Module 8: Pharmacology and Intravenous Therapies
Study online at https://quizlet.com/_8wocsy
1. A nurse notes that the site of a client's peripheral A Removes the IV catheter
intravenous (IV) catheter is reddened, warm, painful,
and slightly edematous near the insertion point of the
Rationale: Phlebitis is an
catheter. On the basis of this assessment, the nurse
inflammatory process in
first:
the vein. Phlebitis at an
A Removes the IV catheter
IV site may be indicat-
B Slows the rate of infusion
ed by client discomfort at
C Notifies the healthcare provider
the site or by redness,
D Checks for loose catheter connections
warmth, and swelling in
the area of the catheter.
The IV catheter should be
removed and a new IV
line inserted at a differ-
ent site. Slowing the rate
of infusion and checking
for loose catheter connec-
tions are not correct re-
sponses. The health care
provider would be notified
if phlebitis were to occur,
but this is not the initial
action.
2. A nurse hangs a 500-mL bag of intravenous (IV) fluid C Shutting off the IV
for an assigned client. One hour later the client com-
plains of chest tightness, is dyspneic and apprehen- Rationale: The client's
sive, and has an irregular pulse. The IV bag has 100 symptoms are indicative of
mL remaining. Which of the following actions should speed shock, which re-
the nurse take first? sults from the rapid in-
A Removing the IV fusion of drugs or a bo-
B Sitting the client up in bed lus infusion. In this case,
, Module 8: Pharmacology and Intravenous Therapies
Study online at https://quizlet.com/_8wocsy
C Shutting off the IV infusion the nurse would note that
D Slowing the rate of infusion 400 mL has infused over
60 minutes. The first ac-
tion on the part of the
nurse is shutting off the
IV infusion. Other actions
may follow in rapid se-
quence: The nurse may el-
evate the head of the bed
to aid the client's breath-
ing and then immediate-
ly notify the health care
provider. Slowing the in-
fusion rate is inappropri-
ate because the client will
continue to receive fluid.
The IV does not need to be
removed. It may be need-
ed to manage the compli-
cation.
3. A nurse discontinues infusion of a unit of packed red B Contacting the health-
blood cells (RBCs) because the client is experiencing care provider
a transfusion reaction. After discontinuing the trans-
fusion, which of the following actions does the nurse Rationale: If the nurse sus-
take next? pects a transfusion re-
A Removing the IV catheter action, the transfusion
B Contacting the healthcare provider is stopped and normal
C Changing the solution to 5% dextrose in water saline solution infused
D Obtaining a culture of the tip of the catheter device at a keep-vein-open rate
removed from the client pending further health
care provider prescrip-
, Module 8: Pharmacology and Intravenous Therapies
Study online at https://quizlet.com/_8wocsy
tions. The nurse then
contacts the health care
provider.. Dextrose in wa-
ter is not used, because
it may cause clotting or
hemolysis of blood cells.
Normal saline solution is
the only type of IV flu-
id that is compatible with
blood. The nurse would
not remove the IV catheter,
because then there would
be no IV access route
through which to treat the
reaction. There is no rea-
son to obtain a culture
of the catheter tip; this is
done when an infection is
suspected.
4. A client with heart failure is being given furosemide D Checking the result
(Lasix) and digoxin (Lanoxin). The client calls the nurse of laboratory testing for
and complains of anorexia and nausea. Which action potassium on the sample
should the nurse take first? drawn 3 hours ago
A Administering an antiemetic
B Administering the daily dose of digoxin Rationale: Anorexia and
C Discontinuing the morning dose of furosemide nausea are symptoms
D Checking the result of laboratory testing for potas- commonly associated with
sium on the sample drawn 3 hours ago digoxin toxicity, which
is compounded by hy-
pokalemia. Early clinical
manifestations of digox-
, Module 8: Pharmacology and Intravenous Therapies
Study online at https://quizlet.com/_8wocsy
in toxicity include anorexia
and mild nausea, but they
are frequently overlooked
or not associated with
digoxin toxicity. Hallucina-
tions and any change in
pulse rhythm, color vision,
or behavior should be in-
vestigated and reported to
the health care provider.
The nurse should first
check the results of the
potassium level, which will
provide additional when
the nurse calls the health
care provider,an impor-
tant follow-up action. The
nurse should also check
the digoxin reading if one
is available. The nurse
would not administer an
antiemetic without further
investigating the client's
problem. Because digox-
in toxicity is suspected,
the nurse would with-
hold the digoxin until the
health care provider has
been consulted. The nurse
would not discontinue a
medication without a pre-
scription to do so.
Study online at https://quizlet.com/_8wocsy
1. A nurse notes that the site of a client's peripheral A Removes the IV catheter
intravenous (IV) catheter is reddened, warm, painful,
and slightly edematous near the insertion point of the
Rationale: Phlebitis is an
catheter. On the basis of this assessment, the nurse
inflammatory process in
first:
the vein. Phlebitis at an
A Removes the IV catheter
IV site may be indicat-
B Slows the rate of infusion
ed by client discomfort at
C Notifies the healthcare provider
the site or by redness,
D Checks for loose catheter connections
warmth, and swelling in
the area of the catheter.
The IV catheter should be
removed and a new IV
line inserted at a differ-
ent site. Slowing the rate
of infusion and checking
for loose catheter connec-
tions are not correct re-
sponses. The health care
provider would be notified
if phlebitis were to occur,
but this is not the initial
action.
2. A nurse hangs a 500-mL bag of intravenous (IV) fluid C Shutting off the IV
for an assigned client. One hour later the client com-
plains of chest tightness, is dyspneic and apprehen- Rationale: The client's
sive, and has an irregular pulse. The IV bag has 100 symptoms are indicative of
mL remaining. Which of the following actions should speed shock, which re-
the nurse take first? sults from the rapid in-
A Removing the IV fusion of drugs or a bo-
B Sitting the client up in bed lus infusion. In this case,
, Module 8: Pharmacology and Intravenous Therapies
Study online at https://quizlet.com/_8wocsy
C Shutting off the IV infusion the nurse would note that
D Slowing the rate of infusion 400 mL has infused over
60 minutes. The first ac-
tion on the part of the
nurse is shutting off the
IV infusion. Other actions
may follow in rapid se-
quence: The nurse may el-
evate the head of the bed
to aid the client's breath-
ing and then immediate-
ly notify the health care
provider. Slowing the in-
fusion rate is inappropri-
ate because the client will
continue to receive fluid.
The IV does not need to be
removed. It may be need-
ed to manage the compli-
cation.
3. A nurse discontinues infusion of a unit of packed red B Contacting the health-
blood cells (RBCs) because the client is experiencing care provider
a transfusion reaction. After discontinuing the trans-
fusion, which of the following actions does the nurse Rationale: If the nurse sus-
take next? pects a transfusion re-
A Removing the IV catheter action, the transfusion
B Contacting the healthcare provider is stopped and normal
C Changing the solution to 5% dextrose in water saline solution infused
D Obtaining a culture of the tip of the catheter device at a keep-vein-open rate
removed from the client pending further health
care provider prescrip-
, Module 8: Pharmacology and Intravenous Therapies
Study online at https://quizlet.com/_8wocsy
tions. The nurse then
contacts the health care
provider.. Dextrose in wa-
ter is not used, because
it may cause clotting or
hemolysis of blood cells.
Normal saline solution is
the only type of IV flu-
id that is compatible with
blood. The nurse would
not remove the IV catheter,
because then there would
be no IV access route
through which to treat the
reaction. There is no rea-
son to obtain a culture
of the catheter tip; this is
done when an infection is
suspected.
4. A client with heart failure is being given furosemide D Checking the result
(Lasix) and digoxin (Lanoxin). The client calls the nurse of laboratory testing for
and complains of anorexia and nausea. Which action potassium on the sample
should the nurse take first? drawn 3 hours ago
A Administering an antiemetic
B Administering the daily dose of digoxin Rationale: Anorexia and
C Discontinuing the morning dose of furosemide nausea are symptoms
D Checking the result of laboratory testing for potas- commonly associated with
sium on the sample drawn 3 hours ago digoxin toxicity, which
is compounded by hy-
pokalemia. Early clinical
manifestations of digox-
, Module 8: Pharmacology and Intravenous Therapies
Study online at https://quizlet.com/_8wocsy
in toxicity include anorexia
and mild nausea, but they
are frequently overlooked
or not associated with
digoxin toxicity. Hallucina-
tions and any change in
pulse rhythm, color vision,
or behavior should be in-
vestigated and reported to
the health care provider.
The nurse should first
check the results of the
potassium level, which will
provide additional when
the nurse calls the health
care provider,an impor-
tant follow-up action. The
nurse should also check
the digoxin reading if one
is available. The nurse
would not administer an
antiemetic without further
investigating the client's
problem. Because digox-
in toxicity is suspected,
the nurse would with-
hold the digoxin until the
health care provider has
been consulted. The nurse
would not discontinue a
medication without a pre-
scription to do so.
