A nurse is caring for a client who has a peripheral iv inserted for fluid replacement
A nurse is caring for a client who has a peripheral iv inserted for fluid replacement. 9% sodium Study with Quizlet and memorize flashcards containing terms like The nurse is doing a routine assessment of a client's peripheral intravenous (IV) site. The client complains of burning at the IV insertion site and the nurse notes that the site is red and puffy, and there is a red streak extending across the hand from the insertion site. #14-gauge A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. Assess the client for pitting edema d. Flush the IV catheter c. Which of the following interventions should the nurse include in the plan?, A nurse is planning care for four clients following change-of-shift report. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing a client who started a prescription for phenytoin 3 weeks ago. What is the flow rate in gtt/min? 5,000 gtt/min 83 gtt/min 42 gtt/min 167 gtt/min, A home care nurse is visiting a client with acute kidney injury who is on fluid restriction. Date of catheter tubing change C. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who had IV fluids initiated at 0330. Which client is at highest risk for experiencing fluid overload as a complication of IV therapy?, The nurse is monitoring an IV site for a client who reports that the needle feels 'funny. You are caring for a patient who has a diagnosis of syndrome of inappropriate antidiuretic hormone secretion (SIADH). Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has just had a central venous access line inserted. The nurse should first _______, followed by_________, A nurse is preparing to obtain a client's vital signs. The nurse knows that the client needs restoration of:, The nurse is calculating an infusion rate for the following Study with Quizlet and memorize flashcards containing terms like The nurse is preparing to administer fluid replacement to a client. Oral fluid intake is 100 mL for the last 8 hours. The nurse notes that the site is cool, pale, and swollen and that the IV has stopped running. hyperkalemia. Follow the facility policy for infusion of potassium. The nurse’s responsibilities in managing IV therapy include the following: assessing an IV site. Which of the following clients is the nurse's priority?, A nurse is planning care for four A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. Elevate the client's left arm. Reduce the IV flow rate. c. the nurse notes the client face is Study with Quizlet and memorize flashcards containing terms like An older adult client has been admitted to the hospital with dehydration, and the nurse has inserted a peripheral intravenous line into the client's forearm in order to facilitate rehydration. Ensure that an x-ray is completed to confirm placement. Close the roller clamp on the tubing. Study with Quizlet and memorize flashcards containing terms like By which route do oxygen and carbon dioxide exchange in the lung?, A client loses consciousness after strenuous exercise and needs to be admitted to a health care facility. Use clean technique when changing the dressing. Report a reduced urinary output to the health care provider. 2 hours 3. Exhibit 1 Nurses Notes Day 1: Lactated Ringer's at 100 ml/hr infusing into a 20-guage IV catheter in left hand, IV dressing dry and intact. the client reports dizziness and feeling of chest tightness. What is the nurse's priority concern with this infiltration? A nurse is assisting in the care for a client who requires a replacement peripheral IV. Squeeze the drip chamber to half fill it. Using tubing ith a drop factor of 15 gtt/mL, the nurse should regulate the fluid to infuse at how many drops per minute?, A nurse is removing a client's IV catheter. Place the following steps in the order in The nurse has initiated a 20-gauge peripheral IV catheter in the client's left cephalic vein using aseptic technique. Urine output is 30 mL over the last hour. replace the IV dressing with a new, clean dressing if it is soiled. The nurse should anticipate a prescription for a hypotonic solution. Hang the fluid and tubing The nurse is caring for a client who has a peripheral IV in place for fluid replacement. On Day 2, the IV site was edematous. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has the following arterial blood gas (ABG) values: pH 7. The 0. The nurse states that these glands produce parathyroid hormone (PTH). increased urine specific gravity B. What type of dressing should the nurse apply over the client's venous access site? a. D. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. The IV dressing was dry and intact. Which type of dressing would be best for this client?, Which action by the nurse is most important to ensure the client's safety when changing a peripheral venous Study with Quizlet and memorize flashcards containing terms like A 64-year-old client is brought in to the clinic with thirsty, dry, sticky mucous membranes, decreased urine output, fever, a rough tongue, and lethargy. Exhibit a Nurses' Notes Day 1: Lactated Ringers at 100 ml/hir intusing into a 20-guage IV catheter in left hand. IV fluid infusing well. Which of the following actions should the nurse take? Select all that apply. Which of the following gauge catheters should the nurse recommend using? a. The nurse is assessing the client. Day 2: IV site edematous. 4 hours Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a client who has been diaphoretic and observes that the dressing on the peripheral venous access site has become loose and needs changing. Study with Quizlet and memorize flashcards containing terms like A nurse is planning wound management for a client who has a stage 3 pressure injury. Exhibit 1 Nurses' Notes Day 1: Lactated Ringer's at 100 mL/hr infusing into a 20-gauge IV catheter in left hand. 9% sodium chloride is a hypertonic solution. The nurse Study with Quizlet and memorize flashcards containing terms like The nurse is caring for several clients receiving IV therapy. , The nurse is caring for a patient receiving intravenous The nurse is caring for a client who has a peripheral IV in place for fluid replacement. Change the dressing every 7 days per policy. The client is diagnosed with Study with Quizlet and memorize flashcards containing terms like The nurse is caring for a patient with a massive burn injury and possible hypovolemia. D) Place a piece of paper tape over the insertion site. 1 hour 2. Check medication calculations with a second RN. Place a pressure dressing over the IV site. The nurse starts the infusion and checks the insertion site as per protocol. Encourage the client to rise slowly when The nurse is caring for a client with a peripherally inserted central catheter. Explain the principles of peripheral intravenous site selection and contraindications. IV dressing dry and intact. This electrolyte imbalance is known as: A. During the most recent check, the nurse observes that the IV has infiltrated so the nurse stops the infusion. The nurse notes that the area of the arm immediately surrounding the insertion site is red and feels warm. Which assessment data will be of most concern to the nurse? a. a A nurse is making a worksheet and listing the tasks that need to be performed for assigned adult clients during the shift. The nurse determines that which has probably occurred?, The nurse is checking the insertion site of a peripheral intravenous (IV) catheter. Percent of heparin in infusion container D. 2. Make sure that the solution is Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who requires a replacement peripheral IV. Discuss appropriate selection of IV catheter type and size. Presence of an ulnar pulse, A nurse is caring for a client with a peripheral vascular access device 0. Which of the following interventions should the nurse include in the plan of care? (Select all that apply) a. #16-gauge b. What type of blood transfusion is this?, A client with dehydration is being administered IV fluids. Which of the following actions by nurse is appropriate?, prac: the nurse is monitoring. Which of the following assessment findings should the nurse identify as an indication of a hypersensitivity reaction to the phenytoin? a) enlargement of the cervical lymph nodes b) diarrhea c) ringing in the ears d) alopecia, A nurse is caring for The nurse is caring for a client who has a peripheral IV in place for fluid replacement. When assessing for complications, the nurse should recognize which of the following manifestations as a sign of fluid overload? A. Correcting Electrolyte Imbalances. The nurse should recognize that which of the following findings indicates fluid volume excess? (select all that apply), While assessing a client who is receiving continuous IV therapy via his left forearm, a nurse notes that the site is red, swollen and Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who requires a replacement peripheral IV. Which of Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is receiving a continuous IV through a peripheral intravenous device. #22-gauge d. 3 hours 4. Identify modifications for performing IV therapy across the life span. What actions should the nurse take when caring for this client? Select all that apply. ' What does the nurse do first?, The nurse, who is monitoring the IV site of a Study with Quizlet and memorize flashcards containing terms like Which client is most likely to exhibit dehydration?, During a follow-up visit to the physician, a client with hyperparathyroidism asks the nurse to explain the physiology of the parathyroid glands. Study with Quizlet and memorize flashcards containing terms like 1. Which of the following findings is a manifestation The nurse is assigned to care for a client with a peripheral intravenous (IV) infusion. decreased respiratory rate Study with Quizlet and memorize flashcards containing terms like A nurse is measuring a client's vital signs and notices an irregularity in the pulse. Begin the prescribed infusion via the new access. Which of the following interventions should the nurse include in the plan of care? A. Putting A nurse started a peripheral IV on a client 24 hours earlier and is administering lactated Ringer's solution with electrolytes at a rate of 125 mL/hr. , The nurse is caring for a client who has a peripheral IV in place for fluid replacement. The client is dehydrated and requires a smaller gauge catheter than the #20-gauge being replaced. Which of the following substances in fish oil should Study with Quizlet and memorize flashcards containing terms like The student nurse asks, "What is interstitial fluid?" What is the appropriate nursing response?, The nurse is caring for a client who will be undergoing surgery in several weeks. May 19, 2024 · Nurses should restrict IV insertion attempts to no more than two attempts per clinician. Administer IV fluids evenly over 24 hr. calculating IV rates. C. Place a moist warm compress over the site. Jul 25, 2023 · This activity describes strategies for placement of peripheral IV lines by anatomical, landmark-based techniques, and highlights the role of the interprofessional team in placing and caring for IV lines while minimizing complications. E. " What is the appropriate nursing response?, Upon Study with Quizlet and memorize flashcards containing terms like A client is to receive a 1,000 mL bag of 5% dextrose in lactated ringer's over 8hr. The client is dehydrated and requires a smaller gauge catheter than the 20 gauge being replaced. 45% sodium chloride is a hypotonic solution used to provide free water and treat cellular dehydration, which promotes waste elimination by the kidneys. The client is diagnosed with dehydration. Provide the client with a salt substitute. Elevate the affected extremity. IV site without redness or swelling. Study with Quizlet and memorize flashcards containing terms like A nurse is assessing an older adult client who is receiving IV therapy. d. A nurse is caring for a client who requires a replacement peripheral IV. - Yes, along with the hypotonic Study with Quizlet and memorize flashcards containing terms like A nurse is planning care for a client who has experienced excessive fluid loss. What is the first thing the nurse should do? a)Stop the infusion b)Write out an incident report c)Change the solution to D5W d)Report the event to the charge nurse, What is albumin commonly given for?, What is A nurse is caring for a client who has a peripheral IV inserted for fluid replacement The nurse is assessing the client. Should the nurse start salt tablets when caring for this client? - No, start with the sodium chloride IV. Amount of pressure in fluid container B. The client tells the nurse, "I Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has hemophilia. When caring for the client's IV site, the nurse should,,,, Group of answer choices (1) ensure that anticoagulants are placed on hold for the duration of IV therapy. During rounds Study with Quizlet and memorize flashcards containing terms like prac: a nurse is caring for a client who has FLUID OVERLOAD following continuous IV infusion of 200 ml/hr. The IV fluid was infusing well. discontinuing a peripheral IV. Serum sodium level is above 145 mEq/L. The nurse is caring for a client who is to receive IV daunorubicin, a chemotherapeutic agent. . apply firm pressure over the vein. , A client with a diagnosis of colon cancer has opted for a treatment plan that Jun 19, 2024 · Intravenous (IV) therapy is a major component of modern medical treatment and serves various purposes, including: Maintaining or Restoring Fluid Balance. Apply heat to the client's left hand. On Day 1, Lactated Ringer’s was infusing at 100 mL/hr into a 20-gauge IV catheter in the left hand. Pull the catheter straight back from the insertion site. B) Wrap tape around the circumference of the client's arm. What action will the nurse take next? a. , The nurse is monitoring a client receiving an IV infusion to replace fluids lost during surgery and notices air bubbles in the tubing above the roller clamp. Which of the following gauge catheters should the nurse plan to use? Study with Quizlet and memorize flashcards containing terms like potential infusion sites for peripheral venous catheters, IV Flow Rate Formula, When hanging a new bag of IV fluid for a client, which action does the nurse perform first? Spike the new bag of fluid using aseptic technique. a gauze dressing premedicated with antibiotics b. The nurse is providing hygiene care to the client and should avoid which while changing the client's hospital gown? 1. Which of the following types of nutrition does the nurse know that the client will likely receive?, A client loses experiences syncope after strenuous exercise and needs to be admitted to a health care facility. 45% sodium chloride because it dilutes extracellular fluid and rehydrates the cells 0. Leave the roller clamp slightly open. #18-gauge c. There is prolonged skin tenting over the sternum Study with Quizlet and memorize flashcards containing terms like A nurse is admitting a client to a healthcare facility the nurse is placing the client on isolation precautions which of the following interventions should the nurse include, A client who is postoperative is verbalizing pain as a two on a pain scale of 0 to 10 which of the following statements are the nurse identify as an Study with Quizlet and memorize flashcards containing terms like a nurse is caring for a client who has dehydration and is receiving IV fluids. Which of the following actions should the nurse take when washing their hands?, A nurse is collecting data from a client who has an NG tube set to low intermittent A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. The nurse should record how many mL of IV fluids on the intake record at 0600?, A nurse is preparing to insert an IV catheter for a client and has selected the insertion site. preparing and hanging a secondary IV bag. When caring for the client's IV site, the nurse should: A. Blood pressure is 90/40 mm Hg. Change the infusion tubing b. Your patient's plan of care includes assessment of specific gravity every 4 hours. Jul 31, 2024 · Study with Quizlet and memorize flashcards containing terms like A nurse assesses a client who has a radial artery catheter. Study with Quizlet and memorize flashcards containing terms like A nurse in an emergency department is caring for a client. The nurse is preparing to hang 1 liter of normal saline with 40 mEq (40 mmol) potassium chloride to infuse at 75 mL/hr beginning at 10:00 a. which of the following actions should the nurse take?, A nurse is completing a medication hx for a client who reports using fish oil as a dietary supplement. the client is dehydrated and requires a smaller gauge catheter than the 20 gauge being replaced. 44, paCO2 37 mm Hg, and HCO3- 24 mEq/L. Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. The nurse should identify that theyse values are an indication of which of the following?, A charge nurse is observing a newly licensed nurse who is preparing to administer a blood transfusion to a Study with Quizlet and memorise flashcards containing terms like A nurse notes that a client's receiving IV is Ringer's lactate when the order states that the IV solution should be D5W. Dextrose 5% in 0. A nurse has just inserted a peripheral IV catheter. Which of the following IV fluids does the nurse anticipate a prescription for and why? 10% dextrose in water because it pulls fluid from the cells and increases vascular volume 0. Which of the following actions should the nurse take?, A nurse is collecting data on a client who has diarrhea. ensure that anticoagulants are placed on hold for the duration of IV therapy. Remove the IV catheter d A nurse is assisting in the care for a client who requires a replacement peripheral IV. Which action related to intravenous therapy should the nurse do first?, A client scheduled for surgery has arranged for an autologous transfusion. 1. a client who is receiving an iv med. monitoring the effectiveness of IV therapy. *** With the catheter stabilized and using a slow, steady movement, the nurse should withdraw the catheter straight back and away from the insertion site, making sure to keep the hub parallel to the skin. 45% sodium chloride A sodium level of 155 mEq/L is an indication of hypernatremia. The results of this test will allow the nurse to assess what aspect of the patient's health? A) Nutritional status B) Potassium Study with Quizlet and memorize flashcards containing terms like A health care provider orders a bolus infusion of 250 mL of normal saline to run over 1 hour. The set delivers 20 gtt/mL. Insert a new catheter every 3 days per policy. Checking the IV flow rate immediately after changing the hospital gown 4. ***3. Which items should the nurse document? Select all that apply. hyponatremia. The IV fluids are infusing at 120 mL/hr. The client states, "I would like to give my own blood to be used in case I need it during surgery. B. hypernatremia. (2) replace the IV dressing with a new, clean dressing if it is soiled. One card covers a client with a pressure injury and IV fluid replacement, but does not mention a peripheral IV. IV therapy is vital for rehydrating patients suffering from dehydration and maintaining fluid balance. Which of the following actions should the nurse take? a. Assess for pitting edema. bounding peripheral pulses D. Which assessment should the nurse complete first A. A set of flashcards for nursing students to review fundamentals of nursing. which of the following gauge catheters should the nurse plan to use? a) 16 gauge b) 18 gauge c) 22 gauge d) 14 gauge, a charge nurse is observing a new nurse who A nurse is planning care for a client who has experienced excessive fluid loss. Stop the IV infusion. Study with Quizlet and memorize flashcards containing terms like The nurse has just successfully inserted an intravenous (IV) catheter and initiated IV fluids. Explain nurse management of IV therapy and peripheral IV access devices. When caring for the client's IV site, the nurse should: ensure that anticoagulants are placed on hold for the duration of IV therapy. hypokalemia. Disconnecting the IV tubing from the catheter in the vein 3. Multiple unsuccessful attempts cause pain to the client, delay treatment, limit future vascular access, increase cost, increase the risk for complications, and decrease trust in the nurse. priming and hanging a primary IV bag. Adjust the additive in the current IV. Exhibit 1 Nurses' Notes Day 1: Lactated Ringer's at 100 mL/hr infusing into a 20-guage IV catheter in left hand. Which of the following gauge catheters should the nurse plan to use?, A nurse is preparing to start an IV for a client who has a high risk for bleeding. Which of the following findings should the nurse identify is infiltration of the IV infusion site?, A nurse is preparing to anchor with tape the catheter tube for a male client who has a newly inserted indwelling urinary A nurse is caring for a client who is receiving a fluid infusion through a peripheral IV catheter. Which of the following actions should the nurse take?, A nurse is discontinuing a A nurse is caring for a client who is in early stage renal failure and has a prescription for the infusion of IV fluids. Which of the following characteristics should the nurse document about the client's reflexes?, A nurse is caring for a client who is Study with Quizlet and memorize flashcards containing terms like What is the best intervention the nurse should take once they recognizes that the patient has phlebitis at his IV site? a. Which action Aug 6, 2024 · Study with Quizlet and memorize flashcards containing terms like Endurance athletes who exercise for long periods of time and consume only water may experience a sodium deficit in their extracellular fluid. Which of the following actions should the nurse take?, a nurse rates a client's biceps reflex as 2+. Provide the client with a salt substitute c. Study with Quizlet and memorize flashcards containing terms like A nurse is checking the IV insertion site for infiltration for a client who is receiving fluid replacement. The IV site was without redness or swelling. b. The client reports pain and swelling in a joint following an injury. m. Using a hospital gown with snaps at the sleeves 2. PTH maintains the balance between calcium and, A client has Study with Quizlet and memorize flashcards containing terms like A nurse is caring for a client who is not able to take food orally for 1 week to 10 days. The nurse writes on the plan to check the IV of an assigned client who is receiving fluid replacement therapy at least every: 1. A nurse is caring for a client who has a peripheral IV inserted for fluid replacement. Administer IV fluids to the client evenly over 24 hr b. Which of the filling actions should the nurse take to secure the catheter? A) Apply an IV securement device. C) Tape the IV catheter's hub securely to the client's skin. The nurse notes the catheter site is warm and painful to touch. hypoactive bowel sounds C. xdlkbclavdirqhpiymuxanrpzeikyawbigmnpwbknpvhfb