IV IV Nutrition & Blood Products

Question 1

Which central vein placement is required for the administration of total parenteral nutrition (TPN) with dextrose concentrations greater than 10%?

Accepted Answer

Superior vena cava

Answer

Basilic vein

Answer

Cephalic vein

Answer

Femoral vein

Question 2

Before administering a unit of packed red blood cells (PRBCs), the nurse must verify the blood product with another licensed nurse. Which information must be matched?

Accepted Answer

Patient name, ID number, ABO/Rh type, unit number, expiration date, and any special processing requirements

Answer

Only the patient's name and blood type

Answer

Blood unit expiration date only

Answer

Only the physician order and patient allergies

Question 3

What is the maximum time a unit of packed red blood cells should hang and infuse once it leaves the blood bank?

Accepted Answer

4 hours

Answer

2 hours

Answer

6 hours

Answer

8 hours

Question 4

Which IV solution is compatible for co-administration with packed red blood cells through a Y-type blood administration set?

Accepted Answer

Normal saline (0.9% NaCl)

Answer

Lactated Ringer's solution

Answer

5% dextrose in water (D5W)

Answer

Ringers with 5% dextrose

Question 5

A patient receiving TPN develops hyperglycemia. Which nursing action is the first priority?

Accepted Answer

Notify the prescriber and monitor blood glucose per protocol; expect insulin order adjustment

Answer

Discontinue TPN immediately

Answer

Increase the TPN infusion rate to dilute the glucose concentration

Answer

Administer oral glucose tablets to balance the IV glucose

Question 6

Which filter is required when administering platelet transfusions?

Accepted Answer

Standard 170–260 micron blood filter

Answer

0.2-micron in-line filter

Answer

1.2-micron lipid-compatible filter

Answer

No filter is needed for platelets