Nursing Documentation for starting and maintaining an IV

Question 1

What is the primary purpose of nursing documentation for catheters?

Answer 1

To ensure accurate communication and continuity of care.

Question 2

True or False: A peripheral catheter is used for long-term access.

Answer 2

False

Question 3

Fill in the blank: A _____ catheter is typically used for patients requiring long-term intravenous access.

Answer 3

Hickman

Question 4

What type of catheter is a Groshong?

Answer 4

A type of central venous catheter designed for long-term use.

Question 5

What should be documented before starting a peripheral catheter insertion?

Answer 5

Patient’s consent and assessment of the insertion site.

Question 6

Multiple Choice: Which of the following is NOT a reason for catheter insertion? A) Medication administration B) Blood sampling C) Blood pressure measurement

Answer 6

C) Blood pressure measurement

Question 7

What is the recommended angle for inserting a peripheral catheter?

Answer 7

15 to 30 degrees.

Question 8

True or False: Documentation should include the size of the catheter used.

Answer 8

True

Question 9

What is a key component of maintaining a Hickman line?

Answer 9

Regular flushing to prevent clots.

Question 10

Fill in the blank: The _____ technique should be used to reduce the risk of infection during catheter insertion.

Answer 10

aseptic

Question 11

What should be documented after catheter insertion?

Answer 11

Date, time, site, and patient tolerance.

Question 12

Multiple Choice: Which of the following is a complication of catheter placement? A) Infection B) Dehydration C) Hypertension

Answer 12

A) Infection

Question 13

What is the maximum duration for which a peripheral catheter can typically remain in place?

Answer 13

72 to 96 hours.

Question 14

True or False: Catheter site assessment should be documented daily.

Answer 14

True

Question 15

What does the acronym ‘CVAD’ stand for?

Answer 15

Central Venous Access Device.

Question 16

Fill in the blank: A _____ is used to access the central venous system.

Answer 16

Hickman line

Question 17

What should be checked before administering medication through a catheter?

Answer 17

Patency of the catheter.

Question 18

Multiple Choice: Which of the following is a sign of catheter-related infection? A) Fever B) Increased appetite C) Weight gain

Answer 18

A) Fever

Question 19

What is the role of the nurse in catheter maintenance?

Answer 19

To monitor the site, flush the catheter, and document findings.

Question 20

True or False: Catheter care includes changing the dressing regularly.

Answer 20

True

Question 21

What should be documented if a catheter is removed?

Answer 21

Date, time, reason for removal, and condition of the site.

Question 22

Fill in the blank: Regular _____ of the catheter helps to prevent thrombosis.

Answer 22

flushing

Question 23

What is an important patient education point regarding catheters?

Answer 23

Signs of infection to report immediately.

Question 24

Multiple Choice: Which of the following is a central line? A) Peripheral IV B) Groshong C) Butterfly needle

Answer 24

B) Groshong

Question 25

What is the first step in catheter insertion?

Answer 25

Perform hand hygiene.

Question 26

True or False: Catheters can be inserted without a sterile field.

Answer 26

False

Question 27

Fill in the blank: A _____ catheter is often used for chemotherapy administration.

Answer 27

Hickman

Question 28

What should be included in the nursing documentation regarding the catheter?

Answer 28

All assessments, interventions, and patient responses.

Question 29

Multiple Choice: Which of the following is NOT a type of central venous catheter? A) Hickman B) Groshong C) IV push

Answer 29

C) IV push

Question 30

What is the importance of documenting catheter flushes?

Answer 30

To ensure the patency and functionality of the catheter.

Question 31

True or False: Catheter sites should be assessed for redness and swelling.

Answer 31

True

Question 32

Fill in the blank: The _____ is a key part of the catheter insertion kit.

Answer 32

introducer

Question 33

What is the recommended frequency for changing the dressing on a central catheter?

Answer 33

Every 7 days or as needed.

Question 34

Multiple Choice: Which of the following is a risk factor for catheter-related infections? A) Good hygiene B) Long-term catheter use C) Regular flushing

Answer 34

B) Long-term catheter use

Question 35

What should be done if a catheter is accidentally dislodged?

Answer 35

Apply pressure to the site and notify the healthcare provider.

Question 36

True or False: It is acceptable to use alcohol wipes on the catheter hub.

Answer 36

True

Question 37

Fill in the blank: The _____ should be labeled with the date of insertion.

Answer 37

catheter

Question 38

What is the purpose of a Groshong valve?

Answer 38

To prevent blood backflow and air entry.

Question 39

Multiple Choice: Which catheter has a lower risk of infection? A) Peripheral catheter B) Hickman line C) Groshong catheter

Answer 39

C) Groshong catheter

Question 40

What should be assessed during catheter maintenance?

Answer 40

Site integrity, signs of infection, and catheter patency.

Question 41

True or False: Nursing documentation can be completed after patient care.

Answer 41

False

Question 42

Fill in the blank: A _____ is necessary to document catheter insertion and maintenance.

Answer 42

flow sheet

Question 43

What is the significance of documenting patient education regarding catheters?

Answer 43

To ensure the patient understands care and signs of complications.

Question 44

Multiple Choice: Which is an essential element of catheter care documentation? A) Patient's weight B) Catheter size C) Patient's favorite color

Answer 44

B) Catheter size

Question 45

What is the protocol for flushing a Hickman line?

Answer 45

Use saline and heparin as per facility policy.

Question 46

True or False: Catheter-related complications should be documented only if they occur.

Answer 46

False

Question 47

Fill in the blank: The _____ should be checked for blood return before medication administration.

Answer 47

catheter

Question 48

What is the role of the nurse when a patient reports discomfort at the catheter site?

Answer 48

Assess the site and document findings.

Question 49

Multiple Choice: Which of the following is a common indication for a Hickman line? A) Short-term hydration B) Long-term antibiotic therapy C) Routine blood draws

Answer 49

B) Long-term antibiotic therapy

Question 50

True or False: Catheter documentation should be completed in real-time.

Answer 50

True

Question 51

Fill in the blank: A thorough _____ is essential prior to catheter insertion.

Answer 51

assessment