IV Mosby Videos Flashcards
Which action would the nurse perform to best ensure effective insertion of a venous access device into a patient’s arm?
A. Anchor the vein by placing a thumb 1 to 2 inches below the site.
B. Insert the device tip at a 45-degree angle distal to the proposed site.
C. Place the patient’s left arm in a dependent position for 5 minutes before assessment.
D. Apply a tourniquet to the left antecubital fossa 8 to 12 inches above the proposed site.
A. This action stabilizes the vein, increasing the possibility of a successful insertion.
How might the nurse prepare a patient to anticipate some discomfort when inserting a venous access device?
A. Instruct the patient to expect a sharp, quick stick.
B. Insert the access device as quickly as possible.
C. Apply a topical anesthetic to the area before inserting the device.
D. Promise that the procedure will not hurt once the device has been inserted.
A.
Which of the following technique(s) is/are best for minimizing a patient’s risk for injury when inserting a venous access device?
A. Inserting the needle with the bevel up
B. Using a vein on the dorsal surface of the arm
C. Holding the skin taut directly below the site
D. All of the above
D.
The nurse is inserting an over-the-needle catheter into a newly admitted patient. What will the nurse do after confirming blood return?
A. Loosen or remove the tourniquet.
B. Advance the catheter 1 inch into the vein.
C. Lower the catheter until it is flush with the skin.
D. Thread the catheter into the vein up to the hub.
C. Lowering the catheter until it is flush with the skin minimizes the risk of passing the needle through the opposite vessel wall.
Which instruction might the nurse give to nursing assistive personnel (NAP) regarding the care of a patient with an intravenous access device?
A. “Assess the IV site frequently for signs of inflammation.”
B. “Be sure not to obscure the insertion site with the dressing.”
C. “Let me know when you notice that the IV bag contains less than 100 milliliters.”
D. “Explain the symptoms of infection to the patient.”
C. The task of reporting when the level of fluid in the IV bag is low may be delegated to NAP.
Which technique is most accurate in identifying an appropriate vein site for IV catheter insertion into the arm?
A. Remove any clothing that is covering the arm.
B. Apply a warm washcloth to the arm at the proposed site.
C. Elevate the selected arm on a pillow for 2 to 3 minutes.
D. Apply a tourniquet to the selected arm 4 to 6 inches above the proposed site.
D. Applying a tourniquet will distend the vein, making the intended insertion point more visible and allowing the nurse to determine if the vein can accommodate the IV catheter.
When preparing to insert a venous access device, how can the nurse encourage patient compliance with the procedure?
A. Assess the patient’s understanding of the placement of the device.
B. Insert the access device as quickly as possible.
C. Ask the patient to select the arm preferred for access.
D. Apply a topical anesthetic to the area before inserting the device.
A
Which action minimizes the patient’s risk for injury when inserting a venous access device into the arm?
A. Wearing clean gloves during the procedure
B. Using a larger vein found on the palmar (ventral) side of the wrist
C. Checking for a radial pulse once the tourniquet has been applied
D. Priming the extension tubing after attaching it to the newly placed venous access device
C. Assessing for a radial pulse after the tourniquet is in place ensures that circulation to the distal extremity has not been compromised.
The nurse is preparing to insert a venous access device into a newly admitted 75-year-old patient. Which vein is not an inappropriate choice for IV insertion in this patient?
A. Basilic vein
B. Cephalic vein
C. Superficial dorsal vein
D. Median cubital vein
C. Superficial veins located on the dorsal surface of the hand must be avoided because of the risk for infiltration due to excessive movement. They are also more fragile in older adults.
The nurse is using chlorhexidine to prepare the site before inserting a venous access device into the median cubital vein of a 60-year-old patient. Which action is correct?
A. Wash the site with soap and water.
B. Allow the site to dry 1 to 2 minutes after cleansing it with chlorhexidine.
C. Cleanse the site using a circular motion, starting at the insertion site and working outward.
D. Cleanse the area by first swabbing horizontally, then vertically with the applicator for about 30 seconds.
D.
Why is it important to label the gauze dressing covering the site of an intravenous access device with the date, time, and nurse’s initials?
A. Reminds the nurse to document the insertion of the device
B. Proves that the access site was assessed
C. Informs the nurse and other staff when the next dressing change is due
D. Reminds the nurse when to change the infusion tubing
C
Which action will the nurse take to minimize a patient’s risk for injury when applying a dressing to an infusion site?
A. Use aseptic technique throughout the process.
B. Apply a skin protectant to the skin before the intervention.
C. Apply a transparent dressing that allows for visualization of the site.
D. Explain the process to the patient before implementation.
A.
The nursing assistive personnel (NAP) reports to the nurse that a patient’s intravenous access device dressing is wet. What would the nurse do first?
A. Assess the site.
B. Instruct the NAP on how to change the dressing.
C. Remove the device, and insert a new one.
D. Reinforce the dressing with more gauze.
A. The nurse would first assess the site to check for infiltration and to see if the IV has become dislodged.
When applying a dressing to an infusion site on a patient’s left forearm, what will the nurse do to ensure proper maintenance of the tubing?
A. Apply a transparent dressing to the insertion site.
B. Use a catheter stabilizing device when applying the dressing.
C. Apply the dressing proximal to the tubing and catheter hub connector.
D. Secure the tubing to the patient’s dressing with 1-inch tape.
C. Applying the dressing proximal to the tubing and catheter hub connector will allow the tubing to be disconnected and changed when indicated.
Which action will the nurse take to minimize a patient’s risk for injury when applying a gauze dressing to an infusion site?
A. Avoid encircling the arm with tape
B. Not secure the tubing and catheter hub with tape
C. Secure the tubing in two different locations on the arm
D. Label the dressing with the date and time of application
A.
