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IV Therapy II questions and answers graded A+ 2024/2025
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IV Therapy II questions and answers graded A+ 2024/2025
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IV Therapy IIWhat are the basic preparatory steps for initiating an IV? - ANSThe basic preparatory steps
before initiating an IV are verifying the physician's orders, gathering the equipment,
introducing yourself to the patient, identifying the patient, providing for patient privacy,
washing your hands, and putting on gloves.
Why is it imperative that Standard Precautions and aseptic technique be adhered to during
IV Therapy? - ANSYou must adhere to Standard Precautions because when you initiate and
IV infusion, the patient's skin and vein will be punctured. You must protect yourself from
contact with the patient's blood by wearing gloves and, if the situation warrants it, a gown,
mask, or goggles. You must follow strict aseptic technique because contamination of fluids,
equipment, or supplies could introduce bacteria into the patient's bloodstream.
What information is included in the physician's order for an IV? - ANSThe physician's order
should specify the type of fluid, amount of fluid, and the rate of infusion.
What do you do to prepare the patient psychologically for the IV procedure? - ANSExplain
the procedure to the patient, including the rationale, or why; what the patient can do to help
the procedure run smoothly; what the patient should avoid doing; and roughly how long the
IV infusion will be in progress. Recognize the patient's fears, and allow the patient to express
them.
What do you do to prepare the patient physically for the IV procedure? - ANSAllow the
patient to use the bathroom, help the patient change into an IV gown if available, prepare the
site by clipping body hair if necessary, and use an anesthetic if directed to do so.
You are instructed to initiate an IV on a patient. The patient is unresponsive. Explain the
process you will use to identify the patient. - ANSMatch the MAR or IV administration sheet
against the patient's name and medical record that appear on the identification band that the
patient is wearing. Always use two identifiers.
List in order of importance the items that you would check prior to initiating IV Therapy. -
ANSPrior to initiating IV Therapy, check the following item: physician's orders; patient's
medical history, especially allergies and conditions that might affect selection of infusion site
or equipment, for example, a mastectomy or paralysis; whether the patient be receiving IV
medication or just fluids; whether an infusion pump will be used.
Several of your patients are to receive intermittent IV medication. What steps do you take to
ensure that you do not make any administration errors? - ANSWhen preparing IV
medications for more than one patient, prepare each patient's medication separately. First,
check the physician's order for any changes or additions. Second, prepare only that patient's
dose in the medication room, and take only one medication at a time to the patient's room.
Third, match the infusion bag label against the MAR or IV administration sheet as well as
against the patient's identification band. Only after you have successfully attached one
patient's medication do you turn to the next patient.
Why is it not a good idea to use veins in the patient's antecubital fossa (crease of the elbow)
for a continuous IV infusion? - ANSAn IV inserted into a patient's antecubital fossa requires
the patient to keep that arm straight for the fluid to flow properly. The arm board that is
typically used for this purpose is uncomfortable for the patient.
List the supplies that you will gather and prepare before you initiate a peripheral IV. -
ANSThe supplies that you will need before initiating an IV are an: IV cannula of the
, appropriate size, a fluid administration set, the prescribed fluid, the MAR, and/or IV flow
sheet, a vital signs graphic sheet or flow chart, and cannulation and site supplies.
Name at least two ways that you can prevent the spread of infection during the preparation
of equipment and supplies. - ANSSome ways that you can prevent the spread of infection
are to wash your hands or use an alcohol hand cleanser before you start, to not contaminate
the puncture spike or the tip of the tubing when you purge the line.
How do you prevent the vein from rolling during IV insertion? - ANSTo keep the vein from
rolling during IV insertion, apply traction on the skin below the site with your nondominant
hand.
What is the meaning of the term flash as it relates to IV initiation? - ANSFlash refers to the
blood that is seen when the IV cannula enters the vein; the blood appears in the flash
chamber of the cannula. This blood is also called flashback.
What precautions should you take when providing IV Therapy to a geriatric patient? -
ANSWhen giving IV Therapy to a geriatic patient, avoid using the back of the hand, apply
hand pressure instead of a tourniquet and monitor fluid intake carefully.
What techniques can you use when initiating an IV on an obese patient? - ANSTechniques
to facilitate IV therapy on an obese patient are to apply warm compresses for vasodilation, to
depress the extra tissue at the site and mark the spot or cannula quickly, to use the vein on
the thumb side of the wrist, and to use multiple tourniquet distally from the most proximal
joint toward the site.
When selecting an appropriate vein for IV infusion, which of the following factors should you
consider? - ANSVein location allows for mobility
Which of the following is the best action after your first attempt to start an IV and you do not
see a flash of blood in the chamber? - ANSReattempt to start the IV in another site.
When administering IV Therapy to a geriatric patient, which of the following actions should
you take? - ANSAvoid using the dorsal vein because of limited subcutaneous tissue.
Which of the following factors should you consider when you select an IV site? - ANSAvoid
areas where the vein crosses over joints.
Which of the following actions should you take in order to become proficient in venipuncture
techniques? - ANSInitiate many IVs on real patients.
Which of the following statements do you need to remember in order to avoid inadvertently
puncturing an artery? - ANSArteries pulsate.
Which of the following actions should you take when you initiate peripheral IV access? -
ANSAvoid routine use of veins in or above the antecubital fossa.
Which of the following actions should you take if your initial insertion is not successful? -
ANSRemove the cannula, properly discard it, and insert a new one at another site.
Your study group is preparing for the IV course final exam. You are discussing venipuncture
site preparation. Which of the following statements demonstrates an understanding of the
theory? - ANS"Clean the area with 70% isopropyl alcohol or other approved antiseptic."
Anesthetic cream - ANSA solid medication used to reduce pain during venipuncture
procedures.
Cannulation - ANSThe act of inserting a venous access device into a vein for intravenous
therapy.
MAR - ANSMedication administration record.
Flash - ANSThe appearance of blood in a venous access device.
IV flow sheet - ANSElectronic or written record that documents the amount and type of IV
fluid.
Infiltration - ANSThe leakage of intravenous drugs from the vein into the surrounding tissue.
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