IV IV Complications & Adverse Events 2

Question 1

Which position should the nurse place a patient in if air embolism is suspected during central line care?

Accepted Answer

Left lateral Trendelenburg (Durant's maneuver)

Answer

High Fowler's position

Answer

Right lateral decubitus

Answer

Prone position

Question 2

Speed shock is best prevented by which of the following nursing actions?

Accepted Answer

Programming infusion pumps with appropriate rate limits and using bolus checks

Answer

Using large-bore peripheral catheters

Answer

Warming IV fluids before administration

Answer

Using only central lines for rapid infusions

Question 3

A patient develops chills, fever, hypotension, and tachycardia shortly after a blood transfusion begins. What is the priority nursing action?

Accepted Answer

Stop the transfusion and keep the IV line open with normal saline

Answer

Slow the transfusion rate and reassess

Answer

Administer diphenhydramine and continue the transfusion

Answer

Increase the infusion rate to flush the reaction

Question 4

Which clinical finding most strongly indicates fluid overload from IV therapy?

Accepted Answer

Crackles in the lung bases and jugular venous distension

Answer

Decreased blood pressure

Answer

Dry mucous membranes

Answer

Decreased central venous pressure

Question 5

Which of the following describes a Grade 3 infiltration according to the INS Infiltration Scale?

Accepted Answer

Skin tight, leaking, bruised, and swollen with pitting edema >1 inch

Answer

Skin blanched with no pain

Answer

Skin blanched, translucent, with gross edema and mild pain

Answer

Any amount of swelling with or without pain

Question 6

Thrombophlebitis differs from simple phlebitis in that it also involves which additional finding?

Accepted Answer

Palpable cord along the vein

Answer

Presence of fever

Answer

Purulent drainage at the site

Answer

Positive blood cultures