VA-BC Infusion Therapy & Solutions 2

Question 1

Which filter size is recommended when administering 3-in-1 total nutrient admixtures (TNA) that contain lipid emulsions?

Accepted Answer

1.2 micron filter

Answer

0.2 micron filter

Answer

5 micron filter

Answer

No filter is required

Question 2

Why is Lactated Ringer's solution contraindicated for co-administration with blood products?

Accepted Answer

Its calcium content can promote clot formation in the tubing

Answer

It is hypertonic and causes hemolysis

Answer

It has an osmolarity too low for blood compatibility

Answer

It raises blood glucose and affects coagulation

Question 3

What is the maximum recommended peripheral infusion rate for potassium chloride (KCl) to prevent cardiac toxicity?

Accepted Answer

10 mEq/hr

Answer

5 mEq/hr

Answer

20 mEq/hr

Answer

40 mEq/hr

Question 4

Which IV solution is contraindicated in patients with increased intracranial pressure (ICP) because it can worsen cerebral edema?

Accepted Answer

D5W

Answer

0.9% Normal Saline

Answer

3% Hypertonic Saline

Answer

Lactated Ringer's

Question 5

What is the primary purpose of using a 0.2-micron filter when infusing TPN without lipids (2-in-1 formulation)?

Accepted Answer

To remove bacteria, fungi, and particulate matter

Answer

To slow the infusion rate to prevent hyperglycemia

Answer

To prevent air from entering the bloodstream

Answer

To filter out excess electrolytes

Question 6

Per INS standards, how frequently should IV administration sets used for lipid-containing solutions be changed?

Accepted Answer

Every 24 hours

Answer

Every 12 hours

Answer

Every 48 hours

Answer

Every 72 hours

Question 7

A patient receiving IV vancomycin develops sudden flushing, erythema of the face and upper torso, and pruritus. What is the most likely cause?

Accepted Answer

Red Man Syndrome from too-rapid infusion

Answer

Anaphylactic allergic reaction to vancomycin

Answer

Extravasation of vancomycin into tissue

Answer

Catheter-related bloodstream infection