Venipuncture Quiz Flashcards Preview

spring 2015 > Venipuncture Quiz > Flashcards

Flashcards in Venipuncture Quiz Deck (29)
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1

What agency’s guidelines must you follow for venipuncture?

ASRT

2

What 4 things are required of you before you can be considered competent in the skills of venipuncture and contrast admin.?

Cognitive knowledge, proficiency in psychomotor skills, positive affective values, validation in clinical settings

3

What 4 things are important to explain to your patient to about the procedure/injection?

Explain the steps in the procedure, expected duration, any limitations or restrictions associated with its performance, and correct misconceptions they have heard

4

What things must you assess/document about your patient before administering contrast?

Patient history; allergies to food, medications, environmental agents, or other substances; patients current medications; previous surgery that might affect site selection; BUN and creatine

5

What will you do to verify patient identity?

checking wrist band and asking their name

6

What are normal side effects of contrast?

?mild reactions
taste of metal
warm feeling all over

7

Mild reactions of contrast are?

sensation of warmth, a metallic taste or sneezing

8

Moderate reactions of contrast are?

manifest as nausea, vomiting, or itching

9

Severe reactions of contrast are?

anaphylactic reaction can cause a respiratory or cardiac crisis

10

What are the 3 parts of the syringe?

tip, barrel, plunger

11

What are the 3 parts of the needle?

hub, cannular shaft, bevel

12

Why is it important to document past surgeries?

They may affect site selection (mastectomy= compromised lymph nodes)

13

How will you determine syringe size?

Depends on volume of material to be injected, select one size larger than volume desired

14

How many times can you use a needle?

once!

15

Define gauge. What is bigger and what is smaller number wise?

Refers to the diameter if the needle bore. Gauge increasing as the diameter of the bore decreases

16

Which needle is most commonly used in radiology dept.?

butterfly sets or angiocatheters

17

How many times do you verify that you are using the correct medication?

During preparation and again before administration

18

What type of needle is recommended for long term use?

over-the-needle cannula

19

What type of vessel should you never stick? How will you know that it is not a vein?

Artery because you will feel a pulse

20

How do you cleanse the skin (prep) for injection?

Clip hair in the area and cleanse with an antiseptic for thirty seconds

21

Where do you place the tourniquet?

6-8 in above intended site

22

At what angle do you position the needle to the skin prior to stick?

45

23

After entering the vein your needle angle should be?

15

24

Do you position the bevel up or down prior to stick?

up

25

What is infiltration?

another complication associated with the administration of contrast media or medications

26

When and why does infiltration usually occur?

When the medication or contrast material enters the soft tissue instead of the vein. Occurs due to needle displacement

27

What are signs of infiltration?

swelling, redness, burning, and pain

28

What is a port? (I discussed this in class)

Small adapter with an access that is attached to an IV catheter when mire than one injection is anticipated

29

What types of things will you document?

The five rights; size, type, and location of needle; number of venipuncture attempts; and who performed the procedure