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IV Therapy
IV Therapy
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1
Which is the best resource for the nurse that has questions regarding IV initiation?
The physician
INS standards of practice
Institutional policy
Experienced nurse
2
After performing phlebotomy, always have your patient bend at the elbow to apply pressure.
True
False
3
What would be the best approach to visualize & initiate a IV on a pt. with sclerosed veins?
Use a BP cuff
Have another nurse hold the patient's arm
Use multiple tourniquet technique
Place arm in a dependent position
4
The earliest sign of ICP (increased intracranial pressure) is:
Change in LOC (level of consciousness)
Headache
Pupillary changes
Restlessness
5
Needleless blunt-tip adapators may be used with needleless & non-needleless systems?
True
False
6
Which of the following are S/S of phlebitis except:
Increased warmth at site
Site edema
Pallor around insertion site
Pain or discomfort at insertion site
7
How long can you keep the tourniquet in place before needing to remove it?
2 minutes
30 seconds
1 minute
90 seconds
8
All IV infusion solutions must be monitored every 4 hours to ensure correct rate is infusing.
False
True
9
What is a steel needle with plastic wings at the base of the needle called?
Central access device
Wing tip needle
Winged butterfly needle
IV needle cannula
10
IVPB medication is required to infuse in the proximal port of the primary IV tubing,
True
False
11
Hemolysis results from drawing too large a volume of blood for a blood culture.
True
False
12
When providing IV therapy care, clean exam gloves are worn in all of the following except:
Observing Iv insertion site
Touching a leaking IV site
Converting an IV infusion to a PRN lock
Initiating IV access
13
If the nurse is having difficulty removing the sterile tubing end, she may always use her teeth
False
True
14
Which of the following needle size would be appropriate choice to use for blood administration?
24 gauge
18 gauge
22 gauge
21 gauge
15
Which of the following IV solutions can be administered with a blood component?
D5 0.45% NS
0.9% NS
Lactated Ringer's
D5W
16
What is the "Y" shaped tubing that connects directly to IV cannula used for?
Large volumes of IV solutions
Blood products
Small volumes of IV solutions
total parenteral therapy
17
100 mL 0.45%NS in 45 minutes via pump. Calculate rate.
150 mL/hr
125 mL/hr
140 mL/hr
133 mL/hr
18
1,800 mL D5W in 24 hr. via pump. Calculate mL/hr.
70 ml/hr
100 mL/hr
65 mL/hr
75 ml/hr
19
All of the following are S/S of infiltration except:
edema at site
pallor skin around site
Site cool to touch
Erythema at site
20
A needle for phlebotomy can be used multiple times before replacing it.
False
True
21
The following IV supplies are to be kept sterile except:
IV tubing spike (piercing pin)
gloves
Entire length of the IV needle barrel & cannula
IV solution to be infused
22
When performing a finger blood sugar stick, what do you do with the first drop of blood?
Use it for testing
Squeeze it to obtain a full blood droplet
Do quality control check
Wipe it away
23
The following methods are acceptable ways to performer venipunctures in elders except:
Use slight friction to distend the vein
Use tight tourniquet
Use no device to distend veins
Use BP cuff
24
Each tube should be labeled with patient's name, room #, date & test prior to drawing blood.
False
True
25
Which of the following are isotonic IV solutions?
D 5 1/2 NS
D5W
D5NS
D10W
26
What is the term for when 2 incompatible drugs are mixed & cause the solution to become cloudy
Crystallization
Drug-to-drug incompatibility
Precipitate
Incorrect concentration
27
D5W 2 Liters to infuse in 10 hr. Drop factor 15 gtt/mL. Calculate gtt/min.
50 gtt/min
200 gtt./min
25 gtt/min
100 gtt/min
28
With blood administration, Is it normal for the patient to have a low grade fever?
False
True
29
All IV medications must be compatible with the large IV solution infusing via pump?
True
False
30
2L RL in 24 hr. Drop factor: 15 gtt/mL
20 gtt/min
25 gtt/min
21 gtt/min
18 gtt/min
31
Which of the following are hypertonic IV solutions?
D51/2 NS
D5W
LR
0.33%NaCl
32
The IV needle does not always need to be inserted in the same direction as venous blood flow
False
True
33
The tourniquet should be applied where in relation to the intended puncture site?
6 inches proximal to the site
3 inches proximal to the site
6 inches distal to the site
3 inches distal to the site
34
The body's first line of defense is?
Skin
Heart
Lungs
Mucous membranes
35
When starting a blood transfusion, best practice dictates to assess the patient's response for:
the first 30 minutes
the first 5 minutes
the last 30 minutes
the first 15 minutes
36
1L D5RL to infuse in 8 hr. Drop factor: 20 gtt/mL. Calculate gtt/min.
50 gtt/min
42 gtt/min
45 gtt/min
40 gtt/min
37
Which of the following are hypotonic IV solutions?
Lactated Ringers
D51/2 NS
0.45% NaCl
D10W
38
A patient request that an IV not be started in his hand. Which site is the next best choice?
Lower extremity
Upper arm
Antecubital fossa
Forearm
39
All the following are examples knowledge required for safe administration of IV drugs except:
Patient's discontinued medication list
Patient's medication allergies
Possible adverse reactions
Type of diluent required
40
If the solution is to infuse by gravity, it is acceptable to just approximate the IV drip rate.
False
True
41
A "good" vein for phlebotomy should meet which of the following criteria?
It should be knobby
It should be rigid
It should not be elastic
It should be bouncy
42
A patient is to receive 1 Liter NS over 12 hours. How many mL/hr. should be set on pump in ED?
83 mL/hr.
50 mL/hr.
75 mL/hr.
100 mL/hr.
43
After an anaphylactic blood reaction, the nurse should dispose of all blood & IV equipment.
True
False
44
Which blood transfusion reaction is life threatening in nature?
Febrile
Hemolytic
Anaphylaxis
Bacterial contamination
45
When selecting a vein for venipuncture, which of the following are true?
Use the vein that looks the largest regardless of condition
Avoid veins that are smooth & bouncy
Use the same arm regardless if patient has mastectomy
Avoid areas where vein is crooked or feels ropelike
46
Activation of the needle safety device should occur when?
During the draw of blood
Before the initial stick
As soon as the needle is withdrawn
Immediately after the tourniquet is released
47
When flushing a PRN lock (hep lock), what flush strength of heparin would you use?
5000 units/mL
1,000 units/mL
1,500 units/mL
100 units/mL
48
1 L D5W started @ 1300 infusing @ 75 mL/hr. What time will the IV infusion be completed?
0200
0300
0100
2400
49
IV D5W infusing at 200 mL/hr.. Drop factor 20. Calculate gtt/min. (round to whole number)
40 gtt/min
33 gtt/min
25 gtt/min
35 gtt/min
50
Phlebotomy should be performed distal to an IV infusion
True
False