fluid and electrolytes

Question 1

preparing IV solutions

Answer 1

.. IV solutions  Follow the 6 “rights” of medication administration.  Assess IV solution for expiration date, discoloration, or particulate.  Follow facility policy for labeling IV solution with patient’s name, date, time, and nurse initials.  Choose appropriate IV tubing  Primary tubing  Primary pump tubing  Secondary tubing  ALWAYS close roller clamp first thing.  Spike fluids, fill drip chamber halfway, prime tubing.

Question 2

6 rights

Answer 2

right pt,route,time,dose, documentation

Question 3

assess IV solution for?

Answer 3

date, discoloration, particulate

Question 4

label with

Answer 4

pt name, date, time and nurse initials

Question 5

Primary tubing

Answer 5

only by gravity

Question 6

Primary pump tubing

most common

Answer 6

used by pump and gravity

Question 7

Secondary tubing

Answer 7

piggyback

Question 8

steps for prep

Answer 8

Spike fluids, fill drip chamber halfway, prime tubing.

Question 9

steps for prep

Answer 9

Spike fluids, fill drip chamber halfway, prime tubing.

Question 10

IV sites for Adults

Answer 10

non-dominant hand or arm if possible

Question 11

IV for infant

Answer 11

scalp or dorsum of the foot

Question 12

Peripheral IV sites are changed every ___ hours

Answer 12

72-96

go proximal to last site used

Question 13

IV use the most ___ spot

Answer 13

distal

Question 14

things to avoid IV

Answer 14

joints & weak spots

Question 15

Look for straight veins that have a ____ appearance.

Answer 15

firm, round

Question 16

Avoid very large highly visible veins or “blind” attempts

Answer 16

use largest vein available

Question 17

___ vein is one of the best to use.

Answer 17

Cephalic

Question 18

____ veins are easy to access, but may be quite small and fragile.

Answer 18

Dorsal - more painful

Question 19

avoid ____ vein

Answer 19

antecubital - bending the arm

Question 20

what to keep in mind

Answer 20

what is being infused

what gauge needle? larger needles need to be in larger vein

Question 21

assess before iv

Answer 21

pt condition

allergies

Question 22

starting an IV, Converting a Primary Line to an INT, & dressing can be delegated to

Answer 22

LPN trained, none for NAP

Question 23

documentation for IV

Answer 23

Gauge & type of catheter 
Number of attempts 
Location
Blood return 
Whether the IV flushes or fluids infuse well 
Dressing 
Patient’s tolerance 
 Patient teaching/IV care

Question 24

If manually counting drips, have watch available and count drips for ___

Answer 24

1 minute.

Question 25

Monitor closely for first ______

Answer 25

15 minutes then hourly.

Question 26

when to clear pump ____________

Answer 26

every shift or as ordered.

Question 27

Remove spike from old bag, keep _____ while inserting into new solution.

Answer 27

sterile

Question 28

Peripheral IV dressings should be changed when ___ ,_____, & ____

Answer 28

loose, wet, or soiled.

Question 29

Converting a Primary Line to an INT

Answer 29

steps

Question 30

Managing IV Infiltration & Extravasation

Answer 30

steps

Question 31

Discontinuing a Peripheral IV

Answer 31

steps

Question 32

Adding Medication to IV fluid & adding to a running IV

Answer 32

steps simpler

Question 33

Administering IV push medications

Answer 33

pinch push release

Question 34

Administering IV push meds in INT device w/ tubing

Answer 34

Flush with 5 mL solution prior to and after med.

Question 35

Administering IV push meds in INT device w/o ext tubing

Answer 35

Flush with 3 mL solution prior to and after med.

Question 36

Administration of Piggyback Medication

Answer 36

prime, label, used 48-72 hours, lower primary IV

adjust roller clamp

Question 37

be familiar with administering an intermittent infusion
piggy back admin
volume-control admin

Answer 37

p. 877-880