FLUID WORKBOOK

Question 1

In order to clearly understand the medication or fluid charted, all prescriptions must be written in a particular writing style. This is:

Answer 1

CAPITALS

Question 2

In order for the staff who are administering the fluid or medication to understand the details related to the prescription, it must include:

Answer 2

Dose frequency and method of administration

Question 3

Prior to commencing a blood product transfusion, the patient must have their:

Answer 3

Baseline TPR, BP taken within an hour of the transfusion commencing

Question 4

The 3 sets of obs [TPR, BP] after the transfusion should be taken at what times after transfusion?

Answer 4

1st - 15 mins, 2nd - 30 mins, 3rd - hourly.

Question 5

The nurse may increase the frequency of observations during a transfusion. When would this occur?

Answer 5

Client experiences sudden change in observation

Question 6

A unit of blood must be commenced within:

Answer 6

30 minutes of issue from the blood bank

Question 7

When should an IV cannula be changed:

Answer 7

When its clinically indicated

Question 8

When caring for a patient with an IV cannula (no infusion running), you must complete phlebitis scoring and observe the site at least:

Answer 8

Prior to accessing the cannula or at least every shift

Question 9

What symptoms most likely indicates fluid volume overload?

Answer 9

dyspnoea, tachycardia, distended neck veins

Question 10

If the patient is receiving an antihypertensive medication, you should aways

Answer 10

check their most recent recorded blood pressure

Question 11

Would you remove an IV cannula if the patient no longer complains of chest pain?

Answer 11

No, leave it be. Unable to remove or disconnect IV cannulas

Question 12

What medications can you not be a double checker for?

Answer 12

insulin/heparin/intravenous controlled drugs

Question 13

Your patient has an IV infusion. Choose 6 (six) actions that the Year 2B Bachelor of Nursing Student can perform

Answer 13

Priming an IV site, Flushing with RN supervision, Remove peripheral luer with RN, be double checker for medications [not all], maintain fluid balance recordings, clamp the tubing if IV has tissued

Question 14

signs and symptoms of a transfusion reaction

Answer 14

Extensive erythematous [redness of skin or membranes], fever, chest pain, change in BP, arrythmias, dysponea

Question 15

What would the phlebitis score be for the following symptoms: Slight pain, slight redness at cannula site

Answer 15

1.

Question 16

What would the phlebitis score be for the following symptoms: Pain with redness, erythma, or swelling at site

Answer 16

2

Question 17

What would the phlebitis score be for the following symptoms: Pain, erythma [redness], induration [hard mass]

Answer 17

3

Question 18

What would the phlebitis score be for the following symptoms: Pain, erythma [redness], induration [hard mass], palbaple venous cord,

Answer 18

4

Question 19

Peripheral cannula are removed and/or replaced when ‘clinically indicated’.
‘Clinical Indication’ is:

Answer 19

If cannula is no longer required ( treatment discontinued)
• VIP score of 2 or greater
• Cannula dysfunction e.g. resistance when flushing
• Cannula dislodgement/kinking

Question 20

VIP score will be performed on each occasion prior to accessing the
cannula or at least….

Answer 20

every 8hrs

Question 21

• VIP scores are to be entered into

Answer 21

Patient Track

Question 22

What fluid medications can you check but not admin?

Answer 22

Controlled and recorded, Premix solution fluids, Premix KCL IV fluids and Generic IV medications

Question 23

What medications or stuff can you not participate in at all except OBSERVATION ONLY?

Answer 23

Vaccines, IM Vaccines, Recorded medications, CVAD’s [Central venous access devices].