iv 2

Question 1

what do you heaer with fluid over load when administering IV therapy

Answer 1

you hear crackles while you are auscultating the lungs

Question 2

when the infusing blood through a CVC and the volume is to large, fast and cold it can cause

Answer 2

cardiac dysrhythmias

Question 3

what is autologous transfusion

Answer 3

blood that is collected from a patient and later reinfused into the same patient

Question 4

plasma transfusion is given when

Answer 4

you have been burned badly , have liver failure, or a severe infection

Question 5

red blood cells

Answer 5

carry oxygen and help to get rid of carbon dioxide and other waist products

Question 6

platelets and clotting factors

Answer 6

this part of the blood helps stop bleeding, including internal bleeding that you can not see

Question 7

what kind of solution can you only use with blood products?

Answer 7

normal saline

Question 8

hypertonic

Answer 8

this type of solutions pull fluids

Question 9

isotonic

Answer 9

fluid that replaces intravascular fluid

Question 10

hypotonic solutions nursing considerations

Answer 10

monitor circulatory overload

Question 11

hypertonic indicated

Answer 11

dehydration, hyperglycemia (excess glucose in the blood stream)

Question 12

what type of intravenous solution do you use for cellular dehydration?

Answer 12

hypotonic

Question 13

If the nurse discovers the I.V. solution has infused too rapidly or too slowly, what does the nurse do?

Answer 13

Reset the rate

Question 14

What interventions and considerations should be completed or observed when performing intravenous therapy on older adults?

Answer 14

-Avoid flexion areas and areas with bruising
-Avoid spiderweb veins
-Avoid hard sclerosed veins
-Use small gauge and short length needle device to effectively deliver ordered therapy

Question 15

If the nurse attempts to flush an intravenous catheter and meets resistance, what can happen if the flush attempt is not stopped?

Answer 15

It can cause rupture of the catheter or mobilization of an occlusive clot, blood clot, and it can cause an embolism.

Question 16

List blood transfusion reaction symptoms.

Answer 16

-Back or chest pain
-fever
-Chills
-Decreased blood pressure
-Urticaria
-Wheezing
-Dyspnea
-Coughing
-Allergic reaction
-headaches

Question 17

What three areas will the LPN find scope of practice and guidelines for the performance of I.V. therapy?

Answer 17

-Kansas nurse practice act
-Facility policies and procedures
-IV standards

Question 18

Can all LPNs perform some level of I.V. therapy? What types of classes are available for LPN I.V. certification?

Answer 18

All LPN can do some level of therapy, not start but can monitor, hang bags of basic IV fluids. Discontinue less than 3 inch
With IV certification- LPN can do all IV therapy

Question 19

how can you get an IV certificate?

Answer 19

1- Nursing program with IV certificate
2- stand alone class that does certification for IV
3- grandfathered in with one week certification class

Question 20

What should be assessed when assessing I.V. therapy?

Answer 20

IV site all the way to the tubing, container, IV fluids, IV site from any rash warmth, cool, to touch, intake and output, monitor infusion rate, patient response to therapy or AE

Question 21

What are symptoms of fluid volume overload?

Answer 21

edema, headache, crackles in the lungs, weight gain, neck pain distinction,

Question 22

if a client exhibits fluid over load symptoms, what actions should the nurse take? AKA circulatory overload

Answer 22

slow rate down, elevate head of the bed, oxygen, notify the doctor, and vitals

Question 23

When is basic Iv tubing changed?

Answer 23

Basic IV tubing - major fluids- 96 HRS

Question 24

Discuss valves in blood vessels.

Answer 24

epithelial folds

Question 25

What is the most commonly used peripheral catheter?

Answer 25

over the needle catheter

Question 26

When can the lower extremities of a client be cannulated?

Answer 26

in infants ONLY, never IN ADULTS

Question 27

What is the main complication of an intraosseous catheter if it remains in place longer than 24 hours?

Answer 27

Infection in the bone AKA Osteomyelitis

Question 28

What is a potential complication of inserting a central line venous access device?

Answer 28

Pneumothorax because its right by the lung

Question 29

How many insertion attempts per nurse when trying to start an I.V.?

Answer 29

2 per NURSE

Question 30

What does a sharp, shock-like like, or ‘zinging’ pain up the arm indicate during an I.V. cannulation attempt indicate?

Answer 30

Nerve damage- change the site

Question 31

How often is a central venous access device GAUZE dressing changed?

Answer 31

48hrs

Question 32

How often is a central venous access device TRANSPERANT dressing changed?

Answer 32

5-7 days

Question 33

What is a priority when infusing I.V. therapy using an electronic infusion pump?

Answer 33

Priority is monitoring the IV SITE

Question 34

If an I.V. solution is discovered to have been hanging longer than 24 hours, what should the nurse do?

Answer 34

The nurse has to change the Fluid bag

Question 35

PRBC- Packet red blood cells- give when patient?

Answer 35

anemia, blood loss, low hemoglobin, fluid replacement, and if client is symptomatic, hypotension and dyspnea. There is not enough oxygen in the blood because of the hemoglobin not being enough

Question 36

give Granulocytes-when patient

Answer 36

white blood cells, given when an infection is to strong, and body is not responding to antibiotics

Question 37

Plasma is

Answer 37

is the portion of the blood that contains albumin, fibrinogen, coagulation factors

Question 38

give plasma when patient?

Answer 38

fluid replacement, hypertension, coagulation deficits, and it can be infused as fast as the client can tolerate.

Question 39

Albumin is

Answer 39

protein, help with poor wound healing, increases osmotic pressure, and third spacing ( too much fluid in the tissues) will move the excess fluids from the tissues to the vessels.