iv infusion time practice problems

A client has just undergone insertion of a central venous catheter at the bedside. The nurse may elevate the head of the bed to aid the client’s breathing, if necessary. The nurse should restart the IV in a vein other than the one that has developed phlebitis. A health care provider has written a prescription to discontinue an intravenous (IV) line. The nurse should plan to take which action immediately after injecting the potassium chloride into the port of the IV bag? ALL THE INFORMATION ON THIS WEBSITE IS INTENDED FOR EDUCATIONAL PURPOSES ONLY, AND SHOULD NOT BE INTERPRETED AS MEDICAL ADVICE. At what time will the IV be completed? Additional IV Review Problems Answers.docx, Stone Academy • BASIC PHATMACOLOGY FOR NURSE 101, Nevada State College • MED MATHS NURS 216, Central Piedmont Community College • CAREGIVING 101, Pasco-Hernando Community College • MATH GCSE, Community College of Allegheny County • NUR 110, Lake Superior State University • NURS 327, Southern Regional Technical College • NURSING 2240, Front Range Community College • NURSING 212. Dr. Timberlake has ordered an IV infusion of 2/3 & 1/3 at 75ml/hr. When the pressure in the tissues exceeds the pressure in the tubing, the flow of the IV solution will stop. Other actions may follow in rapid sequence. If phlebitis occurs, the nurse should discontinue the IV line and insert a new IV line at a different site. The nurse should take which action? specially prepared for the NCLEX exam. 2. Assume a one compartment pharmacokinetic model. IV Therapy Practice questions for all types of Medical exams. This is necessary to prevent infusion of IV fluid into pulmonary or subcutaneous tissues. will then need to administer Cefazolin 1gm in 100 mL over 30 minutes. You have already completed the quiz before. You must sign in or sign up to start the quiz. Calculate: a) the infusion time b) completion time Using dimensional analysis (da) we write: Therefore the infusion time will be 9 hours and 30 minutes b) To find out the completion time: Therefore the completion time will be at: 11.40 The nurse can then prime the tubing. Rationale: The goal of therapy with this client is to expand intravascular volume as quickly as possible. specially prepared for the NCLEX exam. For a limited time, find answers and explanations to over 1.2 million textbook exercises for FREE! IV Therapy Practice questions for all types of Medical exams. The nurse determines that the client needs further instructions if the client made which statement? The nurse provides a list of instructions to a client being discharged to home with a peripherally inserted central catheter (PICC). Get Latest Practice Questions, and Medical Jobs. As the nurse goes to insert the spike end of the IV tubing into the IV bag, the tubing drops and the spike end hits the top of the medication cart. Good Luck, Time limit: 0 PLEASE CONSULT YOUR PHYSICIAN FOR ADVICE ABOUT CHANGES THAT MAY AFFECT YOUR HEALTH. The nurse should obtain which item from the unit supply area for applying pressure to the site after removing the IV catheter? Because it is not possible to give a patient a fraction of a drop, it is typical to round answers for these problems … Practice IV Math .doc - Practice IV Math Questions#3 Calculating Infusion Time Formula Infusion time = total volume mL\/hr rate OR mL\/hr = total volume, Dr. Timberlake has ordered an IV infusion of 2/3 & 1/3 at 75ml/hr. A client involved in a motor vehicle crash presents to the emergency department with severe internal bleeding. The nurse anticipates that which intravenous (IV) solution will most likely be prescribed to increase intravascular volume, replace immediate blood loss volume, and increase blood pressure? This material is absorbent, sterile, and nonirritating. Rationale: The client’s symptoms are compatible with circulatory overload. Your gtt factor is 15 gtt/mL. The nurse notes that the site of a client’s peripheral intravenous (IV) catheter is reddened, warm, painful, and slightly edematous proximal to the insertion point of the IV catheter. The IV catheter is not removed; it may be needed for the administration of medications to resolve the complication. The nurse is inserting an intravenous line into a client’s vein. The nurse notes that a client’s intravenous (IV) site is cool, pale, and swollen, and the solution is not infusing. 2. Once the bolus is complete, you are to change the infusion to a maintenance IV of. The intravenous (IV) bag has 400 mL remaining. The nurse should remove the IV at the phlebitic site and apply warm moist compresses to the area to speed resolution of the inflammation. Infusion Completion Time An IV of 950 mL NS is started at 2:10am at at a rate of 25 gtt/min using a 15 gtt/mL set. The other options represent items that are useful for the nurse to be aware of in the general care of this client, but they do not relate to this procedure. Practice IV Math Questions #3 Calculating Infusion Time Formula: Infusion time = total volume OR mL/hr = total volume mL/hr rate time Calculating Drop Rates: Formula: Drops per minute = Volume x gtt factor (Set calibration) Time (in min) 1. The nurse is making initial rounds on the nursing unit to assess the condition of assigned clients. The nurse also notifies the HCP. You have a gtt, factor of 10 gtt/mL. Rationale: The client should be taught that only minor activity restrictions apply with this type of catheter. A major reaction, such as hypersensitivity, can cause dyspnea, a swollen tongue, and cyanosis. PRACTICE PROBLEMS OBJECTIVE 8 Calculate IV infusion time. Rationale: The nurse should obtain new IV tubing because contamination has occurred and could cause systemic infection to the client. There is no need to obtain a new IV bag because the bag was not contaminated. Rationale: Before beginning administration of IV solution, the nurse should assess whether the chest radiograph reveals that the central catheter is in the proper place. Measurement used when IV is regulated manually. Provides immediate access to the vascular system for the rapid delivery of specific solutions without the time required for gastrointestinal tract absorption, Replaces water, electrolytes, and nutrients more rapidly than oral administration, Used to sustain clients who are unable to take substances orally, Provides a vascular route for the administration of medication or blood components. The nurse should not advance the catheter until placement in the vein is verified by blood return. Dr. Paltrow wants your patient to have a bolus of 500mL of NS infused over 1 hour. Because this IV has a start time of 3:55 pm today (which is 11/07) and an infusion time of 5 h and 13 min, it will finish at 9:08 pm on 11/07. Wiping with Betadine or alcohol is insufficient and is contraindicated because the spike will be inserted into the IV bag. Im in Louisiana and we have been out … The IV is infusing at 42 gtt/min with 15 gtt/mL tubing. The nurse should then attach a completed medication label. Get step-by-step explanations, verified by experts. Rationale: The IV catheter has entered the lumen of the vein successfully when blood backflash shows in the IV catheter. Good Luck. The nurse is preparing a continuous intravenous (IV) infusion at the medication cart. Introducing Textbook Solutions. The nurse has a prescription to hang a 1000-mL intravenous (IV) bag of 5% dextrose in water with 20 mEq of potassium chloride and needs to add the medication to the IV bag. Rationale: A dry sterile dressing such as a sterile 2 × 2 is used to apply pressure to the discontinued IV site. Calculate the fast infusion rate (over 15 min) required to achieve a desired drug concentration of 40 mg/L and a slow IV infusion rate to maintain that concentration. There are 250 mL of D 5 W infusing at 33 gtt/min on IV tubing calibrated at 10 gtt/mL. The solutions in the remaining options would not be given to this client because they are hypotonic solutions and, instead of increasing intravascular space, the solutions would move into the cells via osmosis. The first action of the nurse is to slow the infusion. go with these quiz with confidence . Given a certain amount of liquid, a time period, and a drop factor (gtts/mL), what is the necessary IV flow rate in gtts/min? A Betadine swab would irritate the opened puncture site and would not stop the blood flow. This may be verified by noting that 600 mL has infused in the course of 45 minutes. You have to finish following quiz, to start this quiz: A client had a 1000-mL bag of 5% dextrose in 0.9% sodium chloride hung at 3 PM. Rationale: An infiltrated IV is one that has dislodged from the vein and is lying in subcutaneous tissue. Rationale: Phlebitis at an IV site can be distinguished by client discomfort at the site and by redness, warmth, and swelling proximal to the catheter. What is the gtt/min for the bolus to be given. But my instructor gave us practice problems where we had to calculate infusion times when given gtt/min. Hence you can not start it again. 1. The client should have a repair kit in the home for use as needed because the catheter is for long-term use. The IV solution should have been checked for discoloration before the medication was added to the solution. Rationale: After adding a medication to a bag of IV solution, the nurse should agitate or rotate the bag gently to mix the medication evenly in the solution. The tubing is attached to the client last. An allergic reaction produces a rash, redness, and itching. Now, to find the completion time, or time at which the IV will finish, we simply add the infusion time to the start time. IV Infusion Set Calculations (Intravenous) It is imperative to understand how to calculate IV Infusion/IV mixture, dosage, and rate of flow in preparing for the PTCB or ExCPT exams. The nurse should take which action first? I dont even know where to start. You. So our correctly written infusion time is 5 h 13 min. This page is dedicated to IV administration sets that serve the mixture to the end user (Patient). Rationale: Phlebitis is an inflammation of the vein that can occur from mechanical or chemical (medication) trauma or from a local infection and can cause the development of a clot (thrombophlebitis). The nurse should take which action(s) in the care of this client? The nurse making rounds at 3:45 PM finds that the client is complaining of a pounding headache and is dyspneic, is experiencing chills, and is apprehensive, with an increased pulse rate. Calculate the infusion time. The nurse assesses the site and determines that phlebitis has developed. go with these quiz with confidence . Infection, phlebitis, and thrombosis are likely to be accompanied by warmth at the site, not coolness. After the initial stick, the nurse would continue to advance the catheter in which situation? A client rings the call bell and complains of pain at the site of an intravenous (IV) infusion. I am so lost on this. Your gtt factor is 15 gtt/mL. At 0730 a patient has an IV with 750 mL remaining in the bag. The client is severely hypotensive and unresponsive.

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