True or false: If an infusion pump is running without an alarm, the nurse can conclude that the catheter remains in the vein.
4 Infusion Monitoring and Complications Online Quiz Questions
Use this free practice quiz with 20 questions to review 4 Infusion Monitoring and Complications, test your knowledge, and prepare for your next test or exam.
A patient with a peripheral IV reports new soreness at the site. What should the nurse do first?
- A
Increase the infusion rate briefly to see whether the soreness resolves.
- B
Assess the patient and IV site, including pain, swelling, redness, warmth, and infusion function.
- C
Silence the pump and wait until the next scheduled round to check the site.
- D
Flush the catheter forcefully to determine whether it is patent.
Infiltration is leakage of fluid into the surrounding .
An IV site is warm and tender, with redness and a palpable cord along the vein. What complication is most likely?
A pump signals downstream occlusion. What is the safest initial approach?
- A
Raise the pressure limit and restart the pump.
- B
Check the patient and IV site, then trace the tubing for a closed clamp, kink, disconnection, or other obstruction.
- C
Silence the alarm and leave the room while the pump continues to run.
- D
Forcefully flush the line before checking the patient or tubing.
True or false: Completing an event report after an IV-site complication replaces documenting the assessment and care in the patient's clinical record.
- A
True
- B
False
If vesicant extravasation is suspected, stop the infusion immediately and do not the catheter.
During a non-vesicant fluid infusion, the IV site becomes puffy and cool, and the infusion slows. What complication is most likely?
A patient receiving IV fluids develops new shortness of breath and crackles. What should the nurse do?
- A
Continue the infusion unchanged and reassess only at the next routine round.
- B
Assess breathing and vital signs, promptly notify the appropriate clinician, and follow orders or emergency procedures.
- C
Increase the infusion rate to finish the prescribed fluid sooner.
- D
Silence any alarms and wait for the patient to report whether symptoms worsen.
Which changes at a peripheral IV site should a patient be instructed to report promptly? Select all that apply.
- A
New pain at the site
- B
A routine appointment time
- C
Burning or stinging at the site
- D
Swelling, redness, or wetness at the site
- E
Any other new change at the site
After suspected infiltration or extravasation, which information should the nurse include in clinical documentation? Select all that apply.
- A
The time and assessment findings, including the site, symptoms, and relevant changes
- B
The fluid or medication and infusion rate
- C
Only the patient's diagnosis, without details about the IV site
- D
Actions taken and whom the nurse notified and when
- E
Any orders or protocol-guided treatment, the patient's response, and follow-up assessments
A patient receiving a non-vesicant fluid develops a puffy, cool IV site and slowed infusion. Explain the appropriate nursing response.
When vesicant extravasation is suspected, which statement about the catheter is most accurate?
- A
Remove the catheter immediately in every case, without consulting a protocol.
- B
Follow the drug-specific protocol, which may direct temporarily leaving the catheter in place to aspirate medication or administer an antidote.
- C
Flush the catheter to clear the vesicant from the tissue.
- D
Apply a compress and administer an antidote without consulting the applicable protocol.
True or false: If an infusion pump is running normally, that alone establishes that a peripheral catheter remains in the vein.
- A
True
- B
False
An IV site is warm and tender, with redness and a palpable cord along the vein. Which complication is most consistent with these findings?
What is the term for leakage of a non-vesicant IV fluid into the surrounding tissue?
Which instruction should a nurse give a patient with a peripheral IV about changes at the site?
- A
Wait until the next scheduled assessment unless the pump alarms.
- B
Promptly report new pain, burning, stinging, swelling, redness, wetness, or another change at the site.
- C
Report only discomfort that prevents movement of the limb.
- D
Do not report mild discomfort if the infusion is still running.
A patient reports new soreness at a peripheral IV site. What should the nurse do first?
- A
Increase the infusion rate briefly to see whether the soreness resolves.
- B
Assess the patient and IV site, including pain, swelling, redness, warmth, and infusion function.
- C
Silence any pump alarm and reassess at the next scheduled round.
- D
Flush the catheter forcefully to check whether it is patent.
After an IV-site complication, which statement about the facility’s event-reporting process is correct?
- A
An event report is a substitute for documenting the assessment in the clinical record.
- B
An event report is needed only if the patient has a lasting injury.
- C
Use the facility’s required event-reporting process; it does not replace clinical documentation.
- D
Document only in an event report unless a clinician requests a note.
A pump signals a downstream occlusion. What is the safest initial approach?
- A
Increase the pressure limit and restart the pump.
- B
Check the patient and IV site, then trace the tubing for a closed clamp, kink, disconnection, or other obstruction.
- C
Silence the alarm and leave the patient’s room.
- D
Flush the line forcefully before examining the site.