Exam (elaborations)
IV Skills Exam 3.
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Exam of 2 pages for the course SRU ELEC340 F at SRU ELEC340 F (IV Skills Exam 3.)
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IV Skills Exam 3Air embolus - ANS-air in the circulatory system
Break in the IV system above the heart level, allowing air in the circulatory system;
respiratory distress, increased heart rate, cyanosis, decreased BP
Before a nurse decreases the flow rate of IV that has gotten ahead, what must the
nurse consider or do? - ANS-if the new, decreased flow rate will be enough to keep the
vein open & the IV site patent, Vital signs
blood clot at the end of the catheter, a blood clot in the IV catheter, kinks in the catheter,
or placement of the catheter - ANS-Factors that effect patency:
Central venous access devices - ANS-catheter ends in lower 1/3 superior vena cava;
used for prolonged nutrition and medication therapy
Continuous IV tubing should be changed every: - ANS-96hrs
fluid overload - ANS-too much fluid in the blood; edema, headache, increased blood
pressure & engorged neck veins
Gravity rate - ANS-gtt/min
Hypertonic solutions - ANS-higher concentration of salts than the body cells; used to
treat patients with severe hyponatremia
Hypotonic solutions - ANS-lower concentration of salts than the body cells; used for
rehydration from excessive fluid loss
Infiltration - ANS-occurs when IV fluid leaks into surrounding tissue; site can be swollen,
pale & feels cold and spongy
Intermittent IV tubing should be changed every: - ANS-24hrs
Isotonic solutions - ANS-Equal salt concentrations; used to replace fluid losses, usually
extracellular losses, and to expand the intravascular volume
Midline Peripheral catheter - ANS-Placed in the basilic, cephalic, or brachial vein; about
6-8inch long and used for 1-4 weeks of infusion therapy
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