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MS 1- IV Therapy

Description

Quiz on MS 1- IV Therapy, created by April Woodland on 03/09/2018.
April Woodland
Quiz by April Woodland, updated more than 1 year ago
April Woodland
Created by April Woodland about 6 years ago
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Resource summary

Question 1

Question
What interventions would you implement if a patient has an air embolism? Select all that apply.
Answer
  • Put the head of the bed down
  • have patient lay on their left side
  • have patient lay flat
  • have patient drink plenty of fluids

Question 2

Question
When the nurse is going to discontinue an IV , what is the first thing the nurse needs to do?
Answer
  • Check the doctors order
  • Clamp the IV line
  • Clean the site
  • administer pain medication

Question 3

Question
When caring for a patient with an intermittent IV device what is the main thing we need to do?
Answer
  • Maintain patency
  • make sure pump is working
  • Check doctor order

Question 4

Question
After failing on a second attempt to insert an IV, what should the nurse do next?
Answer
  • Try another site
  • Get another nurse
  • Get a different needle
  • have patient sit in a different position

Question 5

Question
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?
Answer
  • The left forearm
  • the right hand
  • the right forearm
  • the left leg

Question 6

Question
When scrubbing the hub, for how long do you apply friction?
Answer
  • 1 minutes
  • 30 seconds
  • 15 seconds
  • 2 minutes

Question 7

Question
What are some symptoms associated with speed shock?
Answer
  • lightheadedness
  • chest tightness
  • flushed face
  • irregular pulse

Question 8

Question
What is speed shock caused by what?
Answer
  • Rapid infusion
  • pathogens in the blood stream
  • an occlusion
  • an air embolus occurs

Question 9

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

Question 10

Question
If a patients IV site is cool to the touch, edema is present , its burning and painful , What could the patient be experiencing?
Answer
  • infiltration
  • speed shock
  • sepsis
  • phlebitis

Question 11

Question
If an IV is infused too rapidly and then the rate is slowed, What do you monitor the patient for?
Answer
  • Septic shock
  • circulatory overload
  • thrombophlebitis
  • infiltration

Question 12

Question
Why do you not irrigate an occluded canula?
Answer
  • Could push a clot into a system
  • could overload the IV
  • Could get an infection
  • Could cause infiltration

Question 13

Question
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 ?
Answer
  • Fluid Volume Excess
  • Thrombophlebitis
  • Speed Shock
  • Air Embolism

Question 14

Question
If there is an infection at the puncture site, what would you see ? Select all that apply
Answer
  • Purulent drainage
  • Red/hot to the touch
  • painful
  • sluggish IV rate
  • Cool to touch

Question 15

Question
What is the point of a transparent dressing over the IV?
Answer
  • To let air flow through the site
  • to prevent blockage
  • prevent edema
  • to prevent thrombophlebitis

Question 16

Question
If there is redness , sweling, and warmth at IV site, What could it be?
Answer
  • Thrombophlebitis
  • speed shock
  • infiltration
  • circulatory overload

Question 17

Question
How much fluid does an average adult need to replace what is lost through elimination in a 24 hour period?
Answer
  • 1500-2000 mL
  • 2000-3000 mL
  • 1000-1500 mL
  • 500-800 mL

Question 18

Question
When a physician is writing orders what is an important guide when ordering electrolyte replacements?
Answer
  • Accurate I & Os
  • IV placements
  • Type of IV Fluids
  • What type of Device is used

Question 19

Question
A solution with the same osmalaitly as blood, and is used to hydration
Answer
  • isotonic
  • hypotonic
  • hypertonic

Question 20

Question
Solution with less solute than blood, and is used to increase fluid to tissues
Answer
  • isotonic
  • hypotonic
  • hypertonic

Question 21

Question
Solution that has greater solute than blood, brings fluid from outside to inside the vein, used to decrease edema
Answer
  • isotonic
  • hypotonic
  • hypertonic

Question 22

Question
You must always ID your patient, If patient is unconscious, how do ID the patient?
Answer
  • Ask a staff nurse to ID patient
  • look at chart
  • look at ID band
  • just administer IV

Question 23

Question
The doctors order must include what? Select all that apply
Answer
  • Type of Solution
  • Amount of Solution
  • Rate of the IV
  • Date and Time of Order
  • doctors signature

Question 24

Question
How many drops does a macrodrop chamber use per minute?
Answer
  • 20
  • 10
  • 60
  • 100

Question 25

Question
What is a macrodrop chamber used for ?
Answer
  • Blood
  • large amounts of fluid
  • percise amounts of liquid
  • the elderly

Question 26

Question
how many drops per minute does a microdrop chamber put out?
Answer
  • 10
  • 30
  • 60
  • 100

Question 27

Question
What are microdrop chambers used for ?
Answer
  • Blood
  • thick liquids
  • precise measurements (children/elderly)
  • most adults

Question 28

Question
When hanging a piggyback IV, which bag is higher?
Answer
  • the first bag
  • the second bag

Question 29

Question
Irritation of the veins, S/S include; errythema, warmth, swelling, and tenderness
Answer
  • infiltration
  • phlebitis
  • IV site infection
  • speed shock

Question 30

Question
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?
Answer
  • sepsis
  • air embolism
  • catheter embolus
  • phlebitis

Question 31

Question
What are some signs and symptoms of Sepsis? Select all that apply
Answer
  • fever/chills
  • headache
  • fatigue
  • pain
  • hypertension

Question 32

Question
If a patient is experiencing an allergic reaction to a medication through IV , what do you expect to see? Select all that apply
Answer
  • Site is red
  • itching
  • rash
  • Cool to the touch

Question 33

Question
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
Answer
  • Red streak at the vein
  • Pain at the IV site
  • Cool to the touch
  • Pain and discomfort

Question 34

Question
What are the most common sites for IV insertion? Select all that apply
Answer
  • basilic
  • cephalic
  • brachial
  • median cubital

Question 35

Question
How often do you check the IV site?
Answer
  • once a shift
  • every hour
  • every two hours
  • every 24 hours

Question 36

Question
What are the elderly most at risk for when receiving an IV?
Answer
  • fluid volume overload
  • fluid volume deficit
  • phlebitis
  • sepsis

Question 37

Question
What can be used instead of a tourniquet for an elderly patient?
Answer
  • Blood pressure cuff
  • no tourniquet
  • use your hands to pull skin back
  • have patient drink water to expose veins

Question 38

Question
When you add dextrose to an IV , what are you adding?
Answer
  • Nutrients/ Sugar
  • medication
  • normal saline for hydration

Question 39

Question
When should you use a Butterfly needle? Select all that apply
Answer
  • Pediatric patients
  • elderly patients
  • Obese patients
  • patients with bigger veins

Question 40

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

Question 41

Question
Typically how long does a PIC line say in?
Answer
  • 6-8 weeks
  • 6 months
  • 2 weeks
  • 48 hours

Question 42

Question
How long is a peripheral IV used for ?
Answer
  • 48 hours
  • 72 hours
  • 1 week
  • 6-8 weeks

Question 43

Question
When documenting on an IV site, what should be included? Select all that apply
Answer
  • Location
  • type of catheter
  • solution used
  • IV flow sheet
  • vital signs

Question 44

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