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IV Therapy

Final

QuestionAnswer
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