A client has several medications administered via nasogastric tube. Which statement made by the nurse indicates proper knowledge about this form of medication administration?

The nurse knows a true statement regarding intra-arterial catheters is:

A client who takes warfarin sodium (Coumadin) requires blood testing to guide treatment. The client requests the implanted venous access device be utilized. Which test should not be drawn from the device?

A client receives a nitroglycerin drip. Which is a true statement regarding the use of this medication in intravenous therapy?

An elderly client who receives intravenous therapy has a history of a fractured femur, acute myocardial infarction, glaucoma, and hypothyroidism. Which of these conditions most likely influences the rate at which fluids should be infused for this client?

The nurse who is accessing a client’s central line notices the infusion rate is difficult to maintain. The nurse notes the rate is affected when the client raises an arm or moves a shoulder. The nurse should be concerned with which possible complication?

A client complains of pain at the insertion site of an implanted venous port device during infusion of a medication. Which is the most likely explanation for this problem?

When accessing a Groshong tunneled venous access device, the nurse notes there is no clamp on the end. Which action should the nurse take?

A client who has difficulty taking medications requests that the tablet be crushed and mixed with applesauce. Which medication is appropriate for the nurse to crush?

Nitroglycerin is ordered for an elderly client who is having an episode of chest pain. Which is a correct statement regarding the use of nitroglycerin spray instead of nitroglycerin tablets in this age group?

A client receives an implanted port. After insertion, an x-ray is performed to determine proper positioning. The tip of the catheter should be located in which vascular structure?

The median vein is often used in the placement of intravenous access. Which is a true statement regarding the use of this vein?

An infant is in need of intravenous access. The nurse makes an observation about scalp veins. Which statement indicates the nurse is knowledgeable about this type of venous access?

An infant client who takes oral medication can be encouraged to swallow the medication by which method?

A client is to receive an intravenous line and has requested that lidocaine hydrochloride 1% (Lidocaine) be used to locally anesthetize the area. Which is a potential complication that can occur with the use of this technique?

A peripherally inserted central catheter (PICC) line is ordered for a client. Which statement made by the nurse indicates an understanding of the proper insertion information for this intravenous access device?

A client with an intravenous line complains of pain at the insertion site. The area appears reddened and the vein feels slightly hard to the touch for approximately 2 inches of the length of the vein. Which is an appropriate action for the nurse to take?

When drawing blood from a central venous access device, how many milliliters of blood should the nurse discard before drawing the laboratory specimen?

A 6-year-old female client is in need of an intravenous line and fluid infusion. Which over-theneedle intravenous catheter is an appropriate size for this client?

An 8-year-old client needs to have an intravenous line placed peripherally. The parents request “that cream be used to help deaden the area.” Which information is correct regarding prilocaine (EMLA) cream?

A client diagnosed with a contusion to the brain has an intravenous line. Which solution should be contraindicated for this client?

A client has a Groshong central venous access device. The nurse prepares to flush the device. Which information is correct regarding the flushing?

A client with type A positive blood receives type A negative blood. Which action should the nurse take when this discrepancy is noted?

The nurse gathers supplies needed to access an implanted port in a client. Which equipment is appropriate for use in this client?

A client receives an intravenous fluid infusion at a rate of 20 milliliters per hour. The tubing attached to the bag of fluid is microdrip tubing. How many drops per milliliter does this tubing provide?

When inserting an intravenous needle peripherally, the nurse should insert the needle at which angle?

Which nursing action helps to prevent the occurrence of phlebitis due to intravenous line insertion?

The nurse finds the client with a disconnected central venous access device. The client complains of chest pain and dyspnea. The client’s blood pressure is 84/52 mm Hg and pulse is 150 beats/minute. Which nursing action takes priority?

A client has recently undergone central line placement. The client complains of shortness of breath and right-sided chest pain. Vital signs are blood pressure 98/50 mm Hg, pulse rate 110 beats/minute, and respiratory rate 36 breaths/minute. Which action should the nurse take first?

A client who receives intravenous fluid therapy and an intravenous injection of diphenhydramine (Benadryl) suddenly complains of chest tightness and light-headedness. The nurse notes that the client has a flushed face and an irregular pulse of 120 beats/minute. Which is the most likely cause of this reaction in this client?