Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

201B Exam 4 > IV Administration > Flashcards

IV Administration Flashcards

1
Q

what are four basic categories of knowledge for nursing students related to IV sites?

A
  1. Know TYPE of IV SOLUTION
  2. Know RATE of IV infusion
  3. Know type and location of IV ACCESS SITE
  4. Know CONDITION of IV site
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

What is a CVC?

A

central venous catheter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

what is a PIV?

A

peripherally inserted venous line

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

a nurse is discontinuing a peripherally insert it venous line. They remove the tape and withdraw the catheter noting that the catheter is jagged at the end. Which of the following complications has occurred?

a infiltration
b toxicity caused by a desiccant
c air embolism
d catheter breakage

A

d catheter breakage

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

What can be administered through an IV catheter?

A

Fluids and medicines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

how long are saline locks good for?

A

It depends on the facility, but only for a few days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

why would an IV have a positive pressure end?

A

To prevent blood from flowing back into the catheter and potentially causing a blockage (occlusion) by creating a constant, slightly pressurized force against the backflow.

This is especially important when the IV line is not being actively used

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

how long can PICC lines be in?

A

It can be in for weeks or months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

how long can a midline catheter be in?

A

1-4 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

IV catheters are sized by their __________.

A

diameter

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

the smaller the diameter of an IV catheter the ________ the guage

A

larger

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

the smaller the gauge more ________ fluid can be delivered

A

rapidly

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

what are PICC lines used for?

A

prolonged IV antibiotic therapy, parenteral nutrition, and chemotherapy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

a PICC line goes all the way to the ___________

A

superior vena cava

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

a midline catheter goes all the way to the _________

A

larger vessels of the upper arm for better hemodilution

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

what are 6 rationals for IV therapy?

A
  1. NPO or taking PO fluids poorly (GI sx)
  2. pre-op
  3. post-op
  4. med therapy
  5. fluid loss via drains/tubes
  6. fluid deficit/nutrition deficit/blood loss
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

how many checks do we do before giving IV fluids?

A

3

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

check 1 consists of?

A
  1. review of IV fluids in EMAR for appropriateness
  2. withdraw IV fluids from the dispense system/CHECK EXPIRATION DATE
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

what does check 2 consist of?

A
  1. check IV fluids to EMAR
  2. examine solution
  3. discuss w/ instructor, ID patient, scan: check name, DOB and allergies
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

what does check 3 consist of?

A

final check of fluids

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what are the six rights of IV fluid administration?

A
  1. patient
  2. solution Including additives “drug”
  3. rate “dose”
  4. time
  5. route
  6. documentation
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

IV fluids are always per ________

23
Q

name some common IV solutions

A

0.9% NS
0.45% NS
D5W
D5/NS
D5/0.45% NS
D5LR
LR

24
Q

name 3 isotonic solutions

A

0.9%NS
lactated ringers
D5W (hypotonic in body)

25
name 3 hypotonic solutions
0.25%NS 0.45% NS 2.5% dextrose
26
name 3 hypertonic solutions
D5 NaCl D5 in Lactated ringers D5 0.45% NaCl
27
what solutions can a 1st semester student NOT administer?
TPN lipids albumin blood K-riders (or any combo of KCL >40mEq/L
28
what is a bolus?
a single dose of a medicine given all at once
29
if there is a new order of an IV, what us the goal for time?
within 1 hour
30
when is the right time to hang an IV bag?
IV nearly empty change in orders after 24 hrs hanging
31
a toddler is receiving continuous IV fluids. Which of the following precautions are recommended for this age group? a. IV house b. No tourniquet c. EID d. Metacarpal or great saphenous veins (legs)
a. IV house c. EID d. Metacarpal or great saphenous veins
32
what is an EID?
Electronic infusion device
33
Y-site ports must be cleaned how?
with alcohol for 10-15 seconds
34
When are the steps to prime tubing?
1. Open package and close roller clamp 2. Spike IV bag 3. fill drip chamber halfway 4. Slowly release clamp and prime tubing 5. Re-clamp when primed 6. Insert to being in pump/ settings 7. Clean saline lock 8. Connect to patient 9. Set pump settings 10. Press "run" 11. Check for drips in chamber and reassess site
35
what are two methods for the regulation of infusion rate?
Mechanical pumps Gravity
36
why are mechanical pumps preferred?
Able to set volume to be infused, rate (mLs/hr)
37
describe it gravity IV pumps
Roller clamp used to control speed Calculate number of drops per minute Use a very infrequently; OR, ER
38
Why do IV alarms go off?
Air alarm Occlusion Volume infused completed
39
what are the advantages of pumps?
Accurately deliver set rate Alerts us if problems occur Keep track of volume infused
40
what should you tell patient to look for at the IV site?
Redness Swelling Pain Leaking
41
what are the three windows of information on an IV pump?
1. Volume to be infused 2. Rate of infusion 3. Volume infused (tracked)
42
what are types of occlusions?
Human error because clamp is still closed Bent or kinked tubing Positional IV bend of arm Infiltration IV is no longer patent
43
when doing an IV site assessment the IV dressing should be _________
Clean Dry Secure Occlusive over site Intact
44
when assessing an IV site normal things to see are________
No redness No swelling No tenderness No leaking
45
what are potential complications related to an IV?
Infection Leaking Phlebitis Extravasation Infiltration
46
what is phlebitis?
Inflammation of vein Red, cordlike vein
47
what is extravasation?
Death of tissue from what is running in IV
48
what is the nurses role regarding IV infusion?
Monitor infusion at least every two hours Watch for complications Patient teaching Maintain a sepsis Cleaning hubs of IV tubing well/ use Curos caps
49
what are curos caps?
IV caps with alcohol included for disinfection
50
what to document after an IV is discontinued?
IV discontinued, catheter intact, hemostasis achieved no redness, swelling or pain
51
what are the 12 steps to changing an IV dressing?
1. Equipment 2. Wash hands 3. Assess site 4. Gloves 5. Hold catheter 6. Remove dressing and tape 7. Clean site 8. New transparent dressing 9. Label 10. Remove gloves 11. Wash hands 12. Document
52
when discontinuing a peripheral IV apply pressure to the site ________ catheter is removed
after
53
during a peripheral IV removal apply dressing to site when?
once hemostasis has been achieved

201B Exam 4 (3 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions