Venipuncture Quiz

Question 1

What agency’s guidelines must you follow for venipuncture?

Answer 1

ASRT

Question 2

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

Answer 2

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

Question 3

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

Answer 3

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

Question 4

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

Answer 4

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

Question 5

What will you do to verify patient identity?

Answer 5

checking wrist band and asking their name

Question 6

What are normal side effects of contrast?

Answer 6

?mild reactions
taste of metal
warm feeling all over

Question 7

Mild reactions of contrast are?

Answer 7

sensation of warmth, a metallic taste or sneezing

Question 8

Moderate reactions of contrast are?

Answer 8

manifest as nausea, vomiting, or itching

Question 9

Severe reactions of contrast are?

Answer 9

anaphylactic reaction can cause a respiratory or cardiac crisis

Question 10

What are the 3 parts of the syringe?

Answer 10

tip, barrel, plunger

Question 11

What are the 3 parts of the needle?

Answer 11

hub, cannular shaft, bevel

Question 12

Why is it important to document past surgeries?

Answer 12

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

Question 13

How will you determine syringe size?

Answer 13

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

Question 14

How many times can you use a needle?

Answer 14

once!

Question 15

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

Answer 15

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

Question 16

Which needle is most commonly used in radiology dept.?

Answer 16

butterfly sets or angiocatheters

Question 17

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

Answer 17

During preparation and again before administration

Question 18

What type of needle is recommended for long term use?

Answer 18

over-the-needle cannula

Question 19

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

Answer 19

Artery because you will feel a pulse

Question 20

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

Answer 20

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

Question 21

Where do you place the tourniquet?

Answer 21

6-8 in above intended site

Question 22

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

Answer 22

45

Question 23

After entering the vein your needle angle should be?

Answer 23

15

Question 24

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

Answer 24

up

Question 25

What is infiltration?

Answer 25

another complication associated with the administration of contrast media or medications

Question 26

When and why does infiltration usually occur?

Answer 26

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

Question 27

What are signs of infiltration?

Answer 27

swelling, redness, burning, and pain

Question 28

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

Answer 28

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

Question 29

What types of things will you document?

Answer 29

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