Lab QUIZ: IV Therapy

0.9% NaCl / Normal Saline is used to treat these ailments.

-fluid volume deficit from hemorrhage, -severe vomiting or diarrhea, -heavy drainage from GI suction, fistulas, or wounds. -shock, -mild hyponatremia, -metabolic acidosis (such as diabetic ketoacidosis), and -hypercalcemia;

Which veins should be avoided when initiating an IV access? Lower extremeties of diabetic patients. Veins that were recently deaccessed. Veins with a dialysis fistula. The affected side of a women that had a mastectomy. All of the above.

All of the above.

After 2 unsuccessful attempts at inserting an IV, the nurse would... Notify a physician that the attempts were not successful. Continue to attempt the IV insertion. Have the patient hydrate then attempt again. Ask another peer to attempt the IV access.

Ask another peer to attempt the IV access.

What should be performed before and after applying a tournaquet. Assessing a pulse distal to the tournaquet. Assessing the extremety for coldness to touch. Identifying a vein for inserting the IV catheter. Asking the patient for permission.

Assessing a pulse distal to the tournaquet.

What might the nurse do to improve a patient's cooperation during the removal of an IV access device? Describe the entire procedure to the patient. Assure the patient that you will remove the IV catheter quickly. Assure the patient that the procedure will take only 5 minutes. Tell the patient that the procedure will cause only a slight burning sensation.

Assure the patient that the procedure will take only 5 minutes.

What is the primary function of veins? Carry blood from the body to the heart. Carry blood from the heart to the body. Carry blood from the body to organs. Carry blood from the body to the lungs.

Carry blood from the body to the heart.

The nurse is using chlorhexidine to prepare the site before inserting a venous access device into the median cubital vein of a 60 year old patient. Which action is correct? Wash the site with soap and water. Allow the site to dry 1 to 2 minutes after cleansing it with chlorhexidine. Cleanse the site using a circular motion, starting at the insertion site and working outward. Cleanse the area by first swabbing horizontally, then vertically with the applicator for about 30 seconds.

Cleanse the area by first swabbing horizontally, then vertically with the applicator for about 30 seconds.

What should be written on the label Date Time Initial Gauge Location Number of Attempts

Date Time Initial Gauge

What is the last step in the IV insertion process? Clean up suppplies used. The 5 Ps. Document the procedure. Place a label in the IV site.

Document the procedure.

When administering IV potassium, a student requires reeducation when they state...(select all that apply) I will administer the medication as an IV bolus. The medication should be administered as with an adjustable roller clamp. I will use an infusion pump when administering potassium IV. IV potassium can only be administered in the ICU.

I will administer the medication as an IV bolus. The medication should be administered as with an adjustable roller clamp. IV potassium can only be administered in the ICU.

What are the 3 types of IV fluids that are commonly used? (select all that apply) Isotonic Water Hydrating Hypotonic Hypertonic

Isotonic Hypotonic Hypertonic

What is the indication for IV therapy. Only used for blood specimen collection. To be used for hemodialysis Maintain homeostasis when enteral intake is insufficient, and replace any additional losses Everyone hospitalized require an IV.

Maintain homeostasis when enteral intake is insufficient, and replace any additional losses

What is required before performing an IV insertion. Having the correct equipment. Getting the patients permission. Obtaining a physicians order. Nursing judgement.

Obtaining a physicians order.

Which information is not necessary for the nurse to include when documenting the use of an electronic infusion device for an IV infusion? Location of the insertion site. Time at which the infusion began. Patient's pulse and heart rate. Hourly volume flow rate of the infusion.

Patient's pulse and heart rate.

0.9% NaCl should be watched carefully with patients who have these problems.

Patients with cardiac and renal disease, because they could get fluid overload due to the isotonic nature of the 0.9% NaCl solution.

Valves found in veins are there to... Prevent IV insertion. Redirect blood flow to other veins. Stop bleeding when an individual receives a laceration. Prevent backflow of blood as it travels through the body.

Prevent backflow of blood as it travels through the body.

What do you document for an IV assessment? Redness / Swelling Discomfort / Tenderness Patient satisfaction Patent / Intact Two patient identifiers

Redness / Swelling Discomfort / Tenderness Patent / Intact

What acronym is used when administering medication through a peripheral IV catheter? SA SAS AS A

SAS

What patient position is optimal when inserting an IV catheter? Trendelenburg Semi-fowlers / fowlers Supine Sim'sProne

Semi-fowlers / fowlers

A vein that is at risk for "rolling", the nurse should... Choose another vein. Apply the tourniquet more tighter. Stretch the vein. Use a smaller gauge IV catheter.

Stretch the vein.

Lactate ringers is converted to bicarbonate when it is metabolized in the liver which is basic. How can this help a person with Metabolic acidosis?

The bicarbonate is a base that will help to neutralize the acid produced in the kidneys.

What determines the size of the cannula to be inserted? Largest one that can successfully be inserted. The smallest one for patient comfort. The smallest one to accomodate treatment to be provided. The largest one available on the unit.

The smallest one to accomodate treatment to be provided.

What is best practice for preventing a needle stick after inserting an IV catheter? Using the available safety device on the catheter. Put the needle in a sharps container at the nursing station. Recap the needle. Cover the needle with a thick gauze.

Using the available safety device on the catheter.

The vein is successfully accessed when...(select all that apply) When you see a flash of blood enter the device. You will know because of experience. The patient said it is in. You can flush the IV without observing infiltration.

When you see a flash of blood enter the device. You can flush the IV without observing infiltration.

The IV catheter should be dressed with... a 2x2 gauze. a transparent occlusive dressing. an ace wrap. a band-aid.

a transparent occlusive dressing.

The primary reason for priming the tubing is to... ensure there are not leaks. ensure a precipitant does not develop. eliminate air from the tubing. ensure it is the correct tubing for the medication.

eliminate air from the tubing.

A vesicant solution that infiltrates into surrounding tissue may cause... fluid overload extravasation dehiscence evisceration

extravasation

Lactate ringers is used to treat these conditions:

replace GI tract fluid losses, fistula drainage, and fluid losses due to burns and trauma. It's also given to patients experiencing acute blood loss or hypovolemia

Prior to inserting an IV catheter, the nurse should note the bevel should be.. Down Up Doesn't matter There is no bevel

up