Iv Therapy

Front 1

Who has the highest athourity in dictating the LPN's role in IV therapy?

Back 1

Ohio Board of Nursing

Front 2

Universal Precautions has been defined for general implementation by?

Back 2

CDC

Front 3

Who made Universal precautions fully enforceable for the first time?

Back 3

OSHEA

Front 4

CDC's definition "all human blood and certain human body fluids are treated as if known to be infectious for HIV, HBV, and other blood borne pathogens

Back 4

TRUE

Front 5

Universal precautions must be used when?

Back 5

always

Front 6

Barrier precautions include

Back 6

gloves, mask, gown,

Front 7

There are federal regulations regarding use of needleless systems by healthcare facilities.

Back 7

TRUE

Front 8

Body fluids function is to ?

Back 8

W) waste excretion, A) assist in cell metabolism, t) transfer of materials to and from cells, e) Medium for cell metabolism, R) regulates body temp.

Front 9

most adults consume how many ml of water daily?

Back 9

1500

Front 10

The simplest method of objectively evaluating fluid balance is?

Back 10

I and O

Front 11

The movement of ions from an area of greater concentration to an area of lesser concentration is called?

Back 11

diffusion

Front 12

The passage of water from an area of lower concentration of particles toward a higher concentration of particles across a semipermeable membrane is called?

Back 12

osmosis

Front 13

The body's homeostatic organs and mechanisms are?

Back 13

kidneys, lungs,glands, blood vessels

Front 14

the patient has these signs and symptoms: moist rales, increased respiratory rate, dyspnea, and 3+ edema. the appropriate mursing diagnosis is?

Back 14

fluid overload or excessive fluid intake

Front 15

Signs and symptoms of fluid volume deficit are ?

Back 15

dehydration, poor skin turgor, decreased blood pressure, decreased pulse

Front 16

Major electrolytes in the body?

Back 16

calcium, chloride, potassium, Sodium, magnesium, phosphorus, Bi Carb

Front 17

Decrease in hydrogen ion concentration is termed?

Back 17

alkalosis

Front 18

Pharmacological agents that may impair renal water and thereby lead to sodium deficit are?

Back 18

Nicotine, Diabenese morphine, barbiuates, acetaminophen, cytoxin

Front 19

blood PH above normal (greater than 7.45) indicates ?

Back 19

alkaline

Front 20

blood ph below normal (less than 7.35)

Back 20

acidic

Front 21

the main objectives in IV therapy are?

Back 21

maintenance (short term) restoration (long term) replacement (accute, surgery)

Front 22

conditions in a geriatric patient that may lead to an electrolyte imbalance?

Back 22

diarrhea, vomitting, diuretics, malnutrition

Front 23

Mechanisms that control the ph of body fluids are ?

Back 23

lungs, kidneys, chemical buffer system

Front 24

Maintenance fluids are used for the patient who is ?

Back 24

short term

Front 25

the function of glucose in parenteral therapy is to provide ?

Back 25

calories

Front 26

hypotonic fluids are used to?

Back 26

hydrate cells

Front 27

hypertonic fluids are used to?

Back 27

replace electrolytes, fluid shift into plasma

Front 28

the most commonly used multiple electrolyte fluid is?

Back 28

lactated ringer

Front 29

The main role of sodium in the body is ?

Back 29

maintains extracellular fluid volume

Front 30

if patien has poor or no urine output the should suspect?

Back 30

poor kidney function

Front 31

causes of calcium deficit include?

Back 31

diarrhea, burns, radical neck surgery

Front 32

types of infusate containers are?

Back 32

glass open, glass closed, plastic

Front 33

IV solution containers should be inspected for?

Back 33

clarity, cracks, punctures, particles, expiration date

Front 34

the size of a cannula opening is the?

Back 34

guage

Front 35

A major hazard of using teflon over the needle catheters is?

Back 35

phlebitis

Front 36

Primary sets are reffered to as?

Back 36

standard sets, availabel in maacro and microdrip form supplied as vented and non-vented.

Front 37

Hickman, groshong, leonard and broviac refer to?

Back 37

central line catheter

Front 38

intermittent IV fluids are delivered via?

Back 38

piggyback (PB)

Front 39

butterfly (scalp vein) needles are generally use for?

Back 39

elderly, infants, small veins, short term

Front 40

an 18-20 gsuge over the needle catheter (ONC) should be used for ?

Back 40

blood, surgery

Front 41

volmetric pumps require

Back 41

special tubing

Front 42

When infusing a piggyback line, the primary infusate is positioned ________ than the secondary container

Back 42

Lower

Front 43

locking devices must be monitored q four hours and kept patent with?

Back 43

saline and or heparin

Front 44

according to the INS intermittent tubing should be changed q 24 hours

Back 44

TRUE

Front 45

INS standards of practice recommended that primary continuous peripheral sets be changed?

Back 45

q 96 hours

Front 46

body surface area condition and age of the patient composition of fluid and tolerance are?

Back 46

factors that influence IV Rate

Front 47

Information required to calculate flow rate

Back 47

amount to be infused over number of hours = ml per hour

Front 48

information required to calculate drops per minute

Back 48

gtt factor x ml per hour over 60 (min in hour) = drops per min

Front 49

factors tha affect floe rate are?

Back 49

hight of cantainer , clot, canula position, clogged vent

Front 50

When preparing and instructing a patient who is to receive an IV you should address?

Back 50

solution, procedure, why your getting IV, teach for signs and symp. to report

Front 51

should you teach the patient and family how to calculate the flow rate?

Back 51

NO

Front 52

When IV placement is necessary the nurse should consider aspects such as?

Back 52

privacy, independence, mental readiness

Front 53

Some factors that can influence the size and condition of the vein include?

Back 53

Psy. out look of client,diagnosis, age, trauma, body temp

Front 54

layers of veins are?

Back 54

tunica adventitia, media and intima

Front 55

the first barrier to successful venipuncture is?

Back 55

skin

Front 56

veins differences from arteries

Back 56

thinner, more valves, not as deep

Front 57

the most uncomfortable and difficult to splint IV site is?

Back 57

anticubital

Front 58

nursing considerations in initiating an IV in elderly patient are?

Back 58

gentel and slow, direct entry, smaller gauge, no tourniquet, veins are superfical and roll

Front 59

changes in elderly that make it more difficult to perform IV therapy include?

Back 59

fat loss, water loss, thin skin, arteriosclorosis

Front 60

hand washing for___ to ___ seconds with an antimicrobial soap is recommended before equipment set up and venipuncture

Back 60

15 - 20 sec.

Front 61

in selecting the IV site choose a vein that will suupport IV therapy foar at least ___ hours.

Back 61

72 hours

Front 62

methods of distending veins include?

Back 62

warm compress, gravity, making fist, touniquet above IV site

Front 63

choice of a catheter depends upon the ?

Back 63

solution, condition of vein, purpose of solution

Front 64

the following antimicrobial solutions may be used to cleanse the cannula site

Back 64

povidone iodine

Front 65

when using or flushing a central line IV you shoul always use a ____cc

Back 65

10 cc or larger

Front 66

correct labeling of the iv set up?

Back 66

IV site, tubbing, solution

Front 67

what should be done first when discontinuing and IV infusion?

Back 67

clamp tubing

Front 68

depending upon the type and unless otherwise ordered, the dressing over a venipuncture site should be changed ?

Back 68

depends on policy, DR's orders, if comprimised

Front 69

INS guuidelines recommend administration set replacement and cannula replacement q?

Back 69

Dr's orders and according to policy

Front 70

to maintain patency of indwelling venipuncture devices, the current INS recommendation is the use of 1 ml of hepatin lock flush solution containing heparin sodium 10 or 100 unit.

Back 70

TRUE

Front 71

Hep locks must be flushed q 8 hours if not being used for medication administration. (once a shift)

Back 71

TRUE

Front 72

when regulating an IV rate, the nurse should recall that the higher the solution container the ________ the rate of flow.

Back 72

faster

Front 73

local adverse reactions that may occur from IV therapy include?

Back 73

infiltration, thrombophlebitis, venous spasm

Front 74

some systemic adverse reactions that may occur from IV therapy.

Back 74

septicemia, pulmonary edema, speed shock, air imbolism

Front 75

an IV site that is reddened edematous and warm to the touch indicates?

Back 75

phlebitis

Front 76

not using a tourniquet or applying the tourniquet just before venipuncture are two techniques for preventing?

Back 76

hematoma

Front 77

If an IV infiltrates?

Back 77

D/C IV, apply pressure, warm or cool compress (as appropriate)

Front 78

the nurse can avoid a thrombosis formation by avoiding

Back 78

injury to vein wall, multiple sticks, going through and through vein

Front 79

techniques to prevent circulatory overload include?

Back 79

monitor, know your solution, don't play catch up, maintain correct rate

Front 80

an adult peripheral IV site should be checked

Back 80

Q 2 - 4 hours

Front 81

The veins most commonly used for blood withdrawl are the?

Back 81

median cephalic and median basilic

Front 82

IV patency when infusing less than 50 ml/hr the nurse should?

Back 82

use microdrip tubing

Front 83

formula for determining the number of drops to be infused per minute

Back 83

drop factor x ml per hour over 60 (minutes in hour)

Front 84

write the formula for determining the number of drops to be infused per minute

Back 84

gtt factor x ml per hour over 60 (min per hr.) = drops per min.