Assignment #3- IV Therapy Quiz PDF

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Intravenous Therapy Procedure notes from class...

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Name:___________________________ IV Therapy Assignment # 3

1) The extracellular compartment contains about how much of the total body water? a) 1/3 c) 2/3 b) 1/2 d) 3/4 2) The compartment within the spaces between the cells that are outside of the vascular compartment is called: a) intravascular. c) interstitial. b) intracellular. d) extracellular. 3) Access devices that are inserted into intermediate-sized vessels and advanced into central veins where the tip of the catheter typically will be in the superior vena cava are called: a) peripheral devices. c) central devices. b) midline catheters. d) venous infusion ports. 4) How often should peripheral catheters be changed to prevent infection and phlebitis? a) 8 to 12 hours c) 48 to 72 hours b) 12 to 48 hours d) 72 to 96 hours 5) The type of catheter that has a valve which opens inward for blood sampling and outward for infusion is called a: a) Broviac. c) Hickman. b) Groshong. d) Huber. 6) Solutions that have fewer dissolved particles than the blood are considered to be: a) isotonic. c) hypertonic. b) hypotonic. d) osmotic. 7) The central veins that are most commonly used for central venous catheters are: a) femoral and popliteal. c) subclavian and jugular. b) radial and brachial. d) cephalic and basilic. 8) A crucial point the nurse must remember about IV administration sets is that the drops delivered by drip chambers vary. A microdrip chamber delivers: a) 10 drops/mL. c) 20 drops/mL. b) 15 drops/mL. d) 60 drops/mL. 9) When an IV drug is administered too rapidly into the circulation, most commonly by IV push, a systemic reaction can occur called: a) anaphylaxis. c) hemolysis. b) speed shock. d) extravasation. 10) The health care provider orders 1000 mL of IV solution to infuse over 12 hours. Calculate the rate of infusion. a) 125 mL/hour c) 83 mL/hour b) 100 mL/hour d) 50 mL/hour 11) A 39-year-old patient returns from the OR after undergoing a right thoracotomy. An I.V. solution of 5% dextrose in 0.45% sodium chloride solution is infusing. Which type of I.V. solution is the patient receiving? a) Hypertonic c) Isotonic b) Hypotonic d) Bolus

12) Which of the following statements about solutes in diffusion is accurate? a) They move against the concentration gradient. c) They move from higher to lower concentration b) They move from lower to higher concentration. d) The do not move across a gradient 13) An 85-year-old patient with a history of abdominal aortic aneurysm resection is admitted to the ED with dehydration. Which of the following contraindicates insertion of an I.V. catheter in his arm? a) hemodialysis arteriovenous (AV) fistula c) Previous IV site b) non-dominant arm or hand. d) “rolling” veins 14) An 18-year-old patient is admitted to your unit with seizures. Although he has an I.V. catheter in place with I.V. fluids infusing, you need to insert an intermittent-infusion device to administer phenytoin. After gathering all of the necessary equipment, you locate a site for insertion. Where should you place the tourniquet in proximity to the intended venipuncture site? a) 2 inches above the venipuncture site c) 10 inches above the venipuncture site b) 6 inches above the venipuncture site d) 6 inches below the venipuncture site 15) You received a report on a 65-year-old patient who underwent resection of an abdominal aortic aneurysm. The nurse told you that he has lactated Ringer's solution infusing at 150 ml/hour. When you enter his room to perform your assessment, you note that he's in respiratory distress. You check his blood pressure and find that it's elevated. You also note bilateral jugular vein distension. This patient is most likely experiencing a) Hypersensitivity c) sensory overload b) Systemic infection d) circulatory overload. 16) Which of the following types of medications has a potential for damaging tissue? a) Irritant c) vesicants b) Incompatible d) non-vesicants 17) After cleansing the IV site with the proper antiseptic, the nurse should a) Blow on the cleanse site to facilitate drying c) Pat the site dry with a regular gauze pad b) Allow to air dry d) Fan the cleanse IV site with gloved hand 18) What is the first step in the insertion of a peripheral IV line or saline lock? a) Get permission from the patient/family member. c) Educate the patient about the need for an IV b) Obtain a physician's order. d) gather all supplies 19) What is the best choice of cannula size? a) The largest one you feel you can successfully insert c) Smallest gauge to accommodate therapy. b) The smallest one you can find. d)The largest gauge your facility has. 20) What is the ideal time to use a winged infusion set? a) With agitated patients c) For infants with fragile veins b) For IV push drugs d) For long term therapy 21) When a patient who needs an IV has cold extremities and few veins are visible or small, which of the following are acceptable techniques to help improve the likelihood of a successful IV insertion? a) Turn up the heat in the room and return in 1hr c) Apply warm packs for 5-10 minutes b) Blow warm air with a blow dryer for 3-5 d) Have the patient drink a hot beverage

22) After applying the tourniquet, if the vein feels hard or rope-like, you should: a) Use it, it's the best choice for an IV c) Stretch it to prevent rolling b) Select another site d) Have the patient relax his/her fist 23) Which of the following veins should be avoided when initiating an IV? (select all that apply) a) Lower extremities of a diabetic patient c) Previously used veins and sclerotic veins b) In the affected arm of a woman with a mastectomy d) Veins in the arm of a dialysis AV fistula 24) What is the first step in preparing the IV site? a) Wash your hands b) Wash your hands

c) Wash your hands d) Wash your hands

25) When preparing to insert the needle into the skin, the bevel should be a) Down c) Up b) It doesn't matter d) there is no bevel 26) While in the process of inserting an IV, which of the following is NOT acceptable: (select all that apply) a) Enter the skin at a 30-40 degree angle c) Enter the skin directly over the vein d) A device may be reused as long as it is in the same site as the original attempt e) Enter the skin slightly adjacent to the vein and direct the needle into the side of the vein wall f) Draw blood from IV hub with a 10cc syringe prior to flushing g) Start an IV without a tourniquet h) Grasp the cannula with thumb and forefinger to thread into the vein 27) Which of the following is an essential action if the nurse temporarily removes the IV line from an infusion pump while the tubing is still connected to the patient’s IV? a) Push the “silence” button on the IV pump c) no action is necessary b) Close the roller clamp on the IV tubing d) attach a syringe to a port to remove air 28) Occlusion alarms on an IV pump are used to alert to: a) Incorrect loading of tubing c) Upstream or downstream absence of flow b) Air bubbles in the line d) Incompatible fluids 29) During initial IV insertion, the nurse has difficulty advancing the catheter into the vein, The most likely reason for this is: a) The cannula tip is pushing against a valve c) the IV is the incorrect size b) They are not pushing hard enough d) scar tissue is present 30) The nurse is preparing a continuous intravenous (IV) infusion at the medication cart. As the nurse goes to insert the spike end of the IV tubing into the IV bag, the tubing drops and the spike end hits the top of the medication cart. The nurse should take which action? a) Obtain a new IV bag. c) Wipe the spike end of the tubing with Betadine. b) 2. Obtain new IV tubing. d) Scrub the spike end of the tubing with alcohol...