV infusions

Answer 7

because movement causes irritation or damage to the vein, and keeping the arm extended may cause muscle or nerve damage

Question 8

why are scalp veins frequently used in infants?

Answer 8

because they are easily accessible, the needle is less likely to be dislodged from this site, and veins of the arms are too small

Question 9

Which route of administration results in a drug instantly being available for circulation to all tissues?

• Intravenous (IV)
• Subcutaneous (SC)
• Intradermal (ID)
• Vaginal application

Answer 9

Intravenous (IV)

Question 10

Mannitol is given to reduce cerebral edema in patients with a head injury because the osmotic pressure draws water out of the cells. What type of solution is mannitol?

• Isotonic
• Hypotonic
• Hypertonic
• Eutonic

Answer 10

Hypertonic

Question 11

Blood should be infused with an IV tubing set selected for:

• regular drops
• macrodrops
• microdrops
• large drops

Answer 11

macrodrops

Question 12

An infusion pump is mandatory when patients receive

• lactated Ringer’s
• chemotherapy drugs
• proton pump inhibitors (PPIs)
• normal saline IV fluid

Answer 12

chemotherapy drugs

Question 13

A patient requires an intravenous antibiotic for 6 weeks. The appropriate type catheter would be:

• Brovlac
• midline catheter (ML)
• Hickman
• Groshong

Answer 13

midline catheter

Question 14

An elderly patient has a rapid pulse, shortness of breath, and distended neck veins. An IV of 0.9 NS at 150 mL/hr is infusing. What should the nurse be concerned about?

• catheter embolus
• speed shock
• septicemia
• fluid overload

Answer 14

fluid overload

Question 15

The nurse initating peripheral IV therapy should use:

• the antecubital site
• sterile technique
• three attempts before asking another nurse to perform the venipuncture
• a catheter stabilization device to secure the catheter

Answer 15

a catheter stabilization device to secure the catheter

Question 16

An appropriate diagnosis for a patient on total parenteral nutrition (TPN) is:

• deficient fluid volume related to inability to take fluids by mouth
• risk for dehydration related to poor fluid intake
• imbalanced nutrition, less than body requirement, related to inability to take oral foods or fluids
• ineffective tissue perfusion related to the loss of red blood cells/fluid volume

Answer 16

-imbalanced nutrition, less than body requirement, related to inability to take oral foods or fluids

Question 17

What are the potentially serious complications of IV therapy (select all that apply)

• infiltration
• infection
• catheter embolus
• site irritation resulting from tape

Answer 17

infiltration, infection, catheter embolus

Question 18

_______ is a bloodstream infection

Answer 18

Septicemia