Nursing Questions:
A patient with a peripherallyinserted central catheter (PICC) line develops a fever andincreased white blood cell count. The nurse anticipates that thehealth 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, thefluid will move into cells.
True_____ False_____
The nurse is calculating the patients intake and output for thelast 8 hours. During this time, the patient consumed 1 cup ofgelatin, ½ cup of juice, 1 cup of water, and 1 cup of tea. The IVinfusion started with 750 mL in the bag, with 125 mL remaining atthe end of the shift. The urinary output was 340 mL and there was30 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 fluidvolume 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 beginwith the site that is:________
The IV site is located in the right antecubital space. The nursenotes that the rate flucuates when the patient flexes his rightarm. The nurse should:
Identify the correct order of the following steps for theremoval 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 bechecked when looking at the IV fluid?
In preparing to adminster a blood transfusion, what are thecritical 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 theappy.
a. Bilateral muscle weakness_____
b. Positive Chvostekâs sign______
c. Bradycardia_____
d. Diminished bowel sounds______
e. Tetany_____
f. ECG adnormalites_____
The IV site is swollen, pale, and cool to the touch. The nurseidentifies this as:
a. phlebitis
b. infiltration
c. local infection
d. allergic response
A hypotonic IV solution is expected to be administered to apatient who is experiencing
a. hypernatremia
b. hypocalcemia
c. hypervolemia
d. hypokalemia
A patient espresses to the nurese that the tradtional Western orAmerican practices are used in the home for health promotion. Thenurse 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 speaksanother lanuuage, the nurse should:
a. direct questions to the interpreter
b. expect word for word translation
c. ensure that the interpreter speaks the patientâs dialect
d. ask the interpreter to evaluate the patients nonverbalbahaviors