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

Left lateral Trendelenburg (Durant's maneuver) positions the air bubble away from the pulmonary outflow tract, reducing obstruction and cardiac effects.

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

Speed shock — a systemic reaction to rapid IV drug delivery — is best prevented by programming infusion pumps with correct rate settings and utilizing secondary line checks.

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

A suspected acute hemolytic transfusion reaction requires immediately stopping the transfusion and maintaining IV access with normal saline to support perfusion.

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

Pulmonary crackles and jugular venous distension are hallmark findings of hypervolemia resulting from excessive IV fluid administration.

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

INS Grade 3 infiltration is characterized by skin that is tight, translucent, gross edema >1 inch, cool to touch, and associated with mild to moderate pain.

(IV) Intravenous Therapy Certified Practice Test

(IV) Intravenous Therapy Certified Practice Test

IV IV Complications & Adverse Events 2