Chapter 16: Intravenous Therapy
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. What instruction should a nurse provide to a patient when removing a central catheter?
a. Lean forward and cough:
b. Take a deep breath and bear down:
c. Breathe deeply through the mouth:
d. Lie on the right side:
ANS: B
The patient is instructed to take a breath and bear down to prevent air from entering
the bloodstream as the catheter is removed:
DIF: Cognitive Level: Comprehension REF: p: 264 OBJ: 6
TOP: Removal of Central Line KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
2. Where is the best place to begin to select a vein for an initial intravenous (IV) site in a
left-handed patient?
a. Antecubital vein of the right arm
b. Antecubital vein of the left arm
c. Right forearm
d. Left forearm
ANS: C
Unless other reasons are identified, IV sites should be started in the most distal
portion of the nondominant arm or hand:
DIF: Cognitive Level: Knowledge REF: p: 257 OBJ: 6
TOP: Beginning an IV KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
, 3. Where should a nurse inject medication when administering an intravenous (IV) push
medication to a patient who is receiving a continuous infusion?
a. Into the hanging IV bag
b. Directly into the insertion cannula after temporarily disconnecting the IV bag
c. Into the port nearest to the insertion site to ensure quick delivery
d. Into the port nearest to the IV bag for less painful administration
ANS: C
An IV push is to be administered through the port closest to the patient:
DIF: Cognitive Level: Knowledge REF: p: 256 OBJ: 6
TOP: IV Push KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
4. An intravenous (IV) administration of doxycycline (Vibramycin) has extravasated: What
nursing action should be implemented after stopping the IV line?
a. Notify the physician, and restart the IV line in another site:
b. Restart the IV line at another site and document the extravasation:
c. Flush NS through cannula at the insertion site:
d. Discard the IV tubing and the IV bag:
ANS: A
Because doxycycline is a vesicant, the physician should be notified: The IV line
should be restarted to maintain the drug at a therapeutic level:
DIF: Cognitive Level: Application REF: p: 263 OBJ: 7
TOP: Extravasation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
5. A patient is to receive ampicillin (Unasyn) IV piggyback in 100 mL of fluid every 8
hours: The main intravenous (IV) line of D5W is running at 80 mL/hr and is on time: A
nurse’s responsibility is to calculate the total 24-hour intake: At the end of the 24-hour
shift, how much IV intake should the nurse document that the patient has received?
a. 300 mL
b. 800 mL
Linton: Medical-Surgical Nursing, 7th Edition
MULTIPLE CHOICE
1. What instruction should a nurse provide to a patient when removing a central catheter?
a. Lean forward and cough:
b. Take a deep breath and bear down:
c. Breathe deeply through the mouth:
d. Lie on the right side:
ANS: B
The patient is instructed to take a breath and bear down to prevent air from entering
the bloodstream as the catheter is removed:
DIF: Cognitive Level: Comprehension REF: p: 264 OBJ: 6
TOP: Removal of Central Line KEY: Nursing Process Step:
Implementation
MSC: NCLEX: Physiological Integrity: Reduction of Risk
2. Where is the best place to begin to select a vein for an initial intravenous (IV) site in a
left-handed patient?
a. Antecubital vein of the right arm
b. Antecubital vein of the left arm
c. Right forearm
d. Left forearm
ANS: C
Unless other reasons are identified, IV sites should be started in the most distal
portion of the nondominant arm or hand:
DIF: Cognitive Level: Knowledge REF: p: 257 OBJ: 6
TOP: Beginning an IV KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Basic Care and Comfort
, 3. Where should a nurse inject medication when administering an intravenous (IV) push
medication to a patient who is receiving a continuous infusion?
a. Into the hanging IV bag
b. Directly into the insertion cannula after temporarily disconnecting the IV bag
c. Into the port nearest to the insertion site to ensure quick delivery
d. Into the port nearest to the IV bag for less painful administration
ANS: C
An IV push is to be administered through the port closest to the patient:
DIF: Cognitive Level: Knowledge REF: p: 256 OBJ: 6
TOP: IV Push KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
4. An intravenous (IV) administration of doxycycline (Vibramycin) has extravasated: What
nursing action should be implemented after stopping the IV line?
a. Notify the physician, and restart the IV line in another site:
b. Restart the IV line at another site and document the extravasation:
c. Flush NS through cannula at the insertion site:
d. Discard the IV tubing and the IV bag:
ANS: A
Because doxycycline is a vesicant, the physician should be notified: The IV line
should be restarted to maintain the drug at a therapeutic level:
DIF: Cognitive Level: Application REF: p: 263 OBJ: 7
TOP: Extravasation KEY: Nursing Process Step: Implementation
MSC: NCLEX: Physiological Integrity: Pharmacological Therapies
5. A patient is to receive ampicillin (Unasyn) IV piggyback in 100 mL of fluid every 8
hours: The main intravenous (IV) line of D5W is running at 80 mL/hr and is on time: A
nurse’s responsibility is to calculate the total 24-hour intake: At the end of the 24-hour
shift, how much IV intake should the nurse document that the patient has received?
a. 300 mL
b. 800 mL
