IV Therapy Exam 2

Question 1

What is a key characteristic of infant dehydration?

Answer 1

Body surface area is larger than their body weight.

Question 2

What is the micro drip tubing drop factor for infants?

Answer 2

60.

Question 3

What is the main fluid used in TPN?

Answer 3

Dextrose 5% or glucose 5%.

Question 4

What are the signs of fluid volume overload?

Answer 4

• Elevated blood pressure
• Elevated pulse
• Crackles
• Dyspnea
• Pulmonary edema
• Excessive urination
• Edema
• Respiratory congestion.

Question 5

What is an advantage of IV medications concerning therapeutic blood levels?

Answer 5

More precise in amount of medication given.

Question 6

What should a patient do when removing a central line?

Answer 6

Instruct to hold breath and bear down.

Question 7

What is the blood flow rate for the first 15 minutes?

Answer 7

2ml.

Question 8

What is important regarding medication compatibility?

Answer 8

Make sure medication is compatible with anything else that the patient has running.

Question 9

What type of solution is 10% glucose in water?

Answer 9

Hypertonic solution.

Question 10

Where is the ideal IV placement for an adult?

Answer 10

Non-dominant forearm.

Question 11

What is the priority action in case of an air embolism?

Answer 11

Lower head of bed and turn patient to the left.

Question 12

What are the signs and symptoms of phlebitis?

Answer 12

• Redness
• Warmth
• Oozing drainage.

Question 13

How should tubing and dressing changes be performed?

Answer 13

Per hospital policy.

Question 14

What does an isotonic state indicate?

Answer 14

Fluid in intracellular and extracellular are the same.

Question 15

What is the most common type of intermittent infusion?

Answer 15

Antibiotics.

Question 16

What is the relationship between IV gauge size and IV size?

Answer 16

Bigger the gauge, the smaller the IV.

Question 17

How does potassium affect urine output?

Answer 17

Potassium can cause a decrease in urine output.

Question 18

How often should IV pumps be checked?

Answer 18

Every 1-2 hours.

Question 19

What condition can severe diarrhea in infants lead to?

Answer 19

Metabolic acidosis.

Question 20

What are the signs and symptoms of infiltration?

Answer 20

• Puffy
• Cold
• Burning
• Edema.

Question 21

Where should IV placement be for older adults?

Answer 21

AC (antecubital area).

Question 22

What happens to fluids during vomiting?

Answer 22

Fluid goes from intravascular to interstitial.

Question 23

What nursing intervention should be taken for dyspnea?

Answer 23

Raise head of bed.

Question 24

What type of tubing is used for blood administration?

Answer 24

Y set.

Question 25

What provides calories in TPN?

Answer 25

Dextrose.

Question 26

What are the signs and symptoms of an embolism?

Answer 26

* Shortness of breath * Altered level of consciousness * Diaphoresis * High blood pressure.

Question 27

What is the process for discontinuing an IV?

Answer 27

* Doctor's order * Assessment * Wear gloves * Take IV out * Put a dressing * Document.

Question 28

What solution is used for blood transfusions?

Answer 28

Normal Saline.

Question 29

What is the ideal infusion location for TPN?

Answer 29

Superior vena cava.

Question 30

What are the signs and symptoms of a transfusion reaction?

Answer 30

* Fever * Chills * Rigors * Headache * Nausea * Facial flushing * Rash/hives * Back/chest/flank pain * Dizziness * Dyspnea * Restlessness * Hematuria.

Question 31

When should blood transfusion consents be signed?

Answer 31

Within 48-72 hours.

Question 32

What should be done regarding IV potassium orders?

Answer 32

Question the order/don't do it.