ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 13 : Intravenous Therapy Questions
Question 1 of 5
A client with severe malnutrition is ordered intravenous (IV) albumin. Which is the primary assessment in providing nursing care for this client?
Correct Answer: B
Rationale: Albumin attracts fluid so care is taken to monitor clients for signs of fluid overload during and after albumin administration. Albumin is a plasma protein and should not affect hematocrit and hemoglobin. Albumin does not lower thrombocytes or elevate WBCs.
Question 2 of 5
A client is brought to the emergency department with a diagnosis of possible cerebral vascular accident (CVA) and is being typed and crossmatched for fresh frozen plasma (FFP). Which is the best nursing understanding for this action?
Correct Answer: C
Rationale: FFP contains fibrinogen and components for coagulation and is used to treat clotting disorders and/or hemorrhage. An embolus is not treated with FFP. An evolving stroke is a stroke in which the symptoms are still changing and does not define the cause of the stroke. Hypervolemia means intravascular overload, which is not usually associated with a stroke.
Question 3 of 5
A client is ordered an intravenous (IV) solution of Ringer's lactate $1000 \mathrm{mL}$ to infuse at $40 \mathrm{mL/hr}$. What is the maximum amount of time the nurse should allow this IV to hang?
Correct Answer: C
Rationale: Although the $1000-\mathrm{mL}$ bag can deliver 25 hours of infusion (at the rate of $40 \mathrm{mL/hr}$ ) the nurse knows that once the IV solution bag is spiked, the bag cannot hang for more than 24 hours.
Question 4 of 5
Thirty minutes after hanging a glass intravenous bottle of total parenteral nutrition (TPN), the nurse notices the solution has stopped dripping. Which is the best troubleshooting action of the nurse?
Correct Answer: B
Rationale: Vented tubing draws air into the container and must be used with glass bottles. Restarting the IV is unnecessary and places the client at risk for further complications. Turning off the pump will not correct the problem. In-line filtered tubing should always be used with TPN but will not correct the problem.
Question 5 of 5
The nurse is preparing an intravenous partial bottle (IVPB) of anti-infective as ordered. Which is the best method of delivery for a client with a history of congestive failure?
Correct Answer: C
Rationale: A medication lock provides a route for intermittent infusion of medications/solutions that limits the amount of solution given. IV push is not the preferred route for administration of anti-infective and is not an approved route for the LPN/VPN. Midline catheter is used for long-term peripheral IV therapy is not indicated. Continuous IV infusion would place the client at greater risk for fluid over load.