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IV Therapy
Final
| Question | Answer |
|---|---|
| Which of the following is a change in the cardiovascular system secondary to the aging process | Increased fragility of the veins |
| Which of the following methods may an IV certified LPN use to administer an IV push drug | Using a safety syringe and needle to inject directly into the vein or into the injection port of an intermittent infusion set |
| Which of the following assessment parameters is considered to be of the most crucial importance before initiating parenteral fluid therapy | Renal status |
| Fever, chills, general malaise, headache, nausea and vomiting, vascular collapse, and shock are signs and symptoms of what condition. | Septicemia |
| the largest and best anchored vein to use for a phlebotomy venipuncture is the | median cubital vein |
| which of the following comprise the structure of the skin | Dermis, epideremis, and superficial fascia |
| What supplies should be collected in preparation for establishing a peripheral intravenous site | Tourniquet, antiseptic, dressing, cannulas, tape, gloves, prescribed fluid and administration set |
| Which of the following is a primary consideration in fluid and electrolyte imbalance in pediatric patients | The younger the child, the greater the risk of fluid and electrolyte imbalance, fluid overlead and congestive heart failure |
| Which of the following signs and symptoms are typical of a vasovagal reaction consequential to patient stress | Vasoconstriction, syncope an diaphoresis |
| Volume-control set contains one of two types of filter design integral to the calibrated chamber. What are these two available filter | Pediatric |
| Peak level and trough level blood specimens are drawn during | therapeutic drug monitoring |
| The Venous Access and Intravenous Infusion Treatment Modalities is in accordance with the guidelines enacted by the | Missouri Rule 4 CSR 200.6010 |
| What are the main sources of bacteria responsiblew for IV-associated infections | Air, blood and skin |
| Identified parameters in the assessment of patients receiving parenteral fluid therapy include | Comparison of I & O, vital signs, skin turgor and laboratory values. |
| Normal saline flushing of the primary IV line before IVPB drug administration is frequently required to prevent what phenomenon | Bioincompatibility |
| The nursing objective in fluid and electrolyte imbalances is to know the importance of | evaluating patient's fluid and electrolyte status in order to recognize disturbance and initiate appropriate intervention |
| What is a vitall nursing consideration when infusing parenteral nutrition solutions | Initial infusions should begin slowly with incremental increases until desired infusion rate is achieved |
| Using an armboard when the IV site is located in an area of flexion prevents what condition | Mechanical phlebitis |
| Structural componenets common to both veins and arteries include which of the following | Tunica intima, tunica media, and tunica adventitia |
| Decreased ability of the elder patient to metbolize drugs is caused by alterations in | hepatic function |
| What two factors can alter normal blood clotting | Certain disease processes and medications |
| Which nursing consideration should the IV therapy-certified LPN observe when monitoring a pt. for clinical manifestations of chemotherapy side effects or toxicities | Document and report observations to the physician |
| What is the appropriate nursing action after cannula removal | Determining if the cannula was removed in its entirety |
| What factors affect the infusion flow rate | Phlebitis, height of container, and viscosity of the fluid |
| What two elements are essential for accurate documenation of the IV therapy-monitoring process | Pertinent information regarding observations and actions taken |
| The cannula hb should be stabilized during tape and dressing removal to prevent what condition from developing | Discontinuation-generated mechanical phlebitis |
| Which of the following are four of the major organs involved in homeostasis | heart, lungs, kidneys and adrenal glands |
| Which of the following IV therapy-related factors are likely to cause variations in respiratory function | Fluid and electrolyte imbalances, pH change, and emboli |
| Which of the following sites is considered appropriate when selecting a peripheral vein for intravenous cannula insertion | Soft, spngy veins located away from areas of flexion |
| Which of the following are identified as etiological factors contributing to drug errors | Ambiguities in drug names and uses, improper administration techniques, illegible orders, and inadequate monitoring of responses |
| Which of the following are local complications associated with IV therapy | Phlebitis, infiltration, and extravasation |
| Which of the following is a true statement regarding valves | Purpose is to prevent back flow of blood |
| Which of the following tasks can the LPn perform in blood transfusion therapy | Obtain unit from blood blank, crosscheck identifying data with RN before initiations and monitor during the transfusion |
| Which one of the following statements spplies to IV site dressings | Dressings may be gauze or transparent semipermeable membrane dressings |
| Functions of water in the body include which of the following | Providing for ionization of electrolytes, regulating body temperature, and acting as a solvent for a variety of substances |
| A key point to consider when calculating intravenous drug dosing is to | have a second person check mathematical calculations |
| What are the objectives of intravenous drug administration | Prophylactic, diagnostic and therapeutic |
| What is the threefold purpose of documenting the nursing care provided | Communicating patient status, identifying care provider competiency, and creating a legal lrecord of care provided |
| Intravenous therapy activities that may be delegated to an IV therapy-certified LPN include: | Initiating peripheral access, converting and IV cannula to a "locked" cannula, and monitoring blood transfusions |
| A key point to consider when calculating intravenous drug dosing is to | have a second person check mathematical calculations |
| Vein dialation may be achieved by: | applying a tourniquet |
| What immediate nursing intervention should be taken in response to an acute intravascular hemolytic reaction | Stop transfusion, KVO with NS, disconnect administration set from cannula and initiatae NS infusion with new tubing if a Y tubing is used |
| The goal of injecting a flush solution into the intermittent infusion device is to | maintain patency |
| What are the potential complications of an inaccurate infusion flow rate | Inappropriate drug serum levels, pulmonary edema, and cannula occlusion |
| Which function of blood is essential to homeostasis | Helps maintain acid-base balance |
| Drug accumulation secondary to inadequate distribution, metabolism, or excretion is a common etiology of | a toxic reaction |
| What condition is characterized by pulmonary edema, distended neck veins, peripheral edema, and a bounding, rapid pulse | Fluid volume excess |
| Prime factors to be considered when selecting a vein for venipuncture include: | characteristics of available veins, objective of ordered therapy, and anticipated duration of therapy |
| Intermittent infusion devices are used to provide which of the following intravenous-related procedures | Intermittent delivery of IV push drugs and intermittent IV piggyback |
Created by:
tater
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