STUDY GUIDE WITH QUESTIONS AND CORRECT ANSWERS (GRADED A+)
A nurse administers the first dose of a client's prescribed antibiotic via
intermittent IV bolus. During the first 10 to 15 min of administration, which
of the following assessments is the nurse's priority? -
Answer-Assess the client for a systemic allergic reaction
*The greatest risk to this client is anaphylaxis. Therefore, the priority assessment is to
assess the client for a systemic allergic reaction. Clients can experience a systemic
allergic reaction rapidly with IV antibiotics and should be observed for the first 10 to 15
min for manifestations.*
A nurse is caring for a client who is receiving 0.9% sodium chloride IV at 75
mL/hr through a triple lumen central venous access device. The IV pump alarm
sounds, indicating that there is an occlusion. Which of the following actions
should the nurse take first? -
Answer-Check the line at or above the hub for kinked tubing that is creating a
resistance to flow
A nurse is preparing to administer an IV medication to a client. The nurse should
identify that which of the following is a disadvantage of administering IV
medications? -
Answer-IV medications are irreversible
A nurse is assessing a client who is receiving 0.9% sodium chloride IV at 125
mL/hr.
Which of the following should the nurse recognize as a possible
complication related to the IV therapy? -
Answer-Client reports coughing and shortness of breath
*Coughing and shortness of breath are manifestations of fluid overload. The nurse
should slow the IV and notify the provider.*
A nurse is preparing to administer ceftriaxone 1 g in 100 mL IV over 30 min. The
drip rate is 10 gtt/mL. The nurse should set the infusion rate to administer how
many gtt/min? (Round the answer to the nearest whole number. Use a leading
zero if it applies. Do not use a trailing zero.) -
Answer-33 gtt/min
A nurse is caring for a client who was admitted to the hospital for same day
surgery and has a new prescription for continuous IV therapy. Which of the
following actions should the nurse take when administering the IV therapy? -
Answer-Inspect the IV solution for fluid color, clarity, and expiration date
A nurse is caring for a client who is receiving dextrose in 5% water with 20 mEq
of potassium chloride at 75 mL/hr. The provider has prescribed 1 g
ceftriaxone IV. When preparing to administer this medication by intermittent IV
bolus, which of the following actions should the nurse take first? -
Answer-Verify the medication's compatibility with the primary IV solution.