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21 Cards in this Set

  • Front
  • Back
The primary function of veins is to carry blood from..
the body to the heart.
What is the first step in the insertion of a peripheral IV line or saline lock?
Obtain a physician order.
The purpose of valves in veins is to
prevent backflow of blood as it travels through the body.
What materials are necessary when preparing to start an IV?
Gloves, IV Start Kit, IV Catheter, Saline Flush, Primed Saline or heparin lock.
What is the best choice of cannula size?
The smallest gauge to accommodate therapy.
What is the ideal time to use a winged infusion set?
for IV push drugs.
If a patient is expected to need multiple IVs or an extended hospitalization, it is best to choose which of the following sites for the first IV:
non-dominant hand
Which of the following veins should be avoided when initiating an IV?
A.
Lower extremities of a diabetic patient

B.
Previously used veins and sclerotic veins

C.
Veins in the affected arm of a woman with a mastectomy

D.
Veins in the arm of a dialysis AV fistula
How can you verify that you have entered the vein with the IV catheter?
You observe a flashback of blood
What step would you take if you have attempted IV access and are unsure of proper placement?
Attempt to flush the catheter
Signs that an IV insertion was not successful..
A.
The insertion site begins to bruise

B.
The insertion site does not flush easily

C.
The site swells when fluids are flushed through
When securing the hub of the IV cannula to the skin, it is very important to:
ensure that the tape does not cover the insertion site
It is NOT the best choice to use a gauze dressing when..
the IV needs to be viewed routinely.
When using a transparent semi-permeable membrane dressing on an IV site, it is important to avoid..
applying tape around the edges of the dressing
After flushing a saline/heparin lock device, why is it important to clamp the connection tubing prior to removing the syringe?
Positive pressure prevents backflow of blood into the cannula and can increase patency of your IV.
What information is important to include on the label of the IV dressing?
A.
Date IV was initiated

B.
Time IV was initiated

C.
The initials of the professional who initiated the IV
What is the most important step when discontinuing IV therapy?
Inspect the condition of the catheter tip and notify the physician immediately if any damage is noted
A transparent semi-permeable dressing applied over gauze is considered a gauze dressing and should be changed ..
every 48 hrs.
Hematoma, phlebitis, and extravasation are..
local complication of IV therapy.
S/S of venous spasm include..
sharp pain at the IV site that travels up the arm, which is caused by a piercing stream fluid that irritates or shocks the vein wall and slows the infusion.
During initial venipuncture, the nurse has difficulty advancing the cannula into the vein and observes ecchymosis over and around the insertion area. The area is also raised and hard. The nurse concludes that:
a hemotoma has formed