A nurse is removing a client's IV catheter. Which of the following actions should the nurse take? - Answer: Pull the catheter straight back form the insertion site - stabilize, slow, steady - parallel A nurse assesses a client's IV insertion site and finds that it is red, warm, and slightly edematous. Which of the following actions should the nurse take? - Answer: Discontinue the IV line - phlebitis A nurse is caring for a client who is 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: 0.45% sodium chloride because it dilutes extracellular fluid and rehydrates the cells IV therapy and peripheral access - hypotonic moves fluids into cells 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? - Answer: Coolness - swelling, pallor, tenderness A client is to receive a 1,000 mL bag of 5?xtrose in lactated Ringer's over 8 hr. Using tubing with a drop factor of 15 get/mL, the nurse should regulate the fluid to infuse at how many drops per minute? - Answer: 31 A nurse has just initiated a new peripheral IV infusion with 5?xtrose in water for continuous infusion. How often should the nurse plan to replace the primary infusion tubing? - Answer: Every 96 hr - unless contaminated, punctured, or obstructed A nurse is inserting a peripheral IV catheter and observes a blood return in the flashback chamber after puncturing the skin and selected vein. Which of the IV therapy and peripheral access following actions should the nurse perform next? - Answer: Advance the catheter into the vein with the finger hub - tourniquet released after inserted into vein Which of the following actions should a nurse take when converting an IV infusion to a saline lock? - Answer: Flush the IV catheter to confirm patency - essential A nurse has just inserted a peripheral IV catheter. Which of the following actions should the nurse take to secure the catheter? - Answer: Apply an IV securement device - prevent dislogement A nurse is discontinuing a peripheral IV catheter. Upon removal, the nurse should assess the catheter for which of the following? - Answer: An intact catheter tip - break off = embolus IV therapy and peripheral access - apply tourniquet high on extremity and notify provider Bevel - Answer: up Angle - Answer: 10 to 30 degrees IV solution used: lipid-containing - Answer: No longer than 24 hours IV solution used: lipid-only emulsions - Answer: No longer than 12 hours IV solution used: blood and blood products - Answer: No longer than 4 hours Infusion set used: blood or blood products - Answer: Every 4 hours Infusion set used: continuous IV lipids - Answer: Every 24 hours Infusion set used: intermittent infusion - Answer: Every 24 hours (b/c of the potential of contamination form opening the IV system) IV therapy and peripheral access Infusion set used: other tubing - Answer: Every 96 hours IV solutions - Answer: - maintain fluid balance - replace fluid losses - treat electrolyte imbalances - 25 mL to 1,000 mL - plastic bags or glass bottles Isotonic - Answer: - same effective similarity as body fluid - replace fluid losses (extracellular) - expand intravascular volume Hypotonic - Answer: - effective osmolality less than body fluids - administered to expand the intracellular space - dilute extracellular fluid - rehydrate the cells - in patients who have hypertonic fluid imbalances - treat gastric fluid loss - treat dehydration from excessive diuresis IV therapy and peripheral access Hypertonic - Answer: - created osmolality than body fluids - pull fluid into the vascular space by osmosis - resulting in an increase vascular volume that can result in pulmonary edema, particularly in patients who have cardiac or renal disease - risky - treat severe hyponatremia - irritating to veins - through central line Isotonic dextrose in water - Answer: 5?xtrose in water (D5W) Hypertonic dextrose in water - Answer: 10?xtrose in water (D10W)