lab quiz 4

Question 1

Peripheral IV

Answer 1

• Contains small, short, plastic catheter placed into a peripheral vein for short-term use
• placed in hands, wrists, forearm, biceps, feet, scalp, or mid-line

Question 2

Central venous catheter

Answer 2

Contains a longer, larger plastic catheter that is placed in a more central vessel for long-term use

Question 3

14G

Answer 3

massive trauma situations

Question 4

16G

Answer 4

trauma, surgeries, multiple-vol infusions

Question 5

18G

Answer 5

blood transfusions or large-vol infusions

Question 6

20G

Answer 6

multipurpose use (meds, rehydration, routine therapies and infusions, IV contrast)

Question 7

22G

Answer 7

small veins and chemotherapy infusions

Question 8

24G

Answer 8

very fragile clients

Question 9

Considerations for gerontologic patients (elderly)

Answer 9

• Use a smaller gauge/lower angle
• Avoid the back of the hand/places that are easily bumped
• Avoid friction while prepping the skin with alcohol
• Apply a tourniquet over clothing or use a BP cuff
• Stabilize the vein and avoid rolling by pulling the skin taut
• Avoid excess tape
• Monitor for bruising and swelling at the insertion site

Question 10

Considerations for pediatric patients

Answer 10

• May need to use scalp
• Use appropriate IV gauge (22-24)
• Protect the IV site with appropriate stabilization devices
• Utilize local anesthetics (lidocaine or prilocaine, comes as gel, cream, or patch)

Question 11

Preparing IV insertion

Answer 11

• Assessment: baseline, volume status, what might inhibit placement
• Collect equipment and supplies: catheter size, securement devices, cream
• Position patient: ensure patient is comfortable
• Provide patient education
• Patient identification
• Perform hand hygiene and apply gloves

Question 12

Insterion technology assistance

Answer 12

• Veinviewer, veinfinder, accuvein
• Ultrasound

Question 13

Infiltration

Answer 13

fluid/medication gets under the skin and into tissues, causing redness and swelling, can feel edges

Question 14

Extravasation

Answer 14

• Irritating fluid gets under the skin and into the tissues
• red, painful, irritated

Question 15

Thrombophlebitis

Answer 15

blood clot irritating the vein

Question 16

Infection

Answer 16

red, warm, swollen, painful

Question 17

Ecchymosis/hematoma

Answer 17

failed IV site, previously used site, blood draws

Question 18

Thrombosis

Answer 18

clot, painful, may be able to feel it

Question 19

insertion documentation

Answer 19

• Date and time
• Number of attempts
• Location
• IV gauge and length
• Dressing type
• Patient education and response

Question 20

maintenance/status documentation

Answer 20

• IV site status
• Dressing status
• Patency of flush
• Aspiration and blood return
• Medication administration
• Fluid administration

Question 21

Discontinuation documentation

Answer 21

• Date and time
• Catheter condition