Week 8: ATI Parenteral IV Medications

Question 1

A nurse caring for a client who has fluid overload following continuous IV infusion of 200 mL/ hr. Which of the following actions by the nurse is appropriate?

Answer 1

Reduce the IV fluid rate

Question 2

A nurse is monitoring a client who is receiving an IV medication. The client reports dizziness and a feeling of chest tightness. The nurse notes that the client’s face is flushed. These findings indicate which of the following systemic complications of IV therapy?

Answer 2

Speed shock

Question 3

A nurse is caring for a client who is receiving norepinephrine by continuous IV infusion. During a routine assessment of the IV site, the nurse notes that the catheter is no longer in the vein and the vesicant medication has infused into the subcutaneous tissue. Which of the following actions should the nurse take?

Answer 3

Stope the infusion and prepare to administer an antidote

Question 4

A nurse is planning care for a client who is rx IV therapy. Which of the following measures should the nurse include to prevent phlebitis?

Answer 4

Use a small-gauge catheter when initiating IV therapy

Question 5

A nurse is caring for a client who is rx an antibiotic by intermittent IV infusion. The client reports feeling short of breath and is wheezing. Which of the following action should the nurse take?

Answer 5

1. Initiate oxygen
2. Call the rapid response team
3. Elevate the head of the bed 45 degrees

Question 6

What is a common name for the IV solution of 0.9% sodium chloride?

Answer 6

Normal saline

Question 7

A nurse is administering lactated ringers (LR), which contains lactate. LR is used to treat a client who has which of the following d/o?

Answer 7

Acidosis

Question 8

Which of the following is the abbreviation for the IV solution half normal saline?

Answer 8

0.45% NaCl

Question 9

How many calories does 1 liter of 5% dextrose in water (D5W) provide?

Answer 9

170 calories

Question 10

Which of the following IV solutions should a nurse use when preparing to administer a blood transfusion?

Answer 10

0.9% sodium chloride (0.9% NaCl or NS)

Question 11

Describe: Hypotonic solution

Answer 11

Moves fluid from the veins to the cells and interstitial spaces

Question 12

Describe: Isotonic solution

Answer 12

Remains in the intravascular space

Question 13

Describe: Hypertonic solution

Answer 13

Pulls fluid out of the cells and into the veins

Question 14

Hemolysis can occur with the administration of which of the following types of solution?

Answer 14

Hypotonic

Question 15

A nurse administers a solution of 3% NaCl to a client. What type of solution is this?

Answer 15

Hypertonic

Question 16

A nurse administers lactated ringers by continuous IV infusion. What type of solution is this?

Answer 16

Isotonic

Question 17

A nurse administers dextrose 5% in water (D5W) IV solution. After the dextrose is metabolized, what type of solution is this?

Answer 17

Hypotonic

Question 18

A nurse is preparing to use the piggyback method to administer a secondary IV medication. Where should the nurse place the secondary bag?

Answer 18

Higher than the primary bag

Question 19

A nurse is observing a newly licensed nurse administer an intermittent IV bolus to a client who has a continuous IV. The IV bolus is compatible with the continuous IV fluids. Which of the following actions by the newly licensed nurse requires intervention?

Answer 19

Flushing the line with 0.9% NaCl prior to administering the medication

Question 20

A nurse is preparing to administer an IV medication using the IV tandem method. The nurse should attach the secondary tubing to which port on the primary set?

Answer 20

The nurse should attach the secondary tubing at the lower port (left bag, bottom port)

Question 21

A nurse is reviewing the label affixed to a bag of IV medication to be given as an intermittent IV bolus. Which of the following information must be included to meet ISMP recommendations?

Answer 21

1. Client’s medical record number
2. Infusion time for medication
3. Diluent solution
4. Expiration date of the medication