April Woodland
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Quiz on MS 1- IV Therapy, created by April Woodland on 03/09/2018.

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April Woodland
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MS 1- IV Therapy

Question 1 of 44

1

What interventions would you implement if a patient has an air embolism? Select all that apply.

Select one or more of the following:

  • Put the head of the bed down

  • have patient lay on their left side

  • have patient lay flat

  • have patient drink plenty of fluids

Explanation

Question 2 of 44

1

When the nurse is going to discontinue an IV , what is the first thing the nurse needs to do?

Select one of the following:

  • Check the doctors order

  • Clamp the IV line

  • Clean the site

  • administer pain medication

Explanation

Question 3 of 44

1

When caring for a patient with an intermittent IV device what is the main thing we need to do?

Select one of the following:

  • Maintain patency

  • make sure pump is working

  • Check doctor order

Explanation

Question 4 of 44

1

After failing on a second attempt to insert an IV, what should the nurse do next?

Select one of the following:

  • Try another site

  • Get another nurse

  • Get a different needle

  • have patient sit in a different position

Explanation

Question 5 of 44

1

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?

Select one of the following:

  • The left forearm

  • the right hand

  • the right forearm

  • the left leg

Explanation

Question 6 of 44

1

When scrubbing the hub, for how long do you apply friction?

Select one of the following:

  • 1 minutes

  • 30 seconds

  • 15 seconds

  • 2 minutes

Explanation

Question 7 of 44

1

What are some symptoms associated with speed shock?

Select one or more of the following:

  • lightheadedness

  • chest tightness

  • flushed face

  • irregular pulse

Explanation

Question 8 of 44

1

What is speed shock caused by what?

Select one of the following:

  • Rapid infusion

  • pathogens in the blood stream

  • an occlusion

  • an air embolus occurs

Explanation

Question 9 of 44

1

If a patient has a PIC line on their right shoulder, which arm do you wanna take the blood pressure with?

Select one of the following:

  • Left

  • Right

Explanation

Question 10 of 44

1

If a patients IV site is cool to the touch, edema is present , its burning and painful , What could the patient be experiencing?

Select one of the following:

  • infiltration

  • speed shock

  • sepsis

  • phlebitis

Explanation

Question 11 of 44

1

If an IV is infused too rapidly and then the rate is slowed, What do you monitor the patient for?

Select one of the following:

  • Septic shock

  • circulatory overload

  • thrombophlebitis

  • infiltration

Explanation

Question 12 of 44

1

Why do you not irrigate an occluded canula?

Select one of the following:

  • Could push a clot into a system

  • could overload the IV

  • Could get an infection

  • Could cause infiltration

Explanation

Question 13 of 44

1

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 ?

Select one of the following:

  • Fluid Volume Excess

  • Thrombophlebitis

  • Speed Shock

  • Air Embolism

Explanation

Question 14 of 44

1

If there is an infection at the puncture site, what would you see ? Select all that apply

Select one or more of the following:

  • Purulent drainage

  • Red/hot to the touch

  • painful

  • sluggish IV rate

  • Cool to touch

Explanation

Question 15 of 44

1

What is the point of a transparent dressing over the IV?

Select one of the following:

  • To let air flow through the site

  • to prevent blockage

  • prevent edema

  • to prevent thrombophlebitis

Explanation

Question 16 of 44

1

If there is redness , sweling, and warmth at IV site, What could it be?

Select one of the following:

  • Thrombophlebitis

  • speed shock

  • infiltration

  • circulatory overload

Explanation

Question 17 of 44

1

How much fluid does an average adult need to replace what is lost through elimination in a 24 hour period?

Select one of the following:

  • 1500-2000 mL

  • 2000-3000 mL

  • 1000-1500 mL

  • 500-800 mL

Explanation

Question 18 of 44

1

When a physician is writing orders what is an important guide when ordering electrolyte replacements?

Select one of the following:

  • Accurate I & Os

  • IV placements

  • Type of IV Fluids

  • What type of Device is used

Explanation

Question 19 of 44

1

A solution with the same osmalaitly as blood, and is used to hydration

Select one of the following:

  • isotonic

  • hypotonic

  • hypertonic

Explanation

Question 20 of 44

1

Solution with less solute than blood, and is used to increase fluid to tissues

Select one of the following:

  • isotonic

  • hypotonic

  • hypertonic

Explanation

Question 21 of 44

1

Solution that has greater solute than blood, brings fluid from outside to inside the vein, used to decrease edema

Select one of the following:

  • isotonic

  • hypotonic

  • hypertonic

Explanation

Question 22 of 44

1

You must always ID your patient, If patient is unconscious, how do ID the patient?

Select one of the following:

  • Ask a staff nurse to ID patient

  • look at chart

  • look at ID band

  • just administer IV

Explanation

Question 23 of 44

1

The doctors order must include what? Select all that apply

Select one or more of the following:

  • Type of Solution

  • Amount of Solution

  • Rate of the IV

  • Date and Time of Order

  • doctors signature

Explanation

Question 24 of 44

1

How many drops does a macrodrop chamber use per minute?

Select one of the following:

  • 20

  • 10

  • 60

  • 100

Explanation

Question 25 of 44

1

What is a macrodrop chamber used for ?

Select one of the following:

  • Blood

  • large amounts of fluid

  • percise amounts of liquid

  • the elderly

Explanation

Question 26 of 44

1

how many drops per minute does a microdrop chamber put out?

Select one of the following:

  • 10

  • 30

  • 60

  • 100

Explanation

Question 27 of 44

1

What are microdrop chambers used for ?

Select one of the following:

  • Blood

  • thick liquids

  • precise measurements (children/elderly)

  • most adults

Explanation

Question 28 of 44

1

When hanging a piggyback IV, which bag is higher?

Select one of the following:

  • the first bag

  • the second bag

Explanation

Question 29 of 44

1

Irritation of the veins, S/S include; errythema, warmth, swelling, and tenderness

Select one of the following:

  • infiltration

  • phlebitis

  • IV site infection

  • speed shock

Explanation

Question 30 of 44

1

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?

Select one of the following:

  • sepsis

  • air embolism

  • catheter embolus

  • phlebitis

Explanation

Question 31 of 44

1

What are some signs and symptoms of Sepsis? Select all that apply

Select one or more of the following:

  • fever/chills

  • headache

  • fatigue

  • pain

  • hypertension

Explanation

Question 32 of 44

1

If a patient is experiencing an allergic reaction to a medication through IV , what do you expect to see? Select all that apply

Select one or more of the following:

  • Site is red

  • itching

  • rash

  • Cool to the touch

Explanation

Question 33 of 44

1

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

Select one or more of the following:

  • Red streak at the vein

  • Pain at the IV site

  • Cool to the touch

  • Pain and discomfort

Explanation

Question 34 of 44

1

What are the most common sites for IV insertion? Select all that apply

Select one or more of the following:

  • basilic

  • cephalic

  • brachial

  • median cubital

Explanation

Question 35 of 44

1

How often do you check the IV site?

Select one of the following:

  • once a shift

  • every hour

  • every two hours

  • every 24 hours

Explanation

Question 36 of 44

1

What are the elderly most at risk for when receiving an IV?

Select one of the following:

  • fluid volume overload

  • fluid volume deficit

  • phlebitis

  • sepsis

Explanation

Question 37 of 44

1

What can be used instead of a tourniquet for an elderly patient?

Select one of the following:

  • Blood pressure cuff

  • no tourniquet

  • use your hands to pull skin back

  • have patient drink water to expose veins

Explanation

Question 38 of 44

1

When you add dextrose to an IV , what are you adding?

Select one of the following:

  • Nutrients/ Sugar

  • medication

  • normal saline for hydration

Explanation

Question 39 of 44

1

When should you use a Butterfly needle? Select all that apply

Select one or more of the following:

  • Pediatric patients

  • elderly patients

  • Obese patients

  • patients with bigger veins

Explanation

Question 40 of 44

1

Is a central line made for long term use or short term use?

Select one of the following:

  • short term use

  • long term use

Explanation

Question 41 of 44

1

Typically how long does a PIC line say in?

Select one of the following:

  • 6-8 weeks

  • 6 months

  • 2 weeks

  • 48 hours

Explanation

Question 42 of 44

1

How long is a peripheral IV used for ?

Select one of the following:

  • 48 hours

  • 72 hours

  • 1 week

  • 6-8 weeks

Explanation

Question 43 of 44

1

When documenting on an IV site, what should be included? Select all that apply

Select one or more of the following:

  • Location

  • type of catheter

  • solution used

  • IV flow sheet

  • vital signs

Explanation

Question 44 of 44

1

When educating a patient, what should the nurse include? Select all that apply

Select one or more of the following:

  • 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

Explanation

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