ATI LPN
Timby's Introductory Medical-Surgical Nursing Thirteenth, North American Edition
Chapter 13 : Intravenous Therapy Questions
Question 1 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 2 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.
Question 3 of 5
Which isotonic solution is often used in providing a source of energy to clients receiving total parenteral nutrition (TPN)?
Correct Answer: A
Rationale: A lipid emulsions prevent and treat essential fatty acid deficiencies and provide a major source of energy. NSS, D5W, and RL are all isotonic solutions but are not used in addition to TPN and are not a good source of energy.
Question 4 of 5
To avoid complications of blood transfusion reaction, which nursing action is most important?
Correct Answer: A
Rationale: When the laboratory draws a sample of blood for typing and crossmatching, an identification bracelet is attached to the client and must match to confirm the correct blood at time of administration. A 20-gauge needle or greater is preferred for administration of blood but not a priority for avoiding transfusion reaction. Normal saline is the isotonic solution used with transfusions but not indicated for prevention of reactions. If the patient verbalized of feeling unusual, immediate assessment would be completed by the nurse and the infusion would be stopped, not decreased by half.
Question 5 of 5
The major advantage for giving a client medication via intravenous (IV) route is which of the following?
Correct Answer: C
Rationale: The IV route produces a rapid drug effect throughout the body. IV administration of drugs can be more costly than the oral route. Adverse reaction toward the medication is not effected by the route. The easiest route for drug therapy in the home is usually oral route.