What interventions would you implement if a patient has an air embolism? Select all that apply.
Put the head of the bed down
have patient lay on their left side
have patient lay flat
have patient drink plenty of fluids
When the nurse is going to discontinue an IV , what is the first thing the nurse needs to do?
Check the doctors order
Clamp the IV line
Clean the site
administer pain medication
When caring for a patient with an intermittent IV device what is the main thing we need to do?
Maintain patency
make sure pump is working
Check doctor order
After failing on a second attempt to insert an IV, what should the nurse do next?
Try another site
Get another nurse
Get a different needle
have patient sit in a different position
If patient has an IV in the right forearm arm , and you need to change the IV site, Where should you insert the new Iv at?
The left forearm
the right hand
the right forearm
the left leg
When scrubbing the hub, for how long do you apply friction?
1 minutes
30 seconds
15 seconds
2 minutes
What are some symptoms associated with speed shock?
lightheadedness
chest tightness
flushed face
irregular pulse
What is speed shock caused by what?
Rapid infusion
pathogens in the blood stream
an occlusion
an air embolus occurs
If a patient has a PIC line on their right shoulder, which arm do you wanna take the blood pressure with?
Left
Right
If a patients IV site is cool to the touch, edema is present , its burning and painful , What could the patient be experiencing?
infiltration
speed shock
sepsis
phlebitis
If an IV is infused too rapidly and then the rate is slowed, What do you monitor the patient for?
Septic shock
circulatory overload
thrombophlebitis
Why do you not irrigate an occluded canula?
Could push a clot into a system
could overload the IV
Could get an infection
Could cause infiltration
If a patient is presenting with edema, Increased BP, distended neck veins, rapid breathing, crackles in the lung and a moist cough, What would the nurse assume is going on ?
Fluid Volume Excess
Thrombophlebitis
Speed Shock
Air Embolism
If there is an infection at the puncture site, what would you see ? Select all that apply
Purulent drainage
Red/hot to the touch
painful
sluggish IV rate
Cool to touch
What is the point of a transparent dressing over the IV?
To let air flow through the site
to prevent blockage
prevent edema
to prevent thrombophlebitis
If there is redness , sweling, and warmth at IV site, What could it be?
How much fluid does an average adult need to replace what is lost through elimination in a 24 hour period?
1500-2000 mL
2000-3000 mL
1000-1500 mL
500-800 mL
When a physician is writing orders what is an important guide when ordering electrolyte replacements?
Accurate I & Os
IV placements
Type of IV Fluids
What type of Device is used
A solution with the same osmalaitly as blood, and is used to hydration
isotonic
hypotonic
hypertonic
Solution with less solute than blood, and is used to increase fluid to tissues
Solution that has greater solute than blood, brings fluid from outside to inside the vein, used to decrease edema
You must always ID your patient, If patient is unconscious, how do ID the patient?
Ask a staff nurse to ID patient
look at chart
look at ID band
just administer IV
The doctors order must include what? Select all that apply
Type of Solution
Amount of Solution
Rate of the IV
Date and Time of Order
doctors signature
How many drops does a macrodrop chamber use per minute?
20
10
60
100
What is a macrodrop chamber used for ?
Blood
large amounts of fluid
percise amounts of liquid
the elderly
how many drops per minute does a microdrop chamber put out?
30
What are microdrop chambers used for ?
thick liquids
precise measurements (children/elderly)
most adults
When hanging a piggyback IV, which bag is higher?
the first bag
the second bag
Irritation of the veins, S/S include; errythema, warmth, swelling, and tenderness
IV site infection
A patient with an IV is experiencing Pain along the vein, decreased BP, increased pulse, and nail bed cyanosis. What would the nurse be concerned is happening?
air embolism
catheter embolus
What are some signs and symptoms of Sepsis? Select all that apply
fever/chills
headache
fatigue
pain
hypertension
If a patient is experiencing an allergic reaction to a medication through IV , what do you expect to see? Select all that apply
Site is red
itching
rash
Cool to the touch
If a patient is having an allergic reaction to the catheter used for the IV, what do you expect to see? Select all that apply
Red streak at the vein
Pain at the IV site
Pain and discomfort
What are the most common sites for IV insertion? Select all that apply
basilic
cephalic
brachial
median cubital
How often do you check the IV site?
once a shift
every hour
every two hours
every 24 hours
What are the elderly most at risk for when receiving an IV?
fluid volume overload
fluid volume deficit
What can be used instead of a tourniquet for an elderly patient?
Blood pressure cuff
no tourniquet
use your hands to pull skin back
have patient drink water to expose veins
When you add dextrose to an IV , what are you adding?
Nutrients/ Sugar
medication
normal saline for hydration
When should you use a Butterfly needle? Select all that apply
Pediatric patients
elderly patients
Obese patients
patients with bigger veins
Is a central line made for long term use or short term use?
short term use
long term use
Typically how long does a PIC line say in?
6-8 weeks
6 months
2 weeks
48 hours
How long is a peripheral IV used for ?
72 hours
1 week
When documenting on an IV site, what should be included? Select all that apply
Location
type of catheter
solution used
IV flow sheet
vital signs
When educating a patient, what should the nurse include? Select all that apply
Why the IV is needed
what type of solution is being used
length of IV therapy
When/what to notify to the nurse
what type of needle and all the technical terms that go behind IVs
