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If an IV order says to infuse 1,000 mL of fluid at the rate of 125 mL/hr, how many hours will it take to complete the infusion?
- A. 8 hours
- B. 6 hours
- C. 12 hours
- D. 10 hours
- E. 125 hours
Correct Answer: A
Rationale: 1,000 mL ÷ 125 mL/hr = 8 hours.
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What are the signs and symptoms of phlebitis?
- A. Site cool to touch
- B. Edema at the site
- C. Erythema at the site
- D. Blanching or pallor of skin around site
- E. Vein feels like a hard cord when palpated
- F. Solution leakage at site
Correct Answer: B,C,E
Rationale: Phlebitis is characterized by inflammation, causing edema, erythema, and a hard, cord-like vein at the site.
The minimum length of time that is safe for administration of IV push medication is:
- A. 1 hour
- B. 30 seconds
- C. 5 minutes
- D. the amount of time designated by the medication manufacturer
- E. 1 minute per 1 milligram
Correct Answer: D
Rationale: The safe administration time for IV push medications is specified by the manufacturer to prevent complications like speed shock.
Which veins are used during PICC placement?
- A. Basilic vein
- B. Jugular vein
- C. Carotid vein
- D. Brachial vein
- E. Cephalic vein
Correct Answer: A,D,E
Rationale: PICC lines are placed in peripheral veins like the basilic, brachial, or cephalic veins, advancing to the superior vena cava.
The difference(s) between a primary IV administration set and a secondary IVPB administration set include(s) which of the following?
- A. The secondary IVPB administration set is used for administering IV push medication.
- B. The primary IV administration set always has a drop factor of 60.
- C. The primary IV administration set is longer than the secondary IVPB administration set.
- D. The secondary IVPB administration set has a drip chamber for visualizing the drip rate, while the primary administration set does not.
- E. There is no difference except the drop factor.
Correct Answer: C
Rationale: The primary IV administration set is longer, designed for continuous infusion, while the secondary IVPB set is shorter for intermittent infusions. Both have drip chambers, and drop factors vary.
If set up correctly, through which of the following could you directly administer an intermittent infusion of medication?
- A. Secondary IVPB administration set
- B. PRN lock
- C. Primary IV administration set
- D. Y-set blood tubing
Correct Answer: A
Rationale: A secondary IVPB administration set is designed for intermittent infusions, such as piggyback medications.