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AEMT AAOS. Chapter 8: Vascular Access and Med. Admin. Q&A
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AEMT AAOS. Chapter 8: Vascular Access and Med. Admin. Q&A
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AEMT AAOS. Chapter 8: VascularAccess and Med. Admin. Q&A
While starting an IV on a patient, you see bright red blood quickly traveling up the IV
tubing. You should:
A. evaluate the puncture site for signs of infiltration.
B. lower the IV bag to ensure viability of the IV line.
C. secure the IV line and apply direct pressure.
D. remove the catheter and apply direct pressure. Correct Ans - D. remove the
catheter and apply direct pressure.
You are transporting a patient with an IV of D5W. Which of the following signs would be
atypical of infiltration?
A. Edema at the catheter site
B. Redness around the IV site
C. Tightness and pain around the IV site
D. IV flow despite occlusion proximal to the IV site Correct Ans - B. Redness around
the IV site
Which of the following statements regarding subcutaneous injections is correct?
A. Subcutaneous injections are usually given with a 24-gauge to 26-gauge needle
B. The needle is inserted at a 90° angle when giving a subcutaneous injection.
C. The deltoid muscle is the most common location for a subcutaneous injection.
D. Volumes of less than 10 mL are usually given by the subcutaneous route. Correct Ans
- A. Subcutaneous injections are usually given with a 24-gauge to 26-gauge needle
The term applied to the practice of preventing contamination of the patient when
performing an invasive procedure is called:
A. sterile technique.
B. standard precautions.
C. universal precautions.
D. medical asepsis. Correct Ans - D. medical asepsis.
Although painful and difficult to manage, what is the location of choice for starting IVs in
pediatric patients?
, A. Hand vein
B. Forearm vein
C. Foot vein
D. Antecubital vein Correct Ans - A. Hand vein
A 70-year-old female presents with generalized muscle weakness; lethargy; and hot,
flushed skin. Which of the following electrolyte disturbances should you suspect?
A. Hypernatremia
B. Hypercalcemia
C. Hyperkalemia
D. Hypocalcemia Correct Ans - B. Hypercalcemia
After inserting the needle into the injection port of an IV line, but before administering the
medication, you should:
A. pinch off the tubing proximal to the injection port.
B. withdraw on the plunger of the syringe to detect blood.
C. explain the procedure to the patient and obtain consent.
D. flush the line with a 20 mL bolus of normal saline. Correct Ans - A. pinch off the
tubing proximal to the injection port.
After inserting an IV catheter into a vein, you should:
A. keep the angle of the catheter at 45° and slide the catheter off the needle.
B. decrease the angle of the catheter to 15° and insert the catheter a few mm farther.
C. decrease the angle of the catheter to 45° and insert the catheter 1" farther.
D. increase the angle of the catheter to 90° and insert the catheter a few mm farther.
Correct Ans - B. decrease the angle of the catheter to 15° and insert the catheter a few
mm farther.
Which of the following medications or solutions can be administered through an
intraosseous line?
A. Hypertonic drugs and fluids only
B. Anything that you can administer via an IV
C. Normal saline and hypotonic drugs only
D. Whole blood and cardiac medications only Correct Ans - B. Anything that you can
administer via an IV
Factors that can cause an insufficient or absent flow of fluid through an IV line include:
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