Nursing Questions: A patient with a peripherally inserted central catheter (PICC
ID: 62072 • Letter: N
Question
Nursing Questions:
A patient with a peripherally inserted central catheter (PICC) line develops a fever and increased white blood cell count. The nurse anticipates that the health care provider will order:
Identify the following hormones that control fluid balance:
a. Pituitay
b. Adrenal
If hypotonic solution is given intravenously to a patient, the fluid will move into cells.
True_____ False_____
The nurse is calculating the patients intake and output for the last 8 hours. During this time, the patient consumed 1 cup of gelatin, ½ cup of juice, 1 cup of water, and 1 cup of tea. The IV infusion started with 750 mL in the bag, with 125 mL remaining at the end of the shift. The urinary output was 340 mL and there was 30 mL of drainage from the nasogastric tube.
Cup = 8 oz
What is the patients intake and output?
I = __________ O = ___________
Which of the following is/ are most likely to lead to a fluid volume deficit? Select all that apply.
a. vomiting___
b. heart failure____
c. corticosteriod administration____
d. fever____
e. increased sodium intake____
f. diuretic administration_____
When selecting a site to start an IV, the nurse should begin with the site that is:________
The IV site is located in the right antecubital space. The nurse notes that the rate flucuates when the patient flexes his right arm. The nurse should:
Identify the correct order of the following steps for the removal of an IV.
a. Turn off the rollar clamp____
b. Remove the IV catheter_____
c. Remoce the dressing____
d. Record the fluid infusion____
e. Inspect the tip of the IV catheter____
f. Perform hand hygiene and apply clean gloves_____
g. Place gauze over the site and apply light pressure____
The nurse is preparing the IV fluid infusion. What should be checked when looking at the IV fluid?
In preparing to adminster a blood transfusion, what are the critical assessments that need to be made?
It is suspected that the patient is experienceing hypokalemia. Identify all the signs that support this assessment. Select all the appy.
a. Bilateral muscle weakness_____
b. Positive Chvostek’s sign______
c. Bradycardia_____
d. Diminished bowel sounds______
e. Tetany_____
f. ECG adnormalites_____
The IV site is swollen, pale, and cool to the touch. The nurse identifies this as:
a. phlebitis
b. infiltration
c. local infection
d. allergic response
A hypotonic IV solution is expected to be administered to a patient who is experiencing
a. hypernatremia
b. hypocalcemia
c. hypervolemia
d. hypokalemia
A patient espresses to the nurese that the tradtional Western or American practices are used in the home for health promotion. The nurse expects that the patient will use:
a. acupuncture
b. guided imagery
c. aromatic therapy
d. over the counter medications
When working with an interpreter for a patient who speaks another lanuuage, the nurse should:
a. direct questions to the interpreter
b. expect word for word translation
c. ensure that the interpreter speaks the patient’s dialect
d. ask the interpreter to evaluate the patients nonverbal bahaviors
Explanation / Answer
1. The health care provider will order the removal of the central line withdrawal.
2. The answer is the adrenal glands.
3. The answer is true, the fluid will move into the cells.
4. Input= 1465ml, Output= 370ml
5. The fluid volume deficit is mainly caused by Vomitting and fever.
6. Veins on the underside of the forearm, the inner "crook" of the elbow, or the back of the hand, though any accessible vein can be used to start an IV.
7. Remove the IV catheter immediately if patient complains of sharp pain, tingling or numbness at the site or radiates to areas near the IV site.
8. a. Perform hand hygiene and apply clean gloves
b. Inspect the tip of the IV catheter
c. Remoce the dressing
d. Turn off the rollar clamp
e. Place gauze over the site and apply light pressure
f. Record the fluid infusion
g. Remove the IV catheter
9. Must check IVs regularly to ensure that the correct dosage and rate of flow are being administered.
10.
11. Bilateral muscle weakness and ECG abnormalities
12. The answer is infiltration
13. The answer is hypernatremia
14. The answer is over the counter medications
15. The answer is ensure that the interpreter speaks the patient’s dialect
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