IV Therapy Final Exam, Questions and Answers Updated May 2022.
According to the Centers for Disease Control, IV sites should be rotated every:
- 48 to 72
Before equipment setup and venipuncture, _ seconds of hand washing
with an antimicrobial soap are recommended. - 15 to 30
What are the advantages to Over-the-Needle catheters? – - easy to insert
- stays patent longer
- catheter tip tapered to prevent peel-back
- radiopaque feature makes x-ray detection easy
- infiltration rare
- winged cannula easy to tape
- stable: allows for greater patient mobility
What are the disadvantages to over-the-needle catheters? – - depending on the hub, sometimes difficult to secure with tape
- long inflexible stylet increases risk of accidental puncture; pressure marks
from hub - some catheters drag through the skin on insertion
- increased risk of phlebitis
Which statement is true regarding the insertion of an over the needle
catheter? - remove the tourniquet after advancing the catheter into the vein
When starting an I.V., the nurse remembers that a 14 to 16 gauge over the
needle catheter may be selected for which of the following? - multiple trauma, heart surgery, and transplantation procedures
When choosing the Metacarpal vein for IV therapy, the nurse should
remember which of the following considerations? – - this is a good site to begin therapy
- this site is usually easily visualized
- this site should be avoided if infusing antibiotics, potassium chloride, or
chemotherapeutic agents
When choosing an IV therapy site always try to:
- select a vein that’s straight and will not be disturbed when the patient moves
The nurse should monitor the client receiving infusion therapy at least every: - 2 hours for adults and one hour for children
IV therapy labels should be on which areas? - catheter site, tubing, and solution container
Which IV fluid type pulls fluid into the veins from the more dilute area in cells
and interstitial space? - hypertonic
A client is scheduled a test that requires an NPO status and has been ordered
5% Dextrose in water (D5W). The nurse understands which of the following
to be the best rational for this action: - isotonic solutions maintain body fluid balance
A patient is prescribed an IV fluid to replace electrolytes and expand plasma
volume. Which type of fluid will the nurse provide to the patient? - hypertonic solution
Is an isotonic solution good to use? - yes, because they maintain fluid balance
A patient is prescribed an IV infusion of a hypertonic solution. Which fluid
shift should the nurse expect to occur with this type of infusion? - Fluid moves from the interstitial space into the venous circulation
What are the examples of an Isotonic solution? – - 0.9% NaCl
- 5% D and 0.2% NaCl
- Lactated Ringer’s (multiple electrolyte solution)
- Ringer’s injection (MES)
- Normosol-R (MES)
- Plasmalyte-A (MES)
- Isolyte E (MES)
- 10% Dextran and 0.9% NaCl (Specialty solution)