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IV Therapy Final Exam (1).
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IV Therapy Final Exam (1).
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IV Therapy Final ExamAccording to the Centers for Disease Control, IV sites should be rotated every: -
ANS-48 to 72
Before equipment setup and venipuncture, _________ seconds of hand washing with
an antimicrobial soap are recommended. - ANS-15 to 30
What are the advantages to Over-the-Needle catheters? - ANS-- 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? - ANS-- 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? -
ANS-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? - ANS-multiple trauma, heart
surgery, and transplantation procedures
When choosing the Metacarpal vein for IV therapy, the nurse should remember which of
the following considerations? - ANS-- 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: - ANS-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: - ANS-2
hours for adults and one hour for children
IV therapy labels should be on which areas? - ANS-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? - ANS-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: - ANS-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? - ANS-hypertonic solution
Is an isotonic solution good to use? - ANS-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? - ANS-Fluid moves from the
interstitial space into the venous circulation
What are the examples of an Isotonic solution? - ANS-- 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)
What are some examples of a Hypertonic solution? - ANS-- 10% D/W
- 20% D/W
- 50% D/W
- 70% D/W
- 3% NaCl
- 5% NaCl
- 5% D and 0.9% NaCl
- 5% D and 0.45% NaCl
- 1/6 M Sodium lactate
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