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IV Therapy

1. Lower incidence of infection and utilized for short term therapy are characteristics of the
(Butterfly or winged tip needle.)

2. The (smaller) the gauge of the needle indicates the (larger) the diameter of the needle.

3. The (superficial) veins are used for peripheral IV therapy.

4. The (metacarpal) veins are preferable for initiating IV therapy because these veins are naturally
splinted by bones.

5. The (ACF) vein is the most frequently utilized for routine blood sampling.

6. The tourniquet is applied to distend the vein but not to obliterate the (arterial pulse).

7. When using an over the needle catheter, back flow of blood may occur before the catheter is
completely in the vein because the needle is (longer) than the catheter.

8. In order to calculate the IV flow rate, the nurse must check the IV administration set for the
(drops/mL) delivered by that IV set.

9. The (number) of venipuncture attempts made to initiate the IV therapy must be documented.

10. The most (distal) veins are used first when initiating IV therapy.

11. Patients with high infusion rates must be monitored for (circulatory overload, (pulmonary
edema).

12. If an IV fluid bag is allowed to run dry, it may cause a (clot) to form at the tip of the IV
cannula.

13. If a clot is suspected in an IV cannula, do not (flush, irrigate, push flds) through the needle.

14. Penetrating the vessel wall is an example of (mechanical) trauma to the vein.

15. An irritating medication is an example of (chemical) trauma to the vein.

16. The accumulation of IV solution in the tissue which causes vasoconstriction, tissue necrosis,
and tissue sloughing is called (extravasation).

17. Poor aseptic technique is the most common cause of IV (infection).

18. When infiltration of IV fluid occurs, the affected areas should be (elevated) and (warm), moist
cloth should be applied to the site.
19. If a systemic reaction occurs while administering an IV mediation, the nurse should (stop) the
infusion.

20. If an air embolism is suspected, place the patient on their (left) side, with the head of the bed
(lower) than the heart and start O2 therapy.

IV Medication

1. It takes approximately (15) seconds for injected IV medication to reach the heart.

2. When a IV piggyback medication is administered, the primary IV solution must be placed


(lower) then the piggyback infusion.

3. Insulin clings to plastic materials, therefore it should be prepared in a (glass) container.

4. Intermittent needle therapy (INTs) ports must be irrigated periodically with (saline) to prevent
clotting.

5. Only combine drugs to administer them IV when drug (compatibility) has been confirmed.

Venous blood samples

1. The type of blood test ordered determines the type and size of the laboratory (tube) used and
the (minimum) volume of blood needed.

2. Major concerns when obtaining a venous blood sample are patient (safety) and the collection of
a (quality) blood specimen.

3. If the needle is removed before the tourniquet is released, a (hematoma) or bruise will occur.

Central venous catheter (CVC)

1. Placement of the central venous catheter (CVC) is confirmed by (x-ray)

2. The correctly placed CVC sits centrally in the (superior vena cava)

3. When a CVC catheter lumen is irrigated, the lumen is clamped under (positive pressure)

4. A major risk to the patient with a CVC catheter is (infection)


Long term central venous catheters

1. If IV therapy is required for longer than 4 to 6 weeks, a (surgically implantable port) or


(tunneled catheter) may be utilized.

2. The volume of fluid needed for long term CV catheter irrigation is determined by the volume
that each (lumen) of the catheter hold as well as the volume held by any connected extension
tubing.

3. Only smooth clamps are used to clamp a long term CV catheter because clamps with teeth or
ridges will (tear) the catheter.

4. Redness and tenderness along the tunnel track of a CV catheter may indicate (infection)

5. A surgically implantable port may be accessed immediately after surgery but because of post-
operative (swelling and tenderness), is usually not accessed until these resolve.

6. Syringes less than (10ml) in size exert too great a pressure and can damage the lumen.

7. When accessing the septum of an implantable port, only a (non-coring) needle should be used.

8. Clamping of extension tubings and primary IV tubing prevents the introduction of (air) into the
system.

TPN

1. A criteria for a patient to receive TPN is a serum albumin level below (3.5).

2. TPN differs from PPN in the amount of (glucose).

3. Lipids are a component of TPN, to provide essential (fatty acids).

4. TPN solutions and tubing should be changed every (24hours).

5. TPN should be administered through an (infusion pump) to carefully control the flow rate.

6. TPN does not provide essential (water) so the patient may require a maintenance IV fluid.

7. Patients on TPN need strict (I&Os), and (weights) every day.

8. To assess a patient’s tolerance of the concentrated glucose solution, (FSBS) should be


performed on all patients receiving TPN.

9. Effective TPN therapy is indicated by a (positive nitrogen balance) throughout treatment.

10. For long-term TPN therapy, (insulin) may be added to compensate for high glucose levels.
Blood

1. Packed red blood cells (PRBCs) are the most commonly used blood product. Eighty percent of
the (plasma) is removed.

2. A physician’s order is required for a blood transfusion. An order for a (type and cross match)
is not an order to transfuse.

3. Ideally, a number (18) gauge catheter is used for blood transfusions, however a number (20)
gauge catheter can be used if necessary.

4. A patent IV catheter must be in place before blood is obtained from the (blood bank).

5. Normal saline is used for all blood transfusions because other IV solutions can cause (damage)
to the RBCs.

6. Blood should not be out of the blood bank for longer than (30mins) before the transfusion is
started.

7. A unit of blood must be administered within (4 hours).

8. For any severe blood reaction, the blood transfusion should be(stopped) and the blood bag with
the tubing sent to the (blood bank).

9. Circulatory overload can be caused by the transfusion of PRBCs and the physician may order a
(diuretic).

10. Autotransfusion can be used when 1 or more units can be retrieved from the patient. The
advantage for autotransfusion is that it provides for (religious) objections to blood transfusions.