IV Start/IV Therapy

Question 1

Change IV tubing on a continuous infusion every ____ hours.

Answer 1

96

Question 2

Change IV tubing on an intermittent infusion every _____ hours.

Answer 2

24

Question 3

Change tubing for blood products every _____hours

Answer 3

4

Question 4

Change continuous IV lipid tubing every ____hours

Answer 4

24

Question 5

True or False: The changing of IV fluid bags and IV tubing is a sterile procedure.

Answer 5

True

Question 6

IV sites should be assessed every ____ hours in oriented adults

Answer 6

4

Question 7

IV sites should be assessed every _____ hours in children.

Answer 7

1

Question 8

Define air embolism

Answer 8

blood vessel blockage caused by one or more bubbles of air in the circulatory system.

Question 9

When removing an IV from a patient on anticoagulants, what should the nurse consider?

Answer 9

Hold extended pressure after removing the cannula until the bleeding stops

Question 10

The spike of an IV tubing is sterile or unsterile?

Answer 10

Sterile

Question 11

Before initiating an IV start intervention the nurse will put on the following PPE.

Answer 11

Gloves

Question 12

A resilient vein that will most likely accept an IV cannula feel…

Answer 12

soft and bouncy

Question 13

When starting an IV, the nurse will advance at an angle between _____ and _____ degrees with the bevel of the needle ______

Answer 13

10-30
up

Question 14

low cost salt solutions with small molecules that move easily around that body when given through a vein.
examples: Normal Saline, D5W, D5 1/2 NS + 20 meq KCL

Answer 14

Define crystalloids IV solutions

Question 15

more expensive than crystalloids, colloids have bigger molecules that stay in the blood longer before passing into other parts of the body.
examples: dextran, albumin, blood and blood components

Answer 15

Define colloid IV solutions

Question 16

catheter lies in a vein in an extremity

Answer 16

Define peripheral IV

Question 17

IV administration of a complex and highly concentrated solution that contain nutrients and electrolytes formulated for each patient’s individual nutritional needs

Answer 17

Define parenteral nutrition or TPN (total parenteral nutrition)

Question 18

have the same effective osmolarity as body fluids.
used for extracellular fluid volume replacement to prevent or treat a deficit.
examples: Normal Saline (NS) and Lactated Ringers (LR)

Answer 18

Define Isotonic solutions

Question 19

osmolarity is less than body fluids. dilutes body fluids and moves water into cells rehydrating the cell
examples: 1/4 normal saline and 1/2 normal saline

Answer 19

Define Hypotonic solutions

Question 20

osmolarity is greater than body fluids pulling water out of cells causing them to shrivel.
examples: D10W, D5 1/2 3% NS

Answer 20

Define Hypertonic solutions

Question 21

Normal Saline (NS) and Lactated Ringer (LR)

Answer 21

Name two isotonic solutions used in resuscitation efforts and to provide rapid fluid volume replacement

Question 22

cardiac dysrhythmia or cardiac arrest

Answer 22

Potassium Chloride (KCL) given IV push can cause which conditions

Question 23

connects directly to the IV cannula that is in the patient vein

Answer 23

Define primary line

Question 24

shorter line used for IV medications and attaches to the primary line

Answer 24

Define secondary line

Question 25

once blood return is noticed in the chamber signifying the cannula is in the vein

Answer 25

Once the skin is punctured, the nurse removes the stylet ___________.

Question 26

blood specimen collection
fluid resuscitation
infuse medications
inject radiopaque tracers

Answer 26

List indications for venipuncture:

Question 27

The IV fluids are flowing without obstruction through the cannula.

Answer 27

Define IV patency

Question 28

IV fluid is leaking into the subcutaneous tissue causing edema, pain, coolness to the touch.

Answer 28

Define infiltration:

Question 29

Inflammation of the inner layer of vein causing redness, pain, warmth, possible streaking.

Answer 29

Define phlebitis:

Question 30

blood vessel blockage caused by one or more bubbles of air in the circulatory system.

Answer 30

Define air embolism