IV Therapy Final Exam, Questions and Answers Updated
Download complete exam with answers here IV Therapy Final Exam
According to the Centers for Disease Control, IV sites should be rotated every:
Before equipment setup and venipuncture, seconds of hand washing with an antimicrobial soap are recommended.
What are the advantages to Over-the-Needle catheters? –
What are the disadvantages to over-the-needle catheters? –
Which statement is true regarding the insertion of an over the needle catheter?
When starting an I.V., the nurse remembers that a 14 to 16 gauge over the needle catheter may be selected for which of the following?
When choosing the Metacarpal vein for IV therapy, the nurse should remember which of the following considerations? –
When choosing an IV therapy site always try to:
The nurse should monitor the client receiving infusion therapy at least every: IV therapy labels should be on which areas?
Which IV fluid type pulls fluid into the veins from the more dilute area in cells and interstitial space?
A client is scheduled a test that requires an NPO status and has been ordered
5% Dextrose in water (D5W). The nurse understands which of the following to be the best rational for this action:
A patient is prescribed an IV fluid to replace electrolytes and expand plasma volume. Which type of fluid will the nurse provide to the patient?
Is an isotonic solution good to use?
A patient is prescribed an IV infusion of a hypertonic solution. Which fluid shift should the nurse expect to occur with this type of infusion?
What are the examples of an Isotonic solution? –
What are some examples of a Hypertonic solution? –
Total parenteral nutrition is hypertonic. What is the percentage of dextrose in the solution?
What are some examples of hypotonic solutions? –
Why may a patient need to have a central venous catheter? What puts patients at risk for the development of phlebitis? –
When performing venipuncture, the nurse may feel a "pop" as he/she enters the:
A patient states that his IV site is sore. You assess the site and note redness and swelling but no signs of palpable cord or streak. It would be staged as a
A patient rings the call light and states that the IV insertion site is painful. The site is reddened, warm and swollen. The nurse assesses that the patient is most likely experiencing:
When checking the physician's orders prior to initiating cannulations, which of the following should not be included?
As a nurse, what do you need to check for in the Drs. orders prior to initiating
IV therapy?
When performing venipuncture, a nurse should:
What are the methods for vein dilation prior to venipuncture?
When applying a tourniquet, the nurse should apply it so that:
When using a tourniquet to facilitate vein distention, the nurse knows to apply the tourniquet inches above the insertion site.
Where do you place a tourniquet on a hypertensive patient?
When selecting tubing, which of the following is most appropriate when the solution must be infused very precisely or at a slow rate?
The opening through which fluid passes from the solution container into the drip chamber determines the drop size. The nurse understands that it is easier to count larger drops; therefore, when infusing a solution by gravity at a fast rate, the nurse would select tubing.
A nurse hangs microdrip tubing on a client who needs an IV. How many gtts per ml is delivered with microdrip tubing?
Which of the following is the universal recipient? The universal blood donor is:
Which of the following best describes the anatomy of a vein?
What are the 8 local complications that can occur during IV infusion? What are the 6 systemic complications that can occur during IV infusion?
You are performing a venipuncture and an ecchymosis forms over and around the insertion area, which has become raised and hardened. You are unable to advance the cannula into the vein. These are signs of:
Hematoma formation is most often related to what?
The nurse assesses an IV site with a dose of Dopamine infusing. She notes the following findings: edema, blanching, coolness, pain, burning, and blistering at the site. Which of the following should the nurse suspect?
The nurse is aware of the systemic complications of IV therapy. The patient has a peripheral IV of 0.9% NS at 125ml/hr. The nurse's assessment findings are as follows: palpitations, lightheadedness, weakness, dyspnea, cyanosis, chest pain, hypotension, and mental status changes. Which of the following should the nurse suspect?
What are the causes of thrombosis formation?
If the nurse suspects that her patient is developing a thrombosis, which of the following interventions should be made?
The first symptom of a venous vasospasm is:
Which of the following complications occurs when microorganisms migrate into the bloodstream?
Which systemic complication has a symptom of a mill wheel murmur? The recommended rate of infusion for one unit of packed red blood cells
(PRBC) is no longer than:
Whole blood is indicated for:
The nurse must check all of the following with another nurse before initiating transfusion:
Pre-transfusion testing on the donor blood would include: - An allergic transfusion reaction to blood is usually caused by:
The term used for a patient having surgery who donates his own blood is called:
When administering a blood transfusion, vital signs should be taken: Tubing used to administer Total Parenteral Nutrition should be changed at
which frequency?
Which of the following statements concerning TPN are true? -
The LPN observes a patient receiving TPN for complications of this therapy, which include:
A patient receiving TPN fluid therapy experiences an air embolism in the central line. The nurse should immediately turn the patient onto the:
What are the complications resulting from receiving TPN?
Which of the following would be necessary for infusing TPN? Select all that apply.
Are the components of TPN solution the same for all patients?
A patient has started receiving TPN after surgery. The rate will be increased in increments of until the desired rate ordered is reached.
What are the layers of the vein from outer to inner?
Which of the following is not considered a crystalloid solution?
this type of sensory receptor in the skin processes the tactile sensations; ex. palpate vein
this type of sensory receptor in the skin processes cold, warmth and pain - this type of sensory receptor in the skin processes pain; ex. when vein is punctured
this type of sensory receptor in the skin processes decreasing circulating blood volume
this type of sensory receptor in the skin processes position changing; ex. how hand/arm is positioned
What are the 3 types of drug compatibilities?
this occurs when one drug is mixed with other drugs or solutions to produce a product unsafe for administration; aka pharmaceutical incompatibility. this is defined as the reaction of a drug with other drugs or solutions, which results in alterations of the integrity and potency of the active ingredient. -
this is an undesirable effect occurring within a patient as a result of two or more drugs being given concurrently
When in doubt about IV drug compatibilities, a good practice is to: What kind of compatibility problem is it called when a reaction occurs
between 2 or more drugs that disrupts how potent the drug is?
What are crystalloids given for?
The nursing instructor is discussing the different types of IV fluids with the nursing students. What type of fluid would the instructor tell the students is used to replace circulating blood?
What are the crystalloid solutions: What are the colloid solutions:
Which of the following can a licensed practical nurse do? Select all that apply. -
According to the Louisiana State Board of Practical Nurse Examiners, an LPN
can do the following IV skills. Select all that apply. -
Verbal orders should be written in the medical record and signed by the physician within:
If the patient doesn't know if they are allergic to iodine prep, what can you ask them instead that they are allergic to?
Which of the following assessments best indicates a client's readiness for IV
therapy?
Who provides the guidelines for the management of intravascular catheters? - True or False: In reference to IV Therapy, most malpractice is common law
and not administrative law.
Coercion of a rational adult client to insert a cannula is considered which of the following?
After insertion of a , a chest x-ray is taken to confirm catheter placement and to rule out an accidental puncture of the pleural membrane. -
What do you need to use when you identify a patient?
If the IV tubing drops onto the floor, what do you need to do next?
Can you reuse the same cathlon for another patient or if you have to stick the patient again?
When you need to remove body hair to start an IV, do you use scissors or a razor?
this is an abnormal fluid accumulation in the lungs; fluid leaks through the capillary wall and fills the interstitial and alveoli
What are the signs and symptoms of pulmonary edema? -
Who are at risk for the development of pulmonary edema?
this is a systemic reaction caused by rapid injection of a medication into circulation, causing toxic levels of medication in the plasma
What are the signs and symptoms of speed shock?
this occurs when a piece of catheter breaks off and travels through the vascular system; it can migrate to the chest and lodge in the pulmonary artery or the right ventricle; this is an infrequent systemic complication of over-the- needle catheters.
What are the signs and symptoms of a catheter embolism? -
What type of catheters need to always be used to ensure that it is seen on x- ray?
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