Intravenous Therapy Lesson 4 Post-Test BSN246-07 Concepts of Nursing I 2021-2 PDF

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5/29/2021

Intravenous Therapy: Lesson 4 Post-Test: BSN246-07 Concepts of Nursing I 2021-2

Intravenous Therapy: Lesson 4 Post-Test Due May 30 at 11:59pm

Points 5

Questions 5

Time Limit None

Allowed Attempts Unlimited

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Attempt History LATEST

Attempt

Time

Score

Attempt 1

7 minutes

5 out of 5

Score for this attempt: 5 out of 5 Submitted May 29 at 4:29pm This attempt took 7 minutes.

Question 1

1 / 1 pts

Which of the following situations indicates discontinuation of peripheral intravenous (IV) access? (Select all that apply.)

Correct!

The patient is being discharged to home on oral (PO) medications.

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5/29/2021

Intravenous Therapy: Lesson 4 Post-Test: BSN246-07 Concepts of Nursing I 2021-2

Correct! The electronic infusion pump keeps alarming, indicating “occlusion” on its screen, and the nurse is unable to flush the IV.

Correct!

The patient's arm is swollen and cool to the touch; the patient complains of pain at the IV site.

Discontinuing an intravenous infusion is necessary after the prescribed amount of fluid has been infused (i.e., the patient is going home on PO medications), when an infiltration occurs (indicated by swelling, pain, pallor, and coolness to the touch at the insertion site), if bacterial phlebitis is present (indicated by the presence of redness and pain along the vein pathway), or the infusion catheter or needle develops a clot at its tip (evidenced by an inability to flush the catheter). The patient, whose bag of IV fluids is empty, with a health care provider's order for a continuous infusion, requires a new bag of IV fluids to be hung. IV fluids may be unnecessary in a patient with sufficient oral fluid intake; however, discontinuing peripheral IV access is unwarranted because this route is necessary to administer the patient's pain medication. If an occlusion occurs because of clot formation at the catheter tip, the peripheral intravenous infusion device will have to be discontinued and relocated. The nurse should first determine the presence of any kinks in the tubing or the patient lying on the tubing. The nurse may flush the catheter in an attempt to get the IV functioning properly before discontinuing the existing IV catheter.

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5/29/2021

Intravenous Therapy: Lesson 4 Post-Test: BSN246-07 Concepts of Nursing I 2021-2

Question 2

1 / 1 pts

The student nurse is watching the staff nurse discontinue a peripheral IV. The staff nurse removes the catheter and then looks at it. The student asks the nurse what she is looking for. What would be a correct response?

Correct!

“I am inspecting the catheter for intactness."

Clot formation may be an indication for discontinuing an IV, but the primary reason for observing the catheter tip is to determine that it is intact. The tip of the catheter can break off, causing an embolus and an emergency situation. The gauge size should be written on the dressing and recorded in the nurse's notes. Signs of infection may be an indication for discontinuing an IV.

Question 3

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1 / 1 pts

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5/29/2021

Intravenous Therapy: Lesson 4 Post-Test: BSN246-07 Concepts of Nursing I 2021-2

What is the primary danger related to a broken catheter tip?

Correct!

Embolus.

The primary danger related to a broken catheter tip is an embolus. If the catheter tip is missing, the health care provider should be notified and the patient monitored.

Question 4

1 / 1 pts

The nurse is discontinuing peripheral IV access. Which of the following steps, if performed by the nurse, requires correction?

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5/29/2021

Intravenous Therapy: Lesson 4 Post-Test: BSN246-07 Concepts of Nursing I 2021-2

Correct! With dry gauze or an alcohol swab held over the site, apply light pressure and withdraw the catheter by using a slow, steady movement with the hub at a 10- to 30-degree angle. Apply pressure to the site for 1 to 2 seconds by using a dry, sterile gauze pad.

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5/29/2021

Intravenous Therapy: Lesson 4 Post-Test: BSN246-07 Concepts of Nursing I 2021-2

The catheter needle is held at a 10- to 30-degree angle for insertion, but should be removed keeping the hub parallel to the skin. Changing the angle of the catheter inside the vein could cause additional vein irritation, increasing the risk of postinfusion phlebitis. Pressure is applied to the site for 1 to 2 minutes, not seconds, to ensure hemostasis. Pressure will control bleeding and prevent hematoma formation. The gauze should be secured with tape. The patient should be instructed to report any symptoms of phlebitis because postinfusion phlebitis may occur within 48 hours after catheter removal. The nurse should document discontinuation of the IV access device, including the time the peripheral IV was discontinued, site assessment information, gauge and length of catheter removed, and condition of the catheter tip to determine that it is intact.

Question 5

1 / 1 pts

Which of the following demonstrates the best documentation of discontinuation of an IV?

Correct! 1030 20 Gauge 1 inch (2.5 cm) catheter removed from left forearm. Catheter tip intact. Site without redness, swelling, or bleeding. T. Rodriguez, RN.

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Intravenous Therapy: Lesson 4 Post-Test: BSN246-07 Concepts of Nursing I 2021-2

1030 20 Gauge 1 inch (2.5 cm) catheter removed from left forearm. Catheter tip intact. Site without redness, swelling, or bleeding. T. Rodriguez, RN is the best example of documentation because the nurse documented the time the peripheral IV was discontinued, site assessment information, gauge and length of catheter removed, and condition of catheter tip to determine that it is intact. In all other samples, the documentation lacks key information about condition of the catheter tip, or site the catheter was removed from, or assessment information.

Quiz Score: 5 out of 5

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7/7...