IV Therapy Final Exam Latest Update -

IV Therapy Final Exam Latest Update - Actual Exam 160 Questions with 100% Verified Correct Answers with Rationale Guaranteed A+ Verified by Professor

A bag of intravenous solution should not hang longer than how many hours? -

CORRECT ANSWER: 24 hours

A physician's order for IV therapy must contain what components? - CORRECT ANSWER: date of order, type of fluid solution, volume, and length of infusion time

A tourniquet should be left no longer than how many minutes? - CORRECT ANSWER: 2 minutes

According to the CDC, when should hands be washed, or an alcohol-based hand rub be

used during the venipuncture procedure? - CORRECT ANSWER: before and after

palpating IV sites, before and after inserting IV catheter, and before and after accessing IV system for any purpose

After medication is added to a solution, it must be infused or discarded within how many

hours? - CORRECT ANSWER: 24 hours

After performing venipuncture, when can you let go of the catheter? - CORRECT

ANSWER: after the IV catheter is secured

After the fluids are connected and started, what do you look for? - CORRECT

ANSWER: redness, edema, skin, pain, any other complaints that the patient has

Are gloves required during venipuncture? - CORRECT ANSWER: yes 1 / 3

At what point in the procedure is the tourniquet removed? - CORRECT ANSWER: Either when blood is present in the catheter hub or after the nurse has advanced the cannula but before the stylet is taken out.

Besides the tourniquet, identify four ways to further dilate veins. - CORRECT ANSWER: Position arm in a dependent position, rub or stroke arm, cover entire arm with warm, moist towels for 5 - 10 minutes, and after applying tourniquet, have patient open and close fist

Define the following local complications and list the signs and symptoms for:

extravasation - CORRECT ANSWER: infiltration of a vesicant

Define the following local complications and list the signs and symptoms for: infection -

CORRECT ANSWER: redness, edema, exudate at siteredness, edema, exudate at site

Define the following local complications and list the signs and symptoms for: infiltration - CORRECT ANSWER: nonvesicant solution leaks out of vein into surrounding tissue, IV site edematous and cool

Define the following local complications and list the signs and symptoms for: pain -

CORRECT ANSWER: discomfort at or above IV site

Define the following local complications and list the signs and symptoms for: phlebitis -

CORRECT ANSWER: inflammation of vein; can result in thrombophlebitis

leading to an emboli, pain, erythema at site

Define the following systemic complications and list the signs and symptoms: air

embolism - CORRECT ANSWER: *Gas bubble in the vascular space

*Venous - small - usually stopped at heart, large - stops blood flow (death) *Arterial - stops blood flow (brain, heart) - shock, decreased LOC, (death) 2 / 3

Define the following systemic complications and list the signs and symptoms:

Circulatory overload (fluid volume excess; FVE ) - CORRECT ANSWER: *Vascular

space, heart and kidneys are unable to handle the excess fluid volume, Especially children and elderly resulting in heart failure and pulmonary edema *S&S - coughing, wheezing, dyspnea, cyanosis, tachycardia, hypertension, pulmonary edema, anxiety, restlessness

Define the following systemic complications and list the signs and symptoms:

incompatability - CORRECT ANSWER: *IV drugs may not be compatible with other IV

drugs or solutions. Drug incompatibility is a true risk to the patient because it can cause crystallization of the solution. This precipitation at the least will clog the IV line and at the worst present as emboli.

*S&S: Same as pulmonary and air embolism.

Define the following systemic complications and list the signs and symptoms: infection -

CORRECT ANSWER: *When micro-organisms occur in the bloodstream, this is called

sepsis. Sepsis is a very serious condition, the body's response to this is called systemic inflammatory response syndrome (SIRS).*S&S - chills, fever, confusion, delirium, hypotention (shock), tachycardia

Define the following systemic complications and list the signs and symptoms: pulmonary embolism - CORRECT ANSWER: *a blockage of the main artery of the lung or one of its branches by a substance, usually a blood clot, that has travelled from elsewhere (extremity) in the body through the bloodstream.*S&S - chest pain, dyspnea, tachypnea, cyanosis, shock state

Define the following systemic complications and list the signs and symptoms: speed

shock - CORRECT ANSWER: *a sudden adverse reaction to IV medications or drugs

that are administered too quickly *S&S - causing, irregular heart rhythm, tight feeling in chest, changes in the LOC, headache, cardiac arrest

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