Chapter 28

A patient is receiving 1 L of \(D_{5}\) lactated Ringer's \((\mathrm{LR})\) every 12 hours using an administration set with a drop factor of \(15 \mathrm{gtt} / \mathrm{mL}\). At what rate should the nurse set this infusion? \(1. 10 \mathrm{gtt} / \mathrm{min}\) \(2. 21 \mathrm{gtt} / \mathrm{min}\) \(3. 33 \mathrm{gtt} / \mathrm{min}\) \(4. 83 \mathrm{gtt} / \mathrm{min}\)

A patient had an intravenous (IV) catheter inserted 48 hours ago to receive antibiotic therapy. During assessment of the IV site the nurse observes redness and tenderness on palpation. The nurse documents that the IV was discontinued and restarted because of which complication of IV therapy? 1\. Clotting of the IV catheter 2\. Infiltration 3\. Phlebitis 4 . Puncturing of the opposite side of the vein

Place in correct order the following steps for changing a dressing over a short peripheral IV device: 1 Clean insertion site with antiseptic swab. 2 After removing tape, remove transparent dressing (transparent semipermeable membrane [TSM]). 3 Apply new transparent dressing (TSM). 4 Observe site for signs and symptoms of intravenous (IV)-related complications.

A midline catheter is considered a central vascular access device. 1 True 2 False

An obese patient who had a right mastectomy several years ago has better veins in her right hand but is left handed. Where should the nurse place the intravenous (IV) catheter? 1 In her right hand 2 In her left lower arm 3 Wherever the patient wants 4 In her right antecubital site

The health care provider discontinued a patient's anticoagulant therapy. Which nursing intervention is most appropriate after the nurse removes the intravenous (IV) catheter from his hand? 1 Apply pressure to the IV site until the bleeding stops. 2 Convert the catheter to an intermittent heparin lock for 24 hours. 3 Encourage the patient to keep his hand elevated for 10 minutes. 4 Use a warm compress at the site for several minutes.

A patient just had a peripherally inserted central catheter (PICC) placed in the right antecubital site. When reading the x-ray film report verifying correct placement of the catheter, the nurse knows that the tip of the PICC is located correctly if it is in which vessel? 1 The inferior vena cava 2 The basilic vein 3 The cephalic vein 4 The superior vena cava

Which of the following is a key component of the Central Line Bundle? 1 Chlorhexidine skin antisepsis 2 Soap and water skin preparation 3 Alcohol skin antisepsis 4 Hydrogen peroxide skin preparation

An order is received to provide a solution with an osmolarity greater than \(600 \mathrm{mOsm} / \mathrm{L}\) to a patient. Which of the following intravenous (IV) devices is appropriate? 1 Short peripheral in cephalic vein 2 Midline in basilic vein 3 Peripherally inserted central catheter (PICC) in subclavian vein 4 Implanted venous port in superior vena cava (SVC)