Quiz: Initiating a Peripheral Venous Access IV Infusion

The nurse is preparing to insert an intravenous catheter into an adult client. Place the following steps in the correct order. Use all options.

1)Apply a tourniquet 3 to 4 in (7.5 to 10 cm) above the site. 2)Cleanse the site with chlorhexidine. 3)Place nondominant hand 1 to 2 in (2.5 to 5 cm) below the site and pull the skin taut. 4)Insert the needle gently. 5)Release the tourniquet. 6)Stabilize the catheter or needle.

The nurse is initiating a continuous intravenous (IV) infusion. Place in order the steps the nurse will take. Use all options.

1)Close the roller clamp on the IV tubing. 2)Spike the new bag of IV fluid and hang it on the IV pole. 3)Squeeze the drop chamber and allow it to fill halfway. 4)Open the roller clamp on the IV tubing. 5)Carefully observe IV fluid move through the tubing until no air remains. 6)Replace the end cap on the end of the IV tubing.

A nurse is preparing to insert an intravenous (IV) catheter into a client's arm. At which angle relative to the client's skin should the catheter be inserted?

10- to 15-degree angle

When hanging a new bag of IV fluid for a client, which action does the nurse perform first?

Close the roller clamp on the tubing.

A nurse is caring for a client who requires intravenous (IV) therapy. The nurse understands that which actions are the nurse's responsibilities related to this therapy? Select all that apply.

Deciding the location of the IV catheter., Deciding the size of the IV catheter., Administering the IV solution.

A nurse is caring for four different pediatric clients, all of whom require insertion of an intravenous (IV) catheter. For which of these clients would it be appropriate to insert the IV into the foot?

Infant

The nurse observes and palpates a client's veins to determine a suitable site for initiating peripheral venous access. If the nurse cannot palpate a vein, which action would be most appropriate?

Massage the client's arm from proximal to distal end.

The nurse is starting a new IV on the client. The nurse has chosen a distal site of the cephalic vein in the client's left arm, cleaned the site, and applied the tourniquet. What should the nurse do next?

Palpate for the presence of the left radial pulse.

The nurse is administering intravenous (IV) therapy to a client. The nurse notices acute tenderness, redness, warmth, and slight edema of the vein above the insertion site. Which complication related to IV therapy should the nurse most suspect?

Phlebitis

The nurse is caring for a client who had a right mastectomy 2 years ago. In choosing a site to start a peripheral IV, which site would be the best choice by the nurse?

a distal area of the cephalic vein in the client's left upper extremity

When caring for a client who requires intravenous (IV) therapy, which actions are within the nurse's scope of practice and can be performed independently? Select all that apply.

deciding on the peripheral IV site location, determining what gauge IV catheter to use, deciding to relocate an IV site that has infiltrated

The nurse has initiated a 20-gauge peripheral IV catheter in the client's left cephalic vein using aseptic technique. The nurse is preparing to hang 1 liter of normal saline with 40 mEq (40 mmol) potassium chloride to infuse at 75 mL/hr beginning at 10:00 a.m. What information will the nurse include on the time strip being attached to the IV fluid container? Select all that apply.

normal saline with 40 mEq (40 mmol) potassium chloride, client's name, today's date, initiated at 10:00 a.m.