NUR105 M1.9: ATI Skills Modules-Virtual Scenarios: IV Therapy & Peripheral Access
Here are the questions and answers related to the ATI Skills Modules-Virtual Scenarios for IV Therapy and Peripheral Access:
A nurse is discontinuing a peripheral IV catheter. Upon removal, the nurse should assess the catheter for which of the following?
Answer: The nurse should assess the catheter for an intact catheter tip. The tip of the catheter can break off, creating an embolus. To limit the movement of the embolus, the nurse should apply a tourniquet high on the extremity where the IV line was located and notify the provider immediately.
A nurse has just initiated an IV infusion and is teaching the client about possible complications. The nurse should include that which of the following findings is an indication of early infiltration.NUR105 M1.9: ATI Skills Modules
Answer: An indication of early infiltration is coolness. Coolness is a classic sign of infiltration, along with swelling, pallor, and possibly tenderness. Infiltration is a leakage of IV solution out of the intravascular compartment and into the surrounding tissue.
A nurse has just initiated a new peripheral IV infusion with 5% dextrose in water for continuous infusion. How often should the nurse plan to replace the primary infusion tubing?NUR105 M1.9: ATI Skills Modules
Answer: The nurse should plan to replace the primary infusion tubing every 96 hours, according to the recommendations of the Centres for Disease Control and Prevention and the Infusion Nurses’ Society. This is unless the tubing has been contaminated, punctured, or obstructed.
A nurse is removing a client’s IV catheter. Which of the following actions should the nurse take?
Answer: The nurse should pull the catheter straight back from the insertion site. With the catheter stabilized and using a slow, steady movement, the nurse should withdraw the catheter straight back and away from the insertion site, making sure to keep the hub parallel to the skin.
A nurse assesses a client’s IV insertion site and finds that it is red, warm, and slightly oedematous. Which of the following actions should the nurse take?NUR105 M1.9: ATI Skills Modules
Answer: The nurse should discontinue the IV line. The client has classic signs of phlebitis, which is an inflammation of the vein. The IV line must be discontinued immediately to reduce the risk of thrombophlebitis and embolism.
A nurse has just inserted a peripheral IV catheter. Which of the following actions should the nurse take to secure the catheter?
Answer: The nurse should apply an IV securement device. An IV securement device will help the IV stay in place and prevent dislodgement.
Which of the following actions should a nurse take when converting an IV infusion to a saline lock?
Answer: The nurse should flush the IV catheter to confirm patency. It is essential to attach the primed saline lock adapter to the extension tubing and to flush the tubing with normal saline to confirm patency.
A client is to receive a 1,000 mL bag of 5% dextrose in lactated Ringer’s over 8 hours. Using tubing with a drop factor of 15 gtt/mL, the nurse should regulate the fluid to infuse at how many drips per minute?
Answer: The nurse should regulate the fluid to infuse at 31 gtt/min.
A nurse is caring for a client who is in early-stage renal failure and has a prescription for the infusion of IV fluids. Which of the following IV fluids does the nurse anticipate a prescription for and why?
Answer: The nurse anticipates a prescription for 0.45% sodium chloride because it dilutes extracellular fluid and rehydrates cells. Infusing a hypotonic solution, such as 0.45% sodium chloride, moves fluid into the cells, thus enlarging and rehydrating them.
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