Chapter 13--Infusion Therapy

Chapter 13–Infusion Therapy

Complete Chapter Questions With Answers

Sample Questions Are Posted Below

MULTIPLE CHOICE

1. A client is scheduled for a peripherally inserted central catheter in a few days. However, the client needs intravenous fluids infused immediately. Which of the following veins should the nurse avoid when starting the intravenous infusion now?

ANS:  3

The cephalic vein should be reserved for a midline or peripherally inserted central catheter since it is located near the antecubital fossa. The other veins are appropriate for IV starts.

PTS:   1                    DIF:    Apply            REF:   Anatomy and Physiology; Percutaneous Catheters

2. The tubing on a client’s intravenous infusion administration set is not long enough to support the client’s ambulation needs. Which of the following can the nurse do to assist this client?

ANS:  2

An extension set is used to add length and additional medication ports to primary tubing. A stopcock is used to direct the flow of fluid in the intravenous line. A filter is used to eliminate air and particles that should not be infused into the client. A needleless access device is used at medication ports to add a layer of safety.

PTS:   1                    DIF:    Apply            REF:   Box. 13-1 Add-On Devices for Infusion Therapy

3. An intravenous catheter has been inserted over a client’s antecubital joint. Which of the following should the nurse do to ensure the client’s comfort and the usefulness of the catheter?

ANS:  1

If an intravenous catheter has to be placed over a joint, the nurse should use an arm board to immobilize the site, prolong the life of the intravenous line, and decrease mechanical phlebitis.

PTS:   1                    DIF:    Apply            REF:   IV Procedure Special Considerations

4. After preparing a client’s skin for insertion of an intravenous catheter, the nurse accidentally touches the skin site with an uncovered finger. Which of the following should the nurse do?

ANS:  1

Once the site is prepared, the nurse should not touch the site unless sterile gloves are worn. If the site is touched by unprotected skin, the nurse should cleanse the skin again. The nurse should not apply clean gloves and continue. The nurse does not need to locate another vein to access. The nurse should not continue with the insertion of the catheter since this can lead to an infection of the site.

PTS:   1                    DIF:    Apply            REF:   IV Complications

5. Which of the following should the nurse assess to determine if a client’s intravenous infusion has infiltrated?

ANS:  2

If infiltration is suspected, the nurse should compare both arms. The dominant arm should be a bit larger, but a significant difference in size could mean infiltration. A blood return may still be visible with an infiltrated intravenous line. A lack of a blood return does not always mean the cannula is no longer in the vein since some cannulas can collapse when aspirating from them. Presence of pain could be due to the solution type. Hypertonic solutions cause more pain. The presence of a temperature could mean a variety of health conditions and not necessarily an infiltration.

PTS:   1                    DIF:    Apply            REF:   Infiltration