Unit 3

Question 1

Prior to using any industry container, the nurse must first:
1.
2.
3.
4.

Answer 1

1. Read label and determine if the correct fluid is ordered.
2. Check the expiration date
3. Evaluate container for integrity
4. Check fluid for clarity and particulate matter

Question 2

Name the different types of infusate administration sets

Answer 2

Primary administration set (most common, single and Y-type)
Secondary administration set (less common and hung higher)
Volume control administration set
Blood and blood product administration set
Lipid administration sets

Question 3

Name 8 parts of IV tubing

Answer 3

Spike, drop chamber, tubing, clamp (roller or slide), check valve, filter, injection port, adapter

Question 4

What are the accessory devices

Answer 4

Filter, extension set, adapters/connectors, needleless systems, venous access device, vein illumination device, prep & maintenance materials (skin prep, dressings, kits)

Question 5

Name 4 infusion regulation systems

Answer 5

Mechanical gravity control devices
Electronic control devices (controllers and pumps)
Ambulatory infusion systems
Disposable infusion devices

Question 6

What way to arteries run? Veins? What is the pressure like?

Answer 6

Arteries Carry oxygenated blood away from the heart & have high pressure.
Veins carry deoxygenated blood to the heart & have a much lower pressure

Question 7

Where are valves present?

Answer 7

Only in veins

Question 8

What is the most common being used in:

The hand?

The arm?

The chest?

Answer 8

The hand, dorsal venous arch.

The arms, basilic, radial, cephalic, and median of the arms.

The chest, subclavian and jugular

Question 9

How do you prepare for venipuncture, psychologically?

Physically?

Answer 9

Psychologically: be honest, reduce pain, explain procedure, be confident, and positive

Physically: safety, comfort, position, and prepare environment (have materials ready)

Question 10

When selecting a vein what should you take into consideration?

Answer 10

• most appropriate access for intended therapy, while minimizing associated risks and complications
• clients age
• diagnoses
• health status
• duration
• purpose and side effects of therapy

Question 11

What should happen if the nurse is planning to administer the IV to lower extremities?

Why is this avoided?

Answer 11

• obtain physicians order, facility policy
• not give to ambulatory patient
• stick the dorsal arch or saphenous vein

It’s avoided because of the risk of development of thrombophlebitis & embolism.

Question 12

What factors influence the condition of veins?

Answer 12

Hydration status, age/size of patient, duration of therapy or drug abuse, CVD, surgery or trauma