Module 8: Pharmacology and Intravenous Therapies Quiz
with complete solution
A nurse notes that the site of a client's peripheral intravenous (IV) catheter is
reddened, warm, painful, and slightly edematous near the insertion point of the
catheter. On the basis of this assessment, the nurse first:
A Removes the IV catheter
B Slows the rate of infusion
C Notifies the healthcare provider
D Checks for loose catheter connections
A Removes the IV catheter
A nurse hangs a 500-mL bag of intravenous (IV) fluid for an assigned client. One
hour later the client complains of chest tightness, is dyspneic and apprehensive,
and has an irregular pulse. The IV bag has 100 mL remaining. Which of the
following actions should the nurse take first?
A Removing the IV
B Sitting the client up in bed
C Shutting off the IV infusion
D Slowing the rate of infusion
C Shutting off the IV
A nurse discontinues infusion of a unit of packed red blood cells (RBCs) because
the client is experiencing a transfusion reaction. After discontinuing the
transfusion, which of the following actions does the nurse take next?
A Removing the IV catheter
B Contacting the healthcare provider
C Changing the solution to 5% dextrose in water
D Obtaining a culture of the tip of the catheter device removed from the client
B Contacting the healthcare provider
A client with heart failure is being given furosemide (Lasix) and digoxin (Lanoxin).
The client calls the nurse and complains of anorexia and nausea. Which action
should the nurse take first?
A Administering an antiemetic
B Administering the daily dose of digoxin
C Discontinuing the morning dose of furosemide
D Checking the result of laboratory testing for potassium on the sample drawn 3
hours ago
D Checking the result of laboratory testing for potassium on the sample drawn 3 hours
ago
A physician prescribes the administration of parenteral nutrition (PN), to be
started at a rate of 50 mL/hr by way of infusion pump through an established
subclavian central line. After the first 2 hours of the PN infusion, the client
suddenly complains of difficulty breathing and chest pain. The nurse
immediately:
A Obtains blood for culture
B Clamps the PN infusion line
,C Obtains a sample for blood glucose testing
D Obtains an electrocardiogram (ECG)
B Clamps the PN infusion line
A physician prescribes 2000 mL of 5% dextrose and normal saline 0.45% for
infusion over 24 hours. The drop factor is 15 gtt/mL. At how many drops per
minute does the nurse set the flow rate? (Round to the nearest whole number).
21
A nurse is assessing a peripheral intravenous (IV) site and notes blanching,
coolness, and edema at the insertion site. What should the nurse do first?
A Remove the IV
B Apply a warm compress
C Check for blood return
D Measure the area of infiltration
A Remove the IV
A home care nurse has been assigned a client who has been discharged home
with a prescription for parenteral nutrition (PN). Which of the following
parameters does the nurse plan to check at each visit as a means of identifying
complications of the PN therapy? Select all that apply.
A Weight
B Glucose test
C Temperature
D Peripheral pulses
E Hemoglobin and hematocrit
A Weight
B Glucose test
C Temperature
A nurse is caring for a group of adult clients on an acute care nursing unit. Which
of the following clients does the nurse recognize as the least likely candidate for
parenteral nutrition (PN)?
A 61-year-old client with pancreatitis
B 52-year-old client with severe sepsis
C 45-year-old client who has undergone repair of a hiatal hernia
D 24-year-old client with a severe exacerbation of ulcerative colitis
C 45-year-old client who has undergone repair of a hiatal hernia
A client with a peripheral intravenous (IV) line in place has a new prescription for
infusion of parenteral nutrition (PN), a solution containing 25% glucose. Which of
the following actions should be taken by the nurse?
A Hanging the IV solution as prescribed
B Questioning the healthcare provider about the prescription
C Hanging the IV solution but setting the infusion at just half the prescribed rate
D Diluting the solution with sterile water to half-strength
B Questioning the healthcare provider about the prescription
The first bag of parenteral nutrition (PN) solution has arrived on the clinical unit
for a client beginning this nutritional therapy. The solution is to be infused by way
of a central line. Which of the following essential pieces of equipment does the
nurse obtain before hanging the solution?
, A Pulse oximeter
B Blood glucose meter
C Electronic infusion device
D Noninvasive blood pressure monitor
C Electronic infusion device
A nurse is monitoring a client who is receiving parenteral nutrition (PN). Which of
the following signs and symptoms causes the nurse to suspect that the client is
experiencing hyperglycemia as a complication?
A Pallor, weak pulse, and anuria
B Nausea, vomiting, and oliguria
C Nausea, thirst, and increased urine output
D Sweating, chills, and decreased urine output
C Nausea, thirst, and increased urine output
At 1600 the nurse checks a client's parenteral nutrition (PN) infusion bag and
finds 1100 mL remaining in the 3000-mL bag. The solution is running at a rate of
100 mL/hr. The bag was hung the previous day at 1800. The nurse plans to
change the infusion bag and tubing this evening at:
A 1700
B 1800
C 2000
D 2100
B 1800
A client receiving parenteral nutrition (PN) requires fat emulsion (lipids), which
will be piggybacked to the PN solution. On obtaining a bottle of fat emulsion, the
nurse notes that fat globules are floating at the top of the solution. Which of these
actions should the nurse take?
A Shaking the bottle vigorously
B Requesting a new bottle from the pharmacy
C Rotating the bottle gently back and forth to mix the globules
D Running the bottle under warm water until the globules disappear
B Requesting a new bottle from the pharmacy
A nurse is preparing a client for the insertion of a central intravenous line into the
subclavian vein by the healthcare provider. The nurse gathers the equipment,
places it at the bedside, and prepares to assist the healthcare provider with the
procedure. As further preparation for the procedure, the nurse places the client:
A Flat on the left side
B In the prone position
C In the supine position
D In a slight Trendelenburg position
D In a slight Trendelenburg position
A client is receiving parenteral nutrition (PN) with fat emulsion (lipids)
piggybacked to the PN solution. For which signs of an adverse reaction to the fat
emulsion should the nurse monitor the client? Select all that apply.
A Chills
B Pallor
C Headache
with complete solution
A nurse notes that the site of a client's peripheral intravenous (IV) catheter is
reddened, warm, painful, and slightly edematous near the insertion point of the
catheter. On the basis of this assessment, the nurse first:
A Removes the IV catheter
B Slows the rate of infusion
C Notifies the healthcare provider
D Checks for loose catheter connections
A Removes the IV catheter
A nurse hangs a 500-mL bag of intravenous (IV) fluid for an assigned client. One
hour later the client complains of chest tightness, is dyspneic and apprehensive,
and has an irregular pulse. The IV bag has 100 mL remaining. Which of the
following actions should the nurse take first?
A Removing the IV
B Sitting the client up in bed
C Shutting off the IV infusion
D Slowing the rate of infusion
C Shutting off the IV
A nurse discontinues infusion of a unit of packed red blood cells (RBCs) because
the client is experiencing a transfusion reaction. After discontinuing the
transfusion, which of the following actions does the nurse take next?
A Removing the IV catheter
B Contacting the healthcare provider
C Changing the solution to 5% dextrose in water
D Obtaining a culture of the tip of the catheter device removed from the client
B Contacting the healthcare provider
A client with heart failure is being given furosemide (Lasix) and digoxin (Lanoxin).
The client calls the nurse and complains of anorexia and nausea. Which action
should the nurse take first?
A Administering an antiemetic
B Administering the daily dose of digoxin
C Discontinuing the morning dose of furosemide
D Checking the result of laboratory testing for potassium on the sample drawn 3
hours ago
D Checking the result of laboratory testing for potassium on the sample drawn 3 hours
ago
A physician prescribes the administration of parenteral nutrition (PN), to be
started at a rate of 50 mL/hr by way of infusion pump through an established
subclavian central line. After the first 2 hours of the PN infusion, the client
suddenly complains of difficulty breathing and chest pain. The nurse
immediately:
A Obtains blood for culture
B Clamps the PN infusion line
,C Obtains a sample for blood glucose testing
D Obtains an electrocardiogram (ECG)
B Clamps the PN infusion line
A physician prescribes 2000 mL of 5% dextrose and normal saline 0.45% for
infusion over 24 hours. The drop factor is 15 gtt/mL. At how many drops per
minute does the nurse set the flow rate? (Round to the nearest whole number).
21
A nurse is assessing a peripheral intravenous (IV) site and notes blanching,
coolness, and edema at the insertion site. What should the nurse do first?
A Remove the IV
B Apply a warm compress
C Check for blood return
D Measure the area of infiltration
A Remove the IV
A home care nurse has been assigned a client who has been discharged home
with a prescription for parenteral nutrition (PN). Which of the following
parameters does the nurse plan to check at each visit as a means of identifying
complications of the PN therapy? Select all that apply.
A Weight
B Glucose test
C Temperature
D Peripheral pulses
E Hemoglobin and hematocrit
A Weight
B Glucose test
C Temperature
A nurse is caring for a group of adult clients on an acute care nursing unit. Which
of the following clients does the nurse recognize as the least likely candidate for
parenteral nutrition (PN)?
A 61-year-old client with pancreatitis
B 52-year-old client with severe sepsis
C 45-year-old client who has undergone repair of a hiatal hernia
D 24-year-old client with a severe exacerbation of ulcerative colitis
C 45-year-old client who has undergone repair of a hiatal hernia
A client with a peripheral intravenous (IV) line in place has a new prescription for
infusion of parenteral nutrition (PN), a solution containing 25% glucose. Which of
the following actions should be taken by the nurse?
A Hanging the IV solution as prescribed
B Questioning the healthcare provider about the prescription
C Hanging the IV solution but setting the infusion at just half the prescribed rate
D Diluting the solution with sterile water to half-strength
B Questioning the healthcare provider about the prescription
The first bag of parenteral nutrition (PN) solution has arrived on the clinical unit
for a client beginning this nutritional therapy. The solution is to be infused by way
of a central line. Which of the following essential pieces of equipment does the
nurse obtain before hanging the solution?
, A Pulse oximeter
B Blood glucose meter
C Electronic infusion device
D Noninvasive blood pressure monitor
C Electronic infusion device
A nurse is monitoring a client who is receiving parenteral nutrition (PN). Which of
the following signs and symptoms causes the nurse to suspect that the client is
experiencing hyperglycemia as a complication?
A Pallor, weak pulse, and anuria
B Nausea, vomiting, and oliguria
C Nausea, thirst, and increased urine output
D Sweating, chills, and decreased urine output
C Nausea, thirst, and increased urine output
At 1600 the nurse checks a client's parenteral nutrition (PN) infusion bag and
finds 1100 mL remaining in the 3000-mL bag. The solution is running at a rate of
100 mL/hr. The bag was hung the previous day at 1800. The nurse plans to
change the infusion bag and tubing this evening at:
A 1700
B 1800
C 2000
D 2100
B 1800
A client receiving parenteral nutrition (PN) requires fat emulsion (lipids), which
will be piggybacked to the PN solution. On obtaining a bottle of fat emulsion, the
nurse notes that fat globules are floating at the top of the solution. Which of these
actions should the nurse take?
A Shaking the bottle vigorously
B Requesting a new bottle from the pharmacy
C Rotating the bottle gently back and forth to mix the globules
D Running the bottle under warm water until the globules disappear
B Requesting a new bottle from the pharmacy
A nurse is preparing a client for the insertion of a central intravenous line into the
subclavian vein by the healthcare provider. The nurse gathers the equipment,
places it at the bedside, and prepares to assist the healthcare provider with the
procedure. As further preparation for the procedure, the nurse places the client:
A Flat on the left side
B In the prone position
C In the supine position
D In a slight Trendelenburg position
D In a slight Trendelenburg position
A client is receiving parenteral nutrition (PN) with fat emulsion (lipids)
piggybacked to the PN solution. For which signs of an adverse reaction to the fat
emulsion should the nurse monitor the client? Select all that apply.
A Chills
B Pallor
C Headache
