I.V. Therapeutics Evidence Based Practice for Infusion Therapy 6th Edition by Lynn Dianne Phillips, Lisa Gorski – Test Bank

I.V. Therapeutics Evidence Based Practice for Infusion Therapy 6th Edition by Lynn Dianne Phillips, Lisa Gorski – Test Bank

Chapter 9: Complications of Infusion Therapy: Peripheral and Central Vascular Access Devices

Multiple Choice

Identify the choice that best completes the statement or answers the question.

____    1.   A nurse is assisting in the placement of a client’s central venous catheter. The nurse is aware that the major complication that can occur during placement of a central venous access device is:

____    2.   A nurse is caring for a client who has a newly implanted port. For which complication, specifically associated with implanted ports, should the nurse observe?

____    3.   A nurse is caring for a client who has lipid deposits occluding his or her central line. Which declotting agent should the nurse use to clear lipid deposits from a central line?

____    4.   A client complains to a nurse that his or her I.V. site is “sore.” The nurse notes that the site is red and edematous, but there is no palpable cord or streak. Using the criteria for infusion phlebitis, what should the nurse document as the severity of this phlebitis?

____    5.   A nurse in an intensive care unit is caring for a client who has lipid deposits in her central line. Which agent should the nurse select to instill into the catheter in an attempt to dissolve the lipid deposits?

____    6.   A nurse in an intensive care unit is caring for a client who has an intraluminal obstruction of central line due to a thrombotic occlusion. Which declotting agent should the nurse select to remove the blood clots from a central line?

____    7.   A nurse assesses that a client has developed 2+ phlebitis at the site of a current peripheral I.V. infusion. Which action should be the nurse’s first priority?

____    8.   A nurse priming an I.V. administration set uncaps the distal end to attach a needleless device. Before attachment, the administration set falls and hits the countertop. Which action should be taken by the nurse?

____    9.   A nurse assesses the insertion site of a peripheral I.V. catheter and notes that the site is red, warm to touch, and slightly edematous proximal to the I.V. cannula. The client reports discomfort when the site is touched. The nurse should interpret that these signs are most likely due to:

____  10.   A client who has a central venous tunneled catheter for administration of chemotherapy presents to a hospital with a fluctuating fever, hypotension, profuse sweating, nausea, and explosive diarrhea. Based on this information, which condition should a nurse suspect?

____  11.   A nurse assesses a client who is receiving an intermittent I.V. infusion of vancomycin hydrochloride. The nurse notes that the I.V. site is warm, edematous, and indurated. The nurse also observes red streaking of the skin, peau d’orange skin, and vesicles. Based on this information, which condition should the nurse suspect?

____  12.   A client who has been discharged from a hospital for 48 hours reports pain at a previous infusion site. On inspection of the site, a nurse finds redness and tenderness along the vein. Which condition should the nurse suspect?

____  13.   A nurse is caring for multiple clients with I.V. access devices. The nurse carefully assesses each client for signs of local complications. For which systemic complication should the nurse observe?

____  14.   A nurse suspects that a client with a peripheral access device is experiencing a venous spasm. Which report by the client should prompt the nurse to suspect this condition?