IV Therapy Flashcards
A nurse has just inserted a peripheral IV catheter for a continuous infusion. To secure the catheter, the nurse should
Leave the connection between the hub and the tubing uncovered
Wrap tape around the circumference of the patient’s arm
Tape the IV catheter’s hub securely to the patient’s skin
Place a piece of paper tape over the insertion site
Leave the connection between the hub and the tubing uncovered
A nurse is discontinuing an IV infusion. For which of the following reasons it is important to verify and document the integrity and condition of the IV catheter?
A broken – off catheter tip indicates the risk for an embolus
Catheter erosion indicates that it was left in place too long
Blood within the catheter could indicate clot formation
Discoloration of the catheter could be a sign of phlebitis
A broken – off catheter tip indicates the risk for an embolus
A nurse is removing an IV catheter from a patient whose IV infusion has been discontinued. Which of the following actions is appropriate?
Apply firm pressure over the vein
Leave the roller clamp slightly open
Pull the catheter straight back from the insertion site
Lift the hub slightly upward away from the skin
Pull the catheter straight back from the insertion site
A nurse has just initiated a peripheral IV infusion of 5% dextrose in water. How often should the nurse plan to replace the primary infusion tubing?
Every 24 hours
Every 48 hours
Every 72 hours
Every 108 hours
Every 72 hours
A nurse initiating a peripheral IV infusion punctures the sking and selected vein and observes blood return in the flashback chamber of the IV catheter. Which of the following actions should the nurse perform next?
Secure the catheter to the skin with a transparent dressing
Lower the catheter until it is almost flush with the skin
Advance the catheter about ¼ inch into the vein
Remove the stylet slowly from the lumen of the catheter
Lower the catheter until it is almost flush with the skin
Which of the following is an important nursing action when converting an IV infusion to a saline lock?
Open the roller clamp of the primary infusion to prime the saline lock
Apply pressure with a syringe to clear resistance in the IV catheter
Attach secondary tubing to allow mobilitly
Flush the IV catheter to confirm patency
Flush the IV catheter to confirm patency
A nurse who has just initiated an IV infusion explains to the patient that complications are possible and that she will monitor the infusion regularly. The nurse should teach the patient that which of the following findings is an indication of early infiltration?
Moisture
Bruising
Tingling
Coolness
Coolness
A patient in early stage renal failure is prescribed an infusion of 0.45% sodium chloride. This type of solution is appropriate because it
Pulls fluid from the cells and increases vascular volume
Dilutes extracellular fluid and rehydrates the cells
Replaces extracellular volume and maintains intravascular volume
Draws fluid into blood vessels and reduces interstitial compartments
Dilutes extracellular fluid and rehydrates the cells
A nurse finds a patient’s IV insertion site red, warm, and slightly edematous. Which of the following actions should the nurse perform first?
Check for a blood return
Elevate the extremity
Discontinue the IV line
Apply warm, moist heat
Discontinue the IV line
