ATI Fundamentals For Nursing Chapter 49 (Intravenous Therapy) Application Exercise – Flashcards

A nurse is demonstrating how to insert an IV catheter. Which of the following statements by a nurse viewing the demonstration indicates understanding of the procedure? A. "I will thread the needle all the way into the vein until the hub rests against the insertion site after I see flashback of blood." B. "I will insert the needle into the client's skin at an angle of 10 to 30 degrees with he bevel up." C. "I will apply pressure approximately 1.2 inches below the insertion site prior to removing the needle." D. "I will choose a vein in the antecubital fossa for IV insertion due to its size and easily accessible location."

A nurse is collecting data from a client who is receiving IV therapy and reports pain in his arm, chills, and "not feeling well." The nurse notes warmth, edema, induration, and red streaking on the client's arm close to the IV insertion site. Which of the following actions should the nurse plan to take first? A. Obtain a specimen for culture B. Apply a warm compress. C. Administer analgesics D. Discontinue the infusion

During new employee orientation, a nurse is explaining how to prevent IV infusions. Which of the following statements by an oriented indicates understanding of the preventive strategies? A. "I will leave the IV catheter in place after the client completes the course of IV antibiotics." B. "As long as I am working with the same client, I can use the same IV catheter for my second insertion attempt." C. "If my client needs to use the rest room, it would be safer to disconnect his IV infusion as long as I clean the injection port thoroughly with an antiseptic swab." D. "I will replace any IV catheter when I suspect contamination during insertion."

A nurse on the IV team is conducting an in-service education program about the complications of IV therapy. Which of the following statements by an attendee indicates an understanding of the manifestations of infiltration? (Select all that apply.) A. "The temperature around the IV site is cooler." B. "The rate of the infusion increases." C. "The skin at the IV site is red." D. "The IV dressing is damp." E. "The tissue around the venipuncture site is swollen."

A nurse is caring for a client receiving dextrose 5% in 0.9% sodium chloride IV at 120 mL/hr. Which of the following statements by the client should alert the nurse to suspect fluid overload? (select all that apply.) A. "I feel lightheaded." B. "I feel as though my heart is racing." C. "I feel a little short of breath." D. "The nurse technician told me that my blood pressure was 150 over 90." E. "I think my ankles are less swollen."