IV

Question 1

2 reasons for insertion of a PIV?

Answer 1

• Infusion therapy

- Hemodynamic monitoring

Question 2

In pts with renal or cardiac disease, infusion therapy with isotonic solutions can pose a risk of…

Answer 2

…fluid volume overload.

Question 3

T or F:

Hypotonic solutions can exacerbate a hypotensive state.

Answer 3

T

Question 4

Hypertonic solutions are irritating to the vein and can increase the risk of…

Answer 4

…heart failure and pulmonary edema

Question 5

What 3 different IV therapies are short peripheral catheters NOT recommended for?

Answer 5

• Continuous vesicant therapy
• Parenteral nutrition
• Infusates with an osmolarity greater than
  900mOsml/L

Question 6

Solutions with a high or low pH can also cause complications such as _______ and ____ are suggested instead.

Answer 6

• Phlebitis

- CVADs

Question 7

How often should primary and secondary continuous administration sets used to administer solutions other than lipid, blood, or blood products be changed?

Answer 7

Every 96 hours

Question 8

Where should the tourniquet be positioned for vein finding? What should you do after applying the tourniquet?

Answer 8

On the upper arm or at least 10cm above possible insertion site. Find the pulse distal to the tourniquet.

Question 9

Most appropriate vein selection:

know at least 4

Answer 9

• Soft, bouncy, adequate size
• Most distal site above wrist
• Do not use areas of flexion unless emergency
• Avoid hand veins unless for short use
• Do not use a site below a failed insertion unless
  completely healed
• Min of 8cm or 3 fingers above the wrist
• Do not use an arm that has a fistula or a graft for
  dialysis
• Avoid vein in the upper extremity on the affected side
  of breast surgery with axillary node dissection or
  lymphedema, after radiation, or with arteriovenous
  (AV) fistulas or grafts, or in an affected area from a
  CVA

Question 10

If you must use the ACF, how long should it be kept in that area?

Answer 10

48 hours

Question 11

After locating an ideal vein, what should you do immediately after?

Answer 11

Release the tourniquet

Question 12

T or F:

The tourniquet can be in place for 2-3 minutes

Answer 12

F, 1-2 minutes

Question 13

During insertion, bevel should be…

Answer 13

…up

Question 14

What angle should the venipuncture be preformed at?

Answer 14

10-15 degrees

Question 15

What three components should be included in a doctor’s order for insertion of an IV catheter?

Answer 15

Type of solution and rate of infusion
Date
Signature

Question 16

What three components should be included in a doctor’s order for insertion of an IV catheter?

Answer 16

• Type of solution and rate of infusion
• Date
• Signature

Question 17

How quickly will blood not flushed out on the IV tubing take to form a clot?

Answer 17

2-3 minutes.

Question 18

4 methods for enhancing vein dilation?

Answer 18

• Applying heat
• Tourniquet
• Gentle rubbing
• Dangle the arm below the heart

Question 19

What are 2 reasons why the lower extremities are undesirable for IV cannulation?

Answer 19

Increased risks of phlebitis and ulceration

Question 20

What should be documented after starting an IV?

4

Answer 20

• Date/time/Initials
• Size of device
• Location
• Number of attempts

Question 21

How often should a nurse inspect an IV site?

Answer 21

• Infusion therapy = every hour

- Saline locked = minimum of once every shift