Student Intravenous Therapy Questions PDF

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Intravenous Therapy

Briefly describe a maintenance or continuous IV infusion. infusion of a parenteral drug over several hours (continuous drip) to days. It involves adding medication to sterile IV solution. How is this different from a fluid bolus? fluid bolus was a defined volume of a defined fluid administered over a defined time period How is this different than a medication bolus? An IV “push” or “bolus” is a rapid injection of medication. A bolus is the administration of a discrete amount of medication, drug, or other compound within a specific time, generally 1 - 30 minutes, in order to raise its concentration in blood to an effective level. What size IV would we insert for a patient that needs fluid resuscitation? 20g

What are some advantages of IV therapy? fast acting

What are some disadvantages of IV therapy? side effects such as infection

Name some different types of IV access. peripherally inserted central catheter (PICC), percutaneous non hemodialysis central catheter, implanted venous access device (IVAD), and tunneled catheter. How do you select a vein for a peripheral IV? one that is spongey not too hard or soft and smooth

What would you document after inserting an IV? start of infusion, date and time of IV insertion, gauge and length, name and location of vein used, solution infused, amount, rate and concentration, dressing used, any complications

What are some ways we can prevent IV infection? hand hygiene and disinfecting the area are the best ways

A nurse is assessing a client’s IV infusion site. Which of the following findings should the nurse identify as an indication of phlebitis? Select all that apply a. Pallor b. Dampness c. Erythema d. Coolness e. Pain A nurse manager is reviewing the facility’s policies for IV therapy with the members of his team. The nurse manager should remind the team that which of the following techniques helps minimize the risk of catheter embolism? a. Performing hand hygiene before and after IV insertion b. Rotating IV sites at least every 72 hours c. Minimizing tourniquet time d. Avoiding reinserting the needle into an IV catheter A nurse is preparing to initiate IV therapy for an older adult client. Which of the following actions should the nurse plan to take? a. Use a disposable razor to remove excess hair on the extremity. b. Select the back of the client’s hand to insert the IV catheter. c. Distend the veins by using a blood pressure cuff. d. Direct the client to raise his arm above his head.

A nurse assessing a client’s IV catheter insertion site notes a hematoma. Which of the following actions should the nurse take? Select all that apply. a. Stop the infusion b. Apply alcohol to the insertion site c. Apply warm compresses to the insertion site d. Elevate the client’s arm e. Obtain a specimen for culture at the insertion site

Complete a nursing skill ALT on IV insertion/therapy. Please be sure to include a minimum of 3 indications and 4 complications....