IV cert

Question 1

What should be assessed when assessing I.V. therapy

Answer 1

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 2

What are symptoms of fluid volume overload

Answer 2

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

Question 3

what actions should the nurse take? with fluid overload

Answer 3

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

Question 4

Basic IV tubing change

Answer 4

major fluids- 96 HRS

Question 5

valves in blood vessels are

Answer 5

Epithelial folds

Question 6

What is the most commonly used peripheral catheter?

Answer 6

Over the needle catheter

Question 7

When can the lower extremities of a client be cannulated?

Answer 7

In infants, never utilize in an adult- does require a physician’s order

Question 8

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

Answer 8

nfection in the bone AKA Osteomyelitis

Question 9

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

Answer 9

Pneumothorax because its right by the lung

Question 10

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

Answer 10

2 PER NURSE,
if there is two nurses its 4 tries all together

Question 11

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

Answer 11

Nerve damage- change the site

Question 12

How often is a central venous access device dressing changed?

Answer 12

Gauze- 48 hrs
Transparent dressing- 5 to 7 days

Question 13

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

Answer 13

Priority is monitoring the IV SITE

Question 14

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

Answer 14

The nurse has to change the Fluid bag

Question 15

PRBC- Packet red blood cells administered when?

Answer 15

anemia, blood loss, low hemoglobin, fluid replacement, and if the client is symptomatic, hypotension and dyspnea.

Question 16

PRBC- Packet red blood cells is what?

Answer 16

There is not enough oxygen in the blood because of the hemoglobin not being enough

Question 17

Granulocytes

Answer 17

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

Question 18

Plasma

Answer 18

is the portion of the blood that contains albumin, fibrinogen, coagulation factors. given for fluid replacement, hypertension, coagulation deficits, and it can be infused as fast as the client can tolerate.

Question 19

Platelets

Answer 19

help with clotting of the blood, if count is low.

Question 20

Albumin

Answer 20

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.

Question 21

To much fluid in the vessel - fluid overload

Answer 21

hypervolemia

Question 22

Isotonic

Answer 22

-Solutions NS (0.9%), D5W, LR, colloids
-Indications expands blood vessel compartment
-Contraindications Do not administer D5W with ICP
-Adverse Effects: fluid overload

Question 23

Hypertonic

Answer 23

-Indications : Dehydration, hyperglycemia
-Contraindications : Increased ICP from stroke, trauma, or neurosurgery; risk for third-spacing (burns, trauma, low serum protein from malnutrition or liver disease)

Question 24

Hypotonic Solutions

Answer 24

-Indications: Postoperatively to pull fluids from tissues; reduces edema, stabilizes blood pressure, hyponatremia, and regulates urine output
-Contraindications: Impaired heart or kidney function; DKA
-Nursing Considerations: Monitor for circulatory overload

Question 25

piggy back tubing is

Answer 25

is always above the primary solution

Question 26

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

Answer 26

-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 27

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

Answer 27

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

Question 28

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

Answer 28

Reset the rate

Question 29

A nurse is preparing an I.V. piggyback of antibiotic. Which is the best method for a client with a history of CHF?

Answer 29

Intermittent infusion via saline lock

Question 30

A client has swelling at the site, reports pain and the rate is slowing. What complication does the nurse suspect?

Answer 30

Thrombus formation

Question 31

A client has chills, fever, headache, and anxiety with PRBC infusion. What is an action after stopping the PRBCs?

Answer 31

Administer PRN acetaminophen by mouth

Question 32

When attaching an I.V. piggyback to a primary I.V., the nurse should hang the I.V. piggyback _____ the primary bag.

Answer 32

Higher than

Question 33

What local complications associated with infusion therapy does the nurse monitor the client for?

Answer 33

Phlebitis, occlusion, and infiltration

Question 34

The client's I.V. has coolness of skin, taut skin, swelling and absence of blood in tubing are signs and symptoms of?

Answer 34

Infiltration

Question 35

The nurse must assess the client receiving I.V. therapy and document at least every four hours on what?

Answer 35

The condition of the insertion site

Question 36

While spiking the intravenous solution bag, the nurse should remember to:

Answer 36

Keep the fingers behind the flange to protect the sterility of the spike

Question 37

The healthcare provider prescribed Lactate Ringers. The nurse knows this fluid will:

Answer 37

Stay in the vascular space

Question 38

What should be considered when selecting a peripheral vascular access device?

Answer 38

Ordered therapy, client’s clinical status, and age

Question 39

A midline catheter should not be used to administer which solution?

Answer 39

Total parenteral nutrition

Question 40

When inserting an intermittent infusion device, the LPN must flush the it with:

Answer 40

Normal saline prior to attachment to catheter