GRADED A+
The nurse is caring for a patient receiving antineoplastic medications
intravenously. The nurse discovers that the intravenous site is red, edematous,
and painful. The nurse knows that antineoplastic medications are vesicant
medications and documents that the patient has experienced which of the
following events?
a. occlusion
b. extravasation
c. phlebitis
d. thrombophlebitis Answer - b
Established standards for routine replacement of peripheral IV catheters and
intravenous administration sets have recommended a maximum of _____
hours to reduce IV fluid contamination and prevent catheter site complications.
a. 24
b. 48
c. 72
d. 96 Answer - d.
, While assessing the patient, the nurse recognizes that special caution should
be taken with the IV infusion because of fluid volume excess when the nurse
notes the presence of which condition?
a. poor skin turgor
b. crackles in the lungs
c. decreased blood pressure
d. dry skin and mucous membranes Answer - b
The nurse needs to specifically prevent air emboli that may result from IV
therapy. What should the nurse make sure to do to prevent air emboli?
a. use a needleless system
b. prime the tubing completely
c. check for medication compatibility
d. select a larger-gauge needle or catheter Answer - b
What should be the next action by the nurse, once an over-the-needle catheter
(ONC) has been inserted through the skin and into the vein?
a. loosen the stylet for removal
b. check for blood return in the flashback chamber
c. stabilize the catheter and release the tourniquet
d. advance the catheter until the hub rests at the insertion site Answer - b
What should the nurse do once she recognizes that the patient has phlebitis at
his IV site?