Week 5: Peripheral IV Flashcards
Intravenous Therapy guidelines state that
- Nurses initiating IV Therapy must wash hands and wear gloves. Correct
- A physician’s order, must be written for type of solution, medication (if one added), rate, and route.
IV administration tubing sets for continuous infusions are changed every:
96 hours
Veins can be characterized by:
the absence of pulses
the presence of valves
Which technique(s) should you use to distend veins?
- Apply the tourniquet tight enough to trap venous blood. Correct
- Have the patient make a tight fist several times. Correct
IV Therapy may be used to:
- maintain fluid and electrolyte balance
- provide parenteral nutrition
- administer medication
What is the most appropriate angle of entry for most venipunctures?
10-30 degrees
When choosing a vein for IV Therapy you need to consider:
- condition of vein
- size and location
- purpose of the infusion/duration of therapy
The correct way to cleanse the selected IV site is:
multiple directions using friction
When performing venipuncture, the vein is anchored and the needle is inserted:
bevel up
When selecting an IV catheter size which of the following should be considered?
- type of therapy/length of duration
- type of solution
- size of veins available
- possibility of blood products being infused
The ideal place to start an IV in a hospitalized patient is:
the forearm
The best action(s) to prevent a hematoma with insertion would be to:
- lower angle of insertion
- choose best possible vein with a good blood volume
- re anchor vein an maintain traction until the catheter is completely inserted
If a patient’s condition is deteriorating, the RN may initiate peripheral IV access without an order, while the physician is being notified.
true
After how many attempts at starting an IV would you consult a more experienced individual?
Two
Documentation in the nursing record must include:
Date of insertion
location
catheter size
A size #24 gauge cannula is best used for:
adults with extremely small or fragile veins
If you miss the vein you should:
- check that the catheter is in line with the vein
- reposition yourself to ensure accurate visualization
- re anchor the vein to prevent movement of the vessel
The ideal vein is:
- undisturbed by patient movement
- straight and unused
- located in an area comfortable for the patient
Mr. Smith has a PIV in his L arm that is 2 days old. You notice that the Tegaderm edges are lifting and there is sanguinous drainage visible at the insertion site. The patient reports it has been like this “the whole time”. You should:
change the dressing using aseptic no touch technique
