Chapter 36: Administering Intravenous Solutions and Medications

Chapter 36: Administering Intravenous Solutions and Medications

 

Complete Chapter Questions With Answers

 

Sample Questions Are Posted Below

 

MULTIPLE CHOICE

 

1. The nurse anticipates that the malnourished postoperative 70-year-old patient will receive an intravenous (IV) infusion of 5% dextrose in 0.45% saline, because it is:

a.	isotonic.
b.	hypotonic.
c.	hypertonic.
d.	total parenteral nutrition.

 

 

ANS:  C

5% Dextrose in 0.45% saline is a hypertonic or high molecular solution and is a frequent choice for postoperative maintenance fluid.

 

DIF:    Cognitive Level: Knowledge            REF:   p. 702|Table 36-1

OBJ:   Theory #1      TOP:   Types of Intravenous Solutions

KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Physiological Integrity: Physiological Adaptation

 

2. The nurse is planning for the initiation of a blood transfusion. The type of tubing the nurse will prepare is a:

a.	piggyback set.
b.	primary infusion set.
c.	controlled volume set.
d.	Y administration set.

 

 

ANS:  D

A Y administration set is used to place the blood on one side and normal saline on the other. This is necessary so that the blood can be discontinued but the vein can remain open with the saline in the case of a transfusion reaction or other medically necessary situation.

 

DIF:    Cognitive Level: Application           REF:   p. 728             OBJ:   Clinical Practice #7

TOP:   Administration Sets

KEY:  Nursing Process Step: Physiological Integrity: Reduction of Risk

MSC:  NCLEX: N/A

 

3. The nurse is aware that as a safety precaution against over hydration, the tubing drip factor set appropriate for a 6-month-old infant is:

a.	60 gtt/mL.
b.	20 gtt/mL.
c.	15 gtt/mL.
d.	10 gtt/mL.

 

 

ANS:  A

A microdrip infusion set, which delivers 60 gtt/mL, is used for infants and children.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 731             OBJ:   Theory #3

TOP:   Tubing Size    KEY:  Nursing Process Step: Planning

MSC:  NCLEX: Safe, Effective Care Environment: Safety and Infection Control

 

4. The nurse evaluating a piggyback IV setup finds an error in the construction of the fluids. Which situation would the nurse correct?

a.	Secondary bag is hung higher than the primary bag.
b.	Primary line clamp is closed.
c.	Slide clamp near the insertion site is open.
d.	Secondary line clamp is open.

 

 

ANS:  B

When a medication is given via piggyback setup, the secondary bag is hung slightly higher than the primary line and, when the secondary infusion finishes, the primary one takes over again; therefore, all clamps (roller and slide) must be open for the setup to work properly.

 

DIF:    Cognitive Level: Application           REF:   p. 704             OBJ:   Clinical Practice #1B

TOP:   Secondary or Piggyback Intravenous Set

KEY:  Nursing Process Step: Evaluation

MSC:  NCLEX: Physiological Integrity: Physical Care and Comfort

 

5. The nurse assisting in the initiation of a blood transfusion is aware that the only appropriate solution to infuse through a parallel infusion set before and after the transfusion is:

a.	5% dextrose in water.
b.	10% dextrose in water.
c.	lactated Ringer’s solution.
d.	normal saline.

 

 

ANS:  D

Normal saline is the only solution used in conjunction with infusion of a blood product.

 

DIF:    Cognitive Level: Comprehension     REF:   p. 728             OBJ:   Clinical Practice #7

TOP:   Blood Infusion                                KEY:  Nursing Process Step: Planning

MSC:   NCLEX: Physiological Integrity: Reduction of Risk