University of Phoenix - NRP 531 Lab Quiz Level 3. Graded A.1. Which instruction reflects the nurse’s correct understanding of the role of nursing
... [Show More] assistive personnel
(NAP) in caring for a patient receiving an intravenous (IV) antibiotic medication by piggyback?
“Let me know immediately if the patient complains of pain at the IV site.”
2. When administering an IV piggyback medication to infuse by gravity, how can the nurse ensure that
the medication will flow properly?
Hang the piggyback medication higher than the primary fluid.
3. What is the best way to protect a patient from an IV site injury when giving an antibiotic medication
by piggyback?
Assess the IV site before initiating the IV piggyback medication.
4. What is the best way to prevent infection and conserve resources when terminating an IV piggyback
medication infusion in a patient who also has a primary fluid infusion?
Leave both the piggyback tubing and the bag attached to the primary line Y-site port until the next
scheduled dose.
5. Which nursing intervention is most important in ensuring safe infusion of a medication delivered by IV
piggyback through a saline lock?
Flush the saline lock with sodium chloride solution before initiating the infusion.
6. Which instruction might the nurse give to nursing assistive personnel (NAP) regarding the care of a
patient with an intravenous (IV) site dressing?
“Be sure to notify me if the patient reports that the IV site is painful or swollen.”
7. How will the nurse minimize the risk for infection when changing a patient’s IV catheter site dressing?
Use aseptic technique throughout the process.
8. The nurse is concerned that a confused patient’s erratic movements may compromise the intravenous
(IV) insertion site. Which action can the nurse take to protect the patient and the site from injury?
Apply an IV site-protection device over the site, such as House UltraDressing.
9. Which action would the nurse take if an intravenous (IV) insertion site appeared red, warm, and
swollen?
Discontinue the infusion.
10. How can the nurse ensure that a patient’s IV tubing will not tug on the infusion catheter after a
transparent dressing is applied to an infusion site on the arm?
Secure the tubing in two different locations on the arm
11. After changing the intravenous (IV) tubing on a patient’s primary infusion, the nurse notes air
bubbles in the tubing. How would the nurse remove them?
Close the clamp, stretch the tubing downward, and flick the tubing.
12. Which action can the nurse take to minimize the patient’s risk for infection when applying new
tubing to a primary IV infusion?
Using aseptic technique and changing the tubing at the same time a new primary fluid bag is hung are
both appropriate to minimize the patient’s risk for infection
13. While changing a patient’s hospital gown, the extension set on the IV infusion becomes disconnected
and ends up on the bed linens. What would the nurse do?
Change the extension set tubing.
14. What would the nurse do to ensure the correct administration of gravity drip intravenous (IV) fluid
after changing the tubing on a patient’s primary infusion?
Recheck the drip rate by counting the drops for 1 full minute.
15. Which instruction would the nurse give to nursing assistive personnel (NAP) when caring for a patient
who is receiving IV fluids?
“Let me know when the IV bag is almost empty.”
16. Which response might the nurse give to nursing assistive personnel (NAP) who reports that the alarm
is sounding on a patient’s electronic infusion device (EID)?
“I’ll check the IV site and pump.”
17. How would the infusion of the IV fluids be affected if the tubing were unintentionally dislodged from
the chamber of the control mechanism of the EID?
The flow of fluid would stop.
18. A patient is prescribed 1000 mL of intravenous (IV) normal saline to run over 8 hours. The initial fluid
is hung at 0800. How many milliliters of fluid will have infused by 1200?
500 mL
19. The nurse calculates that the patient is to receive 125 mL of intravenous (IV) normal saline per hour.
After programming the infusion pump to deliver at that rate, how would the nurse ensure accurate fluid
administration?
First verify that the fluid is dripping, and then check the level of fluid remaining in the container every
hour.
20. Which information is not necessary for the nurse to include when documenting the use of an EID for
an intravenous infusion?
Patient’s pulse and heart rate
21. What would the nurse do to assess a patient’s risk for embolus when removing a venous access
device? [Show Less]
