RNSG-1443 IV Exam Lab#2 & #3 Questions
With Complete Solutions
___________ swelling at or above the vein from increased
tissue fluid, pallor, and coolness caused by decreased circulation
Correct Answer infiltration
_____________ redness (erythema), pain, edema, red streak
traveling along the path of a vein Correct Answer Phlebitis
_____PT may experience elevate temperatures which could lead
to chills in the PT, drainage, pain and redness at the insertion
site Correct Answer Infection
CVC line is Correct Answer central venous catheter, central
venous access device
Discuss how often the following should be changed:
A. IV site ______________
B. IV tubing _______________
C. IV bag _________ Correct Answer A. 96 hrs IV site change
B. 96 hrs IV tubing change
C. Q24 hrs (At most facilities) IV bag change
IJ is a Correct Answer Internal Jugular
PICC Line is Correct Answer Peripherally inserted central
catheter
TPN is Correct Answer total parenteral nutrition
, What are the critical elements for charting each of the following:
- Initiation IV therapy
- Conversion of an existing IV line to a saline lock Correct
Answer - Gauge of IV catheter, location of new IV, number of
attempts, PTs tolerance of procedure (RN initials, date, time)
- Flush-amount, J-looped applied, saline lock established (RN
initials, date, time)
What are the critical elements for charting each of the following:
- Site assessment
-D/C of an IV Correct Answer - clean, dry, intact, or any other
data on the appearance of the site, IV dressing (RN initials, date,
and time)
- Explanation of why the IV was taken out, gauge the catheter,
and its intact nature, if psi was held to occlude bleeding and for
how long, PTs tolerance of the procedure (RN initials,date, time
on chart)
What do you access for in a PT w/ new CVC? Correct Answer
1- always check site, dressing clean, dry, intact, and free from
any signs of infection
2- Assess skin temp above and below the site, the ability to flush
the line w/o complications or pain for PT
3- make sure that PT is not SOB, which indicates an "Air
Emboli"
What is the appropriate technique for flushing a CVC's w/
saline? Correct Answer 1- use the push/pause, method when
flushing to CREATE TURBULENCE to break-up potential
clots/fibrin in lines
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