A recent evidence-informed review recommends that replacing peripheral
venous catheters and rotating sites should occur:
A. Every 96 hours
B. When clinically indicated
C. Every 48 hours
D. Every 72 hours
answer= B
A patient has been admitted with heart failure. The health care provider's orders
state to administer normal saline at 50 mL per hour. An hour later, the nurse
finds that 150 mL have infused. What priority assessments should the nurse
make? (Select all that apply.)
A) Auscultate lungs for crackles
B) Check pulse for tachycardia
C) Check patient's temperature for presence of fever
D) Inspect mucous membranes for dryness
E) Assess respiratory pattern for evidence of dyspnea
F) Inspect lower extremities for edema
answer= A, B, E, F
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The nurse observes that the patient appears to be very short of breath. The nurse
assesses the patient and determines that the patient is experiencing fluid volume
excess (FVE). The nurse notes that 500 mL of IV fluids have infused in the last
hour rather than the prescribed 50 mL/hr. What action should the nurse take
first?
A. Notify the health care provider.
B. Discontinue the IV.
C. Slow the rate of infusion.
D. Administer oxygen at 2 L/min.
answer= C
A patient has an IV of 1000 mL normal saline to infuse at 50 mL per hour. It
takes ________ hours for the patient to receive this infusion.
A. 10
B 20
C. 25
D. 50
answer= B
Which of the following unexpected outcomes requires discontinuing the IV and
restarting it in another site? (Select all that apply.)
A. Decreased rate, edema, pallor and decreased temperature around insertion site
B. Erythema and tenderness along vein pathway
C. Patient complains of dressing being loose
D. Patient is an older adult with fragile skin
answer= A, B
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