NRSG 317 Exam 2 Questions and Answers All Correct
While in the process of inserting an IV, which of the following is NOT acceptable:
A. enter the skin at a 30-40 degree angle
B. a device may be reused as long as it is in the same site as the original attempt
C. enter the skin directly over...
While in the process of inserting an IV, which of the following is NOT acceptable:
A. enter the skin at a 30-40 degree angle
B. a device may be reused as long as it is in the same site as the original attempt
C. enter the skin directly over the vein
D. enter the skin slightly adjacent to the vein and direct the needle into the side of the
vein wall - Answer-B. a device may be reused as long as it is in the same site as the
original attempt
How can you verify that you have entered the vein with the IV catheter?
A. You will be able to see the catheter through the skin
B. You learn through experience where the vein should be located
C. You observe a flashback of blood
D. You palpate with your non-dominant hand for the "pop" of the vein when the needle
enters it - Answer-C. You observe a flashback of blood
The nurse is preparing to insert an intravenous device into the patients left arm. To best
ensure proper assessment of intended vein the nurse should what? - Answer-Apply a
Tourniquet to the left arm about 4 to 6 inches above the site
When preparing to administer medications through a saline lock the nurse does not get
blood when aspirating the saline lock. The nurses next action should be what - Answer-
Continue to assess the patency of the IV line by flushing it with saline
A patient had an IV catheter inserted 48 hours ago to receive anabiotic therapy. During
the assessment of the IV site they observes redness and tenderness on palpation. The
nurse document that the IV was discontinued and restarted because of which
complication of IV therapy? - Answer-Phlebitis
When considering the principles of sterile technique which of the following actions
should the nurse take when using an over bed table in the surface of a sterile field? -
Answer-Position the table to be waist high
The nurse is preparing to insert an intravenous device in the patients left arm. To best
ensure effective assess to the patient's veins the the intended point, initially the nurse
, should what - Answer-Anchor the vein below the site by gently stretching the skin
against the direction of insertion
What are the goals of IV therapy? - Answer-Maintain or prevent fluid and electrolyte
imbalances
Administer continuous or intermittent solutions or medications
Replenish blood volume
Assist in pain management
What do you have to check when reviewing an order - Answer-Type of fluid
Amount to be infused
Rate of infusion
Length of fluid therapy
What should you review in the MAR before you gather your supplies? - Answer-
Medication history
Prescribed medication to MAR
Vital signs
Allergies
Past medical history
Previous surgeries or procedures
What should you asses with the patient before administering the medication? - Answer-
Their knowledge of procedure
Their Readiness
What supplies do you need to start and IV? - Answer-IV start kit (tourniquet, tape,
tegaderm, 2x2's)
IV catheters (see next slide)
Extension set (Saline Lock)
Prescribed IV solutions (Exp. and clarity) and primary tubing
IV pole and pump
Saline syringe
Clean gloves
Alcohol wipes
Protective pad
What are considerations when picking the right size gauge? - Answer-Flow rate
Type of fluid
Vein status
Viscosity of the fluid
What is the golden rule for IV therapy? - Answer-Select the smallest gauge possible and
place in the largest vein possible (unless you'll be giving them blood)
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