Exam (elaborations)
2024 NURSING 251 INTRAVENOUS THERAPY EXAM 2 WITH ANSWERS
- Course
- Institution
2024 NURSING 251 INTRAVENOUS THERAPY EXAM 2 WITH ANSWERS
[Show more]
Content preview
2024 NURSING 251 INTRAVENOUSTHERAPY EXAM 2 WITH ANSWERS
True or False
Intravenous therapy is a method of replacing fluid and electrolytes into the
blood stream rather than the digestive stream. - CORRECT-ANSWERSTrue
What is the technique used where the vein is punctured through the skin by
a sharp rigid stylet? - CORRECT-ANSWERSVenipuncture
Additional forms of IV therapy - CORRECT-ANSWERS1. Central lines - CVC
(Central Venous Catheter) - Usually Triple Lumen
2. PICC Lines - Peripherally Inserted Central Catheter (starts in the arm and
goes to the heart).
3. Mediports - device implanted under the skin.
IV Equipment - CORRECT-ANSWERS1. Bags - most common, collapsable, no
venting is required.
2. Bottles - if additives absorbed by plastic (usually lipids seen with TPN)
IV Solutions - CORRECT-ANSWERS1. IV solutions fall into three categories and
most are mixed.
1. Isotonic
2. Hypertonic
3. Hypotonic
Isotonic - CORRECT-ANSWERS- Same effective osmality as body fluids
- Indicated for extracellular volume replacement
Ex. FVD after prolonged vomiting
- D5W, NSS, LR (multipe electrolytes)
- D5W (Dextrose is quickly metabolized leaving free water to be evenly
distributed)
- LR contains Na, K, Ca, Cl and lactate.
Hypertonic - CORRECT-ANSWERS- Have an effective osmality greater than
the body fluids.
Example - D5WNS, D51/2NS (5% dextrose and 0.45NS) D5LR
, Hypotonic - CORRECT-ANSWERS- Have an effective osmality less than body
fluids.
Ex. 1/2 NS = 0.45NS
Hypertonic and Hypotonic - CORRECT-ANSWERSBased on the patient's
specific fluid and electrolyte imbalance
IV additives - CORRECT-ANSWERS- Potassium is commonly added to IV
solutions to correct imbalances or for clients who are NPO.
- Body cannot conserve Potassium (NPO status) and the kidneys continue to
excrete K, leading quickly to Hypokalemia.
- Likely, assess to see if the client has adequate urinary output before
administering K to avoid Hypokalemia.
- Potassium is very closely monitored, because it is directly related to cardiac
dysrrhythmia.
IV administration Sets - CORRECT-ANSWERS1. Heparin Lock
2. Extension Tubing
3. Piggy Back Admin Set
4. Basic Tubing
5. Primary Tubing
6. Plum Pump tubing
7. Secondary Tubing
8. Secondary sets
9. Volume Chambers/Solusets/buretrols
10. Controllers - can be added to the IV tubing station (Stat Masters)
11. Pumps
IV pumps - CORRECT-ANSWERSAltoona Hospital uses the PLUM PUMP
- This helps to prevent fluid overload.
- Must know how to operate it.
- Tubing contains a cassette which is inverted into the pump after bing
primed.
- 5 main buttons:
1. Rate: ml/hr
2. VTBI (Volume to be infused)
3. Run
4. Hold
5. Clear
Initiating a peripheral Intravenous Infusion - CORRECT-ANSWERS- Review
physicians orders for TYPE, AMOUNT, RATE OF ADMISSION.
- Follow the 6 rights of med administration
- Observe for S/S of fluid and electrolyte imbalance:
- Edema and/or increased body weight
- dry skin/mucous membranes
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller Elitaa. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $14.99. You're not tied to anything after your purchase.
Can Stuvia be trusted?
4.6 stars on Google & Trustpilot (+1000 reviews)
81113 documents were sold in the last 30 days
Founded in 2010, the go-to place to buy study notes for 14 years now