A nursing responsibility in managing IV therapy is to monitor the fluid infusions and to replace the fluid containers as needed. Which of the following is an accurate guideline for IV management that the nurse should consider?
A) The nurse should use new tubing when attaching additional IV solutions.
B) As one bag is infusing, the nurse should prepare the next bag so it is ready for a change when less than 10 mL of fluid remains in the original container.
C) It is the responsibility of the nurse to provide ongoing verification of the IV solution and the infusion rate with the physician's order.
D) Generally, the nurse should change the administration sets of simple IV solutions every 24 hours.
Ans: C
The nurse's ongoing verification of the IV solution and the infusion rate with the physician's order is essential. If more than one IV solution or medication is ordered, the nurse should make sure the additional IV solution can be attached to the existing tubing. As one bag is infusing, the nurse should prepare the next bag so it is ready for a change when less than 50 mL of fluid remains in the original container. Every 72 hours is recommended for changing the administration sets of simple IV solutions.
You might also like to view...
The nurse notes that the client's apical pulse is displaced to the left. What conclusion can be drawn from this assessment?
a. This is a normal finding. b. The heart is hypertrophied. c. The left ventricle is contracted. d. The client has pulsus alternans.
The nurse is implementing a teaching plan for a 4-month-old child who has been diagnosed with developmental dysplasia of the hip (DDH). The child will be placed in the Pavlik harness
Which of the following statements by the family would indicate that they understand the care of their child while placed in the Pavlik harness? 1. "I know that the harness must be worn continuously." 2. "I will bring my child back to the orthopedic office in a month so the straps can be checked." 3. "I realize that I will also need to put two diapers on my child so that the harness does not get soiled." 4. "I will watch for any redness or skin irritation where the straps are applied and call the doctor if there is any irritation."
When obtaining a sterile urine specimen from an indwelling urinary catheter the nurse should:
1. Disconnect the catheter from the drainage tubing 2. Withdraw urine from a urinometer 3. Open the drainage bag and removing urine 4. Use a needle to withdraw urine from the catheter port
A patient who has ankylosing spondylitis (AS) asks the nurse for help in choosing suitable activities for maintaining good posture. Which exercise should the nurse advise the patient to avoid?
A. Do stomach crunching B. Stand on a single leg C. Face wall and push off D. Stretch the lower back