Unit 4

Question 1

Any agent capable of producing blisters/tissue damage

Answer 1

vesicant

Question 2

Escape of blood into the tissues

Answer 2

Ecchymosis

Question 3

Cannula becomes occluded with blood or drug precipitate.

Answer 3

Occluded cannula

Question 4

Obstruction of a blood vessel by a thrombus or foreign material formed or introduced elsewhere in circulatory system and transported to that point through circulation

Answer 4

Embolism

Question 5

Inadvertent administration of a vesicant solution/drug into the tissue

Answer 5

Extravasation

Question 6

Inflammation of the intima of a vein

Answer 6

phlebitis

Question 7

Inadvertent administration of a Non vesicant solution/drug into the tissue

Answer 7

infiltration

Question 8

Condition precipitated by presence of more fluid volume than the circulatory system can manage

Answer 8

Circulatory overload

Question 9

Inflammation of a vein in conjunction with a thrombus

Answer 9

Thrombophlebitis

Question 10

Inflammation of cellular or connective tissue

Answer 10

Cellulitis

Question 11

Bacterial invasion at venipuncture site resulting in an infectious disease process

Answer 11

Infection at site

Question 12

Systemic disease caused by presence of pathogenic microorganisms in the body

Answer 12

Septicemia

Question 13

blood clot

Answer 13

thrombus

Question 14

A localized mass of blood causing a hard painful lump

Answer 14

Hematoma

Question 15

Discontinue site, elevate extremity, apply warm compresses, notify physician

Answer 15

phlebitis

Question 16

Discontinue site, culture cannula tip and drainage, notify physician, provide therapeutic processes as ordered by physician, continue monitoring

Answer 16

infection at site

Question 17

Place in semi-Fowler’s position, catheter embolism assess vital signs, notify physician, provide therapeutic processes as ordered by physician

Answer 17

pulmonary embolism

Question 18

Discontinue IV immediately, apply direct pressure, elevate extremity, and apply cold compresses

Answer 18

hematoma

Question 19

Apply tourniquet to involved extremity at torso junction, notify physician and supervisor immediately, prepare patient for radiological evaluation, retain portion of catheter removed

Answer 19

Immediate discovery

Question 20

Stop drug administration, follow facility extravasation treatment protocol; notify physician of event, continue monitoring of area

Answer 20

Extravasation

Question 21

Slow infusion to a rate that just keeps the site patent, place patient in high Fowler’s position, apply warmth measures, assess vital signs, notify physician, provide therapeutic processes as prescribed by physician

Answer 21

circulatory overload

Question 22

Cease venipuncture attempt, remove armboard, relocate IV site to other extremity, notify physician

Answer 22

Nerve irritation

Question 23

Stop infusion; aseptically reserve assembled system for potential future testing; reestablish IV at new site with new solution, administration set, and cannula; obtain vital signs; notify physician; provide diagnostic culturing therapeutic processes as

Answer 23

Septicemia

Question 24

Stop drug administration, follow facility extravasation treatment protocol; notify physician of event, continue monitoring of area.,

Answer 24

Extravasation

Question 25

Correct source of air intake, place patient on left side in steep Trendelenburg position, obtain physician's assistance immediately, provide therapeutic processes as prescribed by physician

Answer 25

air embolism

Question 26

Place in semi-Fowler's position, catheter embolism assess vital signs, notify physician, provide therapeutic processes as ordered by physician,

Answer 26

pulmonary embolism

Question 26

Discontinue site, elevate extremity, caution patient not to rub or massage area, notify physician of observations, provide therapeutic processes as ordered by physician,

Answer 26

Thrombphlebitis

Question 26

.Slow infusion to a rate that just keeps the site patent, place patient in high Fowler's position, apply warmth measures, assess vital signs, notify physician, provide therapeutic processes as prescribed by physician

Answer 26

circulatory overload

Question 27

Place in semi-Fowler's position, catheter embolism assess vital signs, notify physician, provide therapeutic processes as ordered by physician

Answer 27

pulmonary embolism

Question 28

Discontinue site, elevate extremity, caution patient not to rub or massage area, notify physician of observations, provide therapeutic processes as ordered by physician

Answer 28

thrombophlebitis

Question 29

Cease venipuncture attempt, remove armboard, relocate IV site to other extremity, notify physician

Answer 29

nerve irritation

Question 30

Discontinue IV immediately, apply direct pressure, elevate extremity, and apply cold compresses

Answer 30

hematoma

Question 31

Fever, chills, general malaise, headache, nausea and vomiting, vascular collapse, and shock are signs and symptoms of what condition?

Answer 31

Septicemia

Question 32

Which of the following are local complications associated with IV therapy?

Answer 32

Phlebitis, infiltration, and extravasation

Question 33

What IV therapy complications has been reported to have a 40-50% mortality rate?

Answer 33

air embolism

Question 34

Discoloration and formation of a hard painful lump adjacent to the venipuncture site are the two signs and symptoms of what condition?

Answer 34

hematoma

Question 35

What are the two characteristics of a thrombophlebitis?

Answer 35

inflammation and thrombosis

Question 36

Engorged neck veins, hypertension, severe dyspnea, and moist rales are indicators of:

Answer 36

circulatory overload

Question 37

Pleuritic pain or discomfort, tachycardia, dyspnea, hemoptysis, and cyanosis are signs and symptoms of what condition?

Answer 37

pulmonary embolism

Question 38

What signs and symptoms are indicative of an infiltration?

Answer 38

Swelling, coolness, and altered flow rate

Question 39

Sterile/chemical, mechanical, and septic are sub-classifications of which of the following local complications?

Answer 39

phlebitis

Question 40

Weeping of tissue may or may not develop in a patient who has which of the following complications?

Answer 40

Cellulitis

Question 41

What is a true statement related to catheter embolism?

Answer 41

pt may be asymptomatic

Question 42

What factors influence bacterial survival

Answer 42

Presence of specific organism, number of organisms, and resistance of host

Question 43

What are the main sources of bacteria responsible for IV-associated infections?

Answer 43

air, blood, and skin

Question 44

Intrinsic contamination may occur during?

Answer 44

manufacturing process

Question 45

What type of contamination can result from compromised integrity of the venipuncture site dressing?

Answer 45

Extrinsic

Question 46

What governmental agency issued the Bloodborne Pathogen Standard

Answer 46

OSHA

Question 47

Which of the following statements applies to the Bloodborne Pathogen Standard?

Answer 47

Gloves should be worn when touching blood and certain body fluids.

Question 48

Which of the following intravenous therapy procedures is accompanied by a high risk for blood contact?

Answer 48

Peripheral venipuncture

Question 49

What factors are identified as major contributors to IV therapy-related contamination?

Answer 49

Use of outdated parenteral fluids, inadequate preparation of cannula insertion site, and inappropriate handwashin