iv
When applying a transparent dressing, it's important to:
. Mold the dressing around and partially under the hub.
What size filter is recommended for transfusing blood or blood products?
170-260
A blood transfusion set must be discarded after:
4 hours
A transfusion should be started at a slow rate because:
It enables the nurse to observe for s/s of a blood reaction before too much blood has infused
What is infusion therapy
Administer medication To replace fluids Keep fluids and electrolytes balanced
The risks of using a CVAD for routine blood sampling include:
Bloodstream infection and anemia
Which electrolyte is critical for the blood coagulation process?
Ca++
Assisting clinician responsibilities when preparing a patient for central IV therapy include:
Explaining the procedure and care measures of the therapy
whats the prefered route of medication in emergencies
IV
What is the normal levels of Na+, K+, Ca++, Cl-, HPO4, and Mg++ in this order?
Na+ 135-145 mEq/L, K+ 3.5-5.0, Ca++ 8.4-10.6, Cl- 96-105, HPO4 3-4.5, Mg++ 1.3-2.1
A nurse is to compound IV medications when:
Only in urgent situations where the need is immediate
Loading dose, lockout interval, and maintenance dose are needed to properly initiate:
PCA therapy
The advantages of central IV therapy include:
ability to rapidly infuse fluids, administer irritating medications and measure CV pressure
The preferred skin antiseptic is:
alcoholic chlorhexadine
What safety mechanism on electronic infusion devices prevents rapid, uncontrolled infusion?
anti-free flow mechanism
What type of transfusion involves collecting and re-infusing the client's own blood?
autologous
What are the risks of IV therapy? (Select all that apply)
blood vessel damage overdose infiltration and extravasation incompatability of drugs and solutions when mixed infection
Before giving any medication into a VAD assess
color and condition of tissue around the access site absence of resistance to flush and presence of blood return
The first step in performing a routine venipuncture is to:
dilate the vein
What type of solution raises serum osmolarity, and pulls fluid into the vascular compartment?
hypertonic
Which type of solution raises serum osmolarity and pulls fluid from the intracellular and interstitial compartments into the intravascular compartment?
hypertonic
Your patient has swelling at the IV site, discomfort, burning, decreased skin temperature and blanching around the site. These are signs of which of the following IV complications?
infiltraion
Osomolarity measures the weight of the fluids, expressed in mOsm per kilogram, a unit measuring weight, and used most commonly for fluids ____________the body.
inside
What two components are in Extracellular Fluid? (ECF)
interstitial fluid intravascular fluid
Infusion therapy can be given by these routes except:
mucous membranes
Osmolarity measures the volume of both fluids and dissolved particles, expressed in mOsm per liter, a unit measuring volume. This is used more frequently for measuring liquids _________ the body.
outside
Which location should never be used for insertion of a peripheral catheter?
palm side of wrist
What are some infusion delivery methods?
push continuous intermittent
The priority action if signs and symptoms of a possible blood reaction occur is:
stop the transfusion
Which vein is the most commonly used CVAD insertion site?
subclavian
In Central Venous therapy, an access device is inserted with its tip in the :
superior or inferior vena cave
The correct position for removal of a CVAD from the jugular or subclavian vein is:
supine with head flat
iv medication may be indicated when
the medication cant be absorbed by GI tract
When capillary hydrostatic pressure exceeds oncotic pressure what happens?
water and solutes leave the vascular system and migrate to the interstitial fluid
