A. It serves as a tool to assess further the fluid needs of a client. B. It provides detailed information of the client’

[answerhappygod]

A. It serves as a tool to assess further the fluid needs of a
client.
B. It provides detailed information of the client’s 24-hour
fluid balance.
C. It helps to distinguish the amount of intake and output for
every shift.
D. It shows that parenteral intake is a minor component of a
client’s intake.
E. None of the above
2. The physician orders 1,000 mL of dextrose 5% in 9% sodium
chloride (D5/0.9% NaCl) at 125 mL/hr. The nurse starts the IV at
1100. How many hours will the nurse calculate as the parenteral
intake for the 0700 to 1500 shift?
A. 2
B. 3
C. 4
D. 5
3. A nursing instructor asks a student nurse, “Under what
conditions would you interrupt the administration of IV fluid?”
Which response given by the student nurse indicates the need for
further teaching?
A. “Infiltration of the IV”
B. “Accidental removal of the IV catheter”
C. “Problems with maintaining the ordered number of mL/hr”
D. None of the above
4. A nursing instructor is teaching a group of students about
the routes of parenteral intake. Which statement is the instructor
most likely to include while teaching?
A. “It includes the IV fluid from the primary line.”
B. “It includes the IV fluid from the IV piggybacks.”
C. “It includes the IV fluid from the blood products.”
D. All of the above
5. A nurse is caring for a client during the night shift (2300
to 0700). The nurse should calculate the IV fluid intake for which
duration?
A. IV fluid intake starting at 2100 hours and ending at 0500
hours
B. IV fluid intake starting at 2200 hours and ending at 0600
hours
C. IV fluid intake starting at 2300 hours and ending at 0700
hours
D. IV fluid intake starting at 2400 hours and ending at 0800
hours
6. A health-care provider has ordered the administration of
vancomycin 500 mg IV piggyback (IVPB) for a client. The IVPB
available with the pharmacist is of premixed vancomycin 1 g with a
total volume of 200 mL. What should the nurse consider to
administer 500 mg of vancomycin to the patient?
A. The nurse should use a different IVPB that contains only 500
mg of vancomycin.
B. The nurse should administer 100 mL of the premixed IVPB to
administer 500 mg of vancomycin.
C. Either 1 or 2
D. None of above
7. A client’s handoff report reads: “Client had 75 mL NG
drainage for the last 8 hours.” What information should the nurse
consider as applicable from the client’s electronic medical record
shown? Select all that apply
A. The drainage of fluid is 500 mL.
B. The primary IV rate is 35 mL/hr.
C. The primary IV fluid is 60 mL/hr.
D. The infusion time for the replacement IV fluid is ?1–8
hr.
E. The additional mL/hr allowed for the replacement IV fluid is
25 mL/hr.
8. The nurse is asked to administer an intramuscular injection
to an infant. What should the nurse consider during the
administration? Select all that apply.
A. Administering the injection in the anterior iliac crest
B. Administering the injection in the ventrogluteal muscle
C. Administering the injection in the vastus lateralis
muscle
D. Administering the injection in the middle two-thirds of the
anterolateral thigh
E. Administering the injection between the greater trochanter
and the anterior iliac crest
9. What information should the nurse consider when viewing the
electronic medical record shown? Select all that
apply.
A. The drainage of fluid is 500 mL.
B. The primary IV rate is 200 mL/hr.
C. The replacement IV fluid is 150 mL.
D. The infusion time for the replacement IV fluid is 1 hr.
E. The additional mL/hr allowed for the replacement IV fluid is
150 mL/hr.