Fundamentals Nursing Care Skills 2nd Edition By Ludwig Burton
Fundamentals Nursing Care Skills 2nd Edition By Ludwig Burton
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Chapter 38. Peripheral IV Therapy
Complete Chapter Questions With Answers
Sample Questions Are Posted Below
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) |
MULTIPLE CHOICE
| Â | 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:Â Â 1Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â Chapter: 38 | Page: 917Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â OBJ:Â Â Chapter Objective: 38-13
KEY:Â Content Area: Medication Administration | Integrated Process: Nursing Process/Implementation | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Application
| Â | 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:Â Â 1Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â Chapter: 38 | Page: 919Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â OBJ:Â Â Chapter Objective: 38-7
KEY:Â Content Area: Medication Administration | Integrated Process: Nursing Process/Evaluation | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Application
| Â | 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:Â Â 1Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â Chapter: 38 | Page: 942Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â OBJ:Â Â Chapter Objective: 38-12
KEY:Â Content Area: Medication Administration | Integrated Process: Nursing Process/Implementation | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Analysis
| Â | 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:Â Â 1Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â REF:Â Â Chapter: 38 | Page: 919Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â Â OBJ:Â Â Chapter Objective: 38-4
KEY:Â Content Area: Medication Administration | Integrated Process: Nursing Process/Assessment | Client Need: Pharmacological and Parenteral Therapies | Cognitive Level: Knowledge
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