NCLEX Review for - NCLEX Review for IV therapy 1 . Which of the fo...

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NCLEX Review for IV therapy

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NCLEX Review for IV therapy

• . Which of the fo!!owing c!ients are more prone to develop fluid (Crcu!ator;} overload?

Select all that apply.

• A premature infant
• A 101- year old man
• A client on renal dialysis
• A client with heart failure
• A client with diabetes mellitus
• A 29-year old client with pneumonia

• A client has an order to receive 1000 ml of 5% dextrose in 0.45% sodium

chloride. After gathering the appropriate equipment, the nurse takes which action first before spiking the IV bag with the tubing?

• Uncaps the distal end of the tubing
• Uncaps the spike portion of the tubing
• Opens the roller clamp on the IV tubing
• Closes the roller clamp on the IV tubing

• The nurse is assigned to care for a client with a peripheral continuous

IV infusion. The nurse needs to change the client's gown, how will she preform this?

• Using a hospital gown with snaps at the sleeves
• Disconnect the tubing from the catheter in the vein
• Checking IV flow rate immediately after changing the hospital gown
• Putting the IV tubing and bag through the sleeve of the gown

followed by the arm

NCLEX Review for IV therapy

• The nurse is doing a routine IV check and notices that the IV site is

cool, pale and swollen and the IV has stopped running. The nurse determines that which of the following has happened.

• Phlebitis
• inrecfron-
• Inflitration
• Thrombosis

• The nurse has been instructed to remove a peripheral IV site . The

nurse removes the catheter while applying pressure with which item?

• Band-aid
• Alcohol pad
• Betadine swab
• Sterile 2 x 2

• The nurse is assessing an IV site and finds it red, warm and painful proximal

to the catheter site. The nurse interprets this as?

• Phlebitis of the vein
• Infiltration
• Hypersensitivity to the IV solution
• An allergic reaction to the IV catheter

• The nurse is preparing an IV solution and t ubing for a client who requires

IV fluids. While priming the tubing the tubing drops on the floor. The nurse should do which of the following?

• Change the IV tubing
• Wipe the end of the tubing with betadine
• Scrub the tubing with alcohol
• Scrub the tubing before attaching it to the bag

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