Author Question: The most appropriate way to determine that the IV fluid is infusing into the vein is for the nurse ... (Read 51 times)

fagboi · **on:** Jul 23, 2018

The most appropriate way to determine that the IV fluid is infusing into the vein is for the nurse to:

A. Lower the IV bag or bottle to the floor level
B. Open the roller clamp and watch the fluid infuse over 5 minutes
C. Disconnect the IV tubing and watch for blood leakage
D. Compress the vein slightly proximal to the IV catheter and check the drip chamber for cessation of flow

Question 2

For a client with a PICC line, the nurse observes that the apical pulse is irregular. The nurse should first:

A. Discontinue the PICC line
B. Check the external catheter length
C. Obtain a culture from around the insertion site
D. Prepare to increase the volume of fluids to be given

Pamela.irrgang@yahoo.com · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

D
D. When obstruction is absent, flow rate will increase as roller clamp is adjusted.
A. Lowering IV container below level of IV site for presence of blood return (retrograde) is an unreliable indicator.
B. Do not run IV fluids at open rate except in some emergencies.
C. Maintain a closed system.

Answer to Question 2

B
B. May indicate malposition of catheter in the right atrium, causing atrial irritation. Catheter may need to be withdrawn several centimeters.
A. PICC line is discontinued for occlusion, infection, and port separation.
C. Blood cultures are obtained before administering antibiotic therapy when complicated by infection.
D. Avoid possibility of fluid overload. Do not give extra fluid without provider orders.