Author Question: A client has pneumonia that is worsening and needs an antibiotic administered rapidly. The client is ... (Read 85 times)

tichca · **on:** Jul 16, 2018

A client has pneumonia that is worsening and needs an antibiotic administered rapidly. The client is also at risk for fluid overload. Which of the following IV devices would most likely be used for this client?

A) IV piggyback (IVPB)
B) Volume-controlled infusion
C) IV bolus
D) Saline lock

Question 2

The nurse is caring for a client following a liver biopsy. Which of the following is a recommended postoperative intervention?

A) Position the client on the left side.
B) Apply pressure to the biopsied side for 4 to 6 hours.
C) Take vital signs hourly for 24 hours.
D) Observe the client for signs of dehydration.

Tabitha_2016 · **Reply #1 on:** Jul 16, 2018

Answer to Question 1

C
Feedback:
Medications may be given by IV push, also called a bolus. This injection is given in a short period of time and is not intermittent. The IV push only requires a small amount of fluid. Thus, it is often recommended for a client who is at risk for fluid overload. IV piggyback (IVPB) infuses two medications at scheduled intervals. With volume-controlled infusion, solution used to dilute mediations is supplied in a small bag and hung on an IV pole with a volume-control device hung below it. The saline lock is an IV catheter inserted in a vein and left in place, either for intermittent administration of medication or to provide an open line in case of an emergency.

Answer to Question 2

B
Feedback:
Following a liver biopsy, the nurse should position the client on the right side and apply pressure to the biopsied site (usually the right side) for 4 to 6 hours, using a sandbag or folded bath blanket to help prevent bleeding. The nurse should take vital signs every 15 minutes for 1 hour; every 30 minutes for 4 hours; and then hourly for 8 hours and observe the client closely for signs of bleeding. Hemorrhage may be into the abdomen (watch for signs of shock) or from the puncture site.