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246 IV
| Question | Answer |
|---|---|
| Which sites should be avoided for intravenous insertion | Foot of an adult, site distal to previous venipuncture site, ventral surface of wrist, areas of venous bifurcation, |
| Which sites should be avoided when initiating an intravenous infusion | The left arm of a patient who has a history of left sided mastectomy, an area of venous bifurcation of palpation of valves, side of paralysis |
| The most appropriate site for an adult that needs IV removed and replaced would be | Proximal to the previous IV site |
| Common sites for IV insertion | Dorsal surface of hand and inner arm |
| The dorsal surface of the hand may be avoided in the very young and very old why? | The veins are fragile and this site may be bumped |
| Common site for IV insertion in children | The foot |
| A site distal to a previous venipuncture site should be avoided why? | Because there is an increased risk of infiltration of the newly placed IV line and excessive vessel damage |
| The wrist should be avoided because | It has number is tendons and and nerves that could be damaged |
| A patient is receiving IV antibiotics and has had several IV site locations. What actions can the nurse take to promote venous distention | Apply a warm pack to the arm for several minutes, rub or stroke the patients arm |
| What angle should an IV catheter puncture the skin and vein during insertion in a middle aged adult | 10-30 degree angle |
| When should the tourniquet be released a second time during the procedure for insertion of a peripheral intravenous device | After a "flashback" of blood is observed and the catheter has been advanced off the stylet |
| The nurse is preparing an IV infusion before initiating an IV. Which of the following is a correct action performed by the nurse | After spiking the bag of IV fluids, the nurse fills the drip chamber 1/3 to 1/3 full and prunes the tubing making sure there are no bubbles |
| Signs and symptoms of fluid volume excess | Shortness of breath and crackles in lungs, elevated blood pressure and edema |
| What is consistent with infiltration | Cool to touch, swelling around insertion site, pain with increasing infiltration |
| What is consistent with phlebitis | Pain and redness |
| Symptoms with fluid volume excess | Crackles in lungs, peripheral edema, and dyspnea |
| The nurse notices failure of flow in the drip chamber with the roller clamp open and an absence of swelling at the insertion site what should the nurse do | Determine patency by aspirating for a blood return and check for kinking of IV tubing |
| What is the primary danger related to a broken catheter tip | Embolus |
| Where do you.place the IV the first time | Most distal site when possible |
| IV solutions fall into what categories | Isotonic, hypotonic, hypertonic |
| Isotonic solutions have the same _____ as body fluids | Osmolality |
| Isotonic solutions can cause an increased risk for fluid overload in patients with | Renal or cardiac disease |
| Hypotonic solutions can exacerbate a | Hypotensive state |
| Hypertonic solutions are irritating to the vein and can cause increased risk of | Heart failure and pulmonary edema |
| Solutions and medications with an osmolarity greater than ____ are infused through a Cvad | 900 mOsm/L |
| Phlebitis is more common when IV infusions are done with a | Short peripheral or midline catheter |
| Common IV vein sites | Cephalic, basilic, Median |
| 0.9% NaCl or D5W | Isotonic solution |
| Isotonic fluids are generally given to correct this problem | Fluid volume deficit |
| Administered to rehydrate cells 0.45% NaCl | A hypotonic solution |
| Given carefully to renal and cardiac patients because it pulls fluid into the vascular space | Hypertonic solutions |
| Size needle for Trauma, surgery, rapid blood transfusion, and rapid fluid replacement | 14, 16, 18 |
| Continuous or intermittent infusions, blood transfusions in adults size Guage | 20 |
| Size Guage Continuous or intermittent infusions adults, children, and the elderly | 22 |
| One time infusion, IV push administration, venipuncture or phlebotomy | Butterfly needle |
Created by:
Hydecar