RNSG 1343 COMPLEX CONCEPTS OF ADULT HEALTH CH 13 EVOLVE EXAM
|GRADED A+
Which condition indicates infiltration? - correct answer-Leakage of nonvesicant
intravenous (IV) solution into extravascular fluids
(Leakage of nonvesicant IV solution into extravascular fluids is called infiltration. It occurs
due to obstruction of blood flow, causing back flow through the insertion site. Inflammation
of the vein is called phlebitis. It occurs due to improper insertion of the catheter and
extreme pH and osmolarity of the fluid medication. A blood clot inside the vein is called
thrombosis. It occurs due to a traumatic vein puncture or multiple vein puncture attempts.
Leakage of vesicant IV solution or medication into extravascular fluids is called
extravasation. It is an inflammatory process causing fluid leakage at the capillary level.)
Which catheter is preferred in emergency or trauma situations? - correct answer-
Nontunneled percutaneous central venous catheters
(Nontunneled percutaneous central venous catheters are preferred in emergency or
trauma situations. An implanted port is used for patients who would require intravenous
(IV) therapy for more than a year. Midline catheters are used for therapies lasting from 1 to 4
weeks. Tunneled central venous catheters are used primarily when the need for infusion
therapy is frequent and long term.)
Which complication is common in both thrombophlebitis and phlebitis? - correct answer-
Inflammation
Which central venous access device (CVAD) is indicated in patients who require IV therapy
for more than a year? - correct answer-Implanted ports
(Implanted ports are a kind of central venous access device that is indicated in patients
who require long-term IV therapy for more than a year. Tunneled catheters are indicated in
, patients who require weeks or months of infusion therapy or months of parenteral nutrition,
where peripherally inserted central catheters are not a good choice. Nontunneled
percutaneous central venous catheters are used for trauma situations, critical care, and
surgery and are used for short durations.)
Which is a complication of intraosseous (IO) infusion therapy? - correct answer-
Osteomyelitis
(Osteomyelitis is the serious complication of IO therapy. Osteoporosis and osteogenesis
are contraindications to IO therapy. Osteoarthritis is not associated with IO therapy.)
Which central vascular access device (CVAD) is placed in arteries, epidural space, and the
peritoneal cavity? - correct answer-Implanted ports
(Implanted ports are CVADs and may be placed in arteries, epidural spaces, and the
peritoneal cavities. Catheters may also be placed in arteries, epidural spaces, and the
peritoneal cavities but catheters are central venous catheters (CVCs). A tunneled CVT is
placed inside the subcutaneous tunnel. It is used in the venous systems. A peripherally
inserted central catheter is inserted through a vein of antecubital fossa or the middle of the
upper arm. It is used in the venous system. A nontunneled percutaneous central venous
catheter is placed in a subclavian vein of the chest or an internal jugular vein in the neck. It
is used in venous systems.)
A patient receiving intravenous therapy reports tingling and numbness at the insertion site.
What could be the possible complication? - correct answer-Nerve damage
(Tingling and numbness at the insertion site are the signs of nerve damage. Nerve damage
is due to vein puncture at or near the nerve location. Ecchymosis is the infiltration of blood
into the surrounding tissues. It may cause swelling, bruising, pain, or tenderness.
Thrombosis is characterized by swollen extremities and engorged veins of the ipsilateral
chest. Venous spasms are sudden vein contractions caused by vein irritation or injury. This
condition causes cramping or pain at the insertion site.)
|GRADED A+
Which condition indicates infiltration? - correct answer-Leakage of nonvesicant
intravenous (IV) solution into extravascular fluids
(Leakage of nonvesicant IV solution into extravascular fluids is called infiltration. It occurs
due to obstruction of blood flow, causing back flow through the insertion site. Inflammation
of the vein is called phlebitis. It occurs due to improper insertion of the catheter and
extreme pH and osmolarity of the fluid medication. A blood clot inside the vein is called
thrombosis. It occurs due to a traumatic vein puncture or multiple vein puncture attempts.
Leakage of vesicant IV solution or medication into extravascular fluids is called
extravasation. It is an inflammatory process causing fluid leakage at the capillary level.)
Which catheter is preferred in emergency or trauma situations? - correct answer-
Nontunneled percutaneous central venous catheters
(Nontunneled percutaneous central venous catheters are preferred in emergency or
trauma situations. An implanted port is used for patients who would require intravenous
(IV) therapy for more than a year. Midline catheters are used for therapies lasting from 1 to 4
weeks. Tunneled central venous catheters are used primarily when the need for infusion
therapy is frequent and long term.)
Which complication is common in both thrombophlebitis and phlebitis? - correct answer-
Inflammation
Which central venous access device (CVAD) is indicated in patients who require IV therapy
for more than a year? - correct answer-Implanted ports
(Implanted ports are a kind of central venous access device that is indicated in patients
who require long-term IV therapy for more than a year. Tunneled catheters are indicated in
, patients who require weeks or months of infusion therapy or months of parenteral nutrition,
where peripherally inserted central catheters are not a good choice. Nontunneled
percutaneous central venous catheters are used for trauma situations, critical care, and
surgery and are used for short durations.)
Which is a complication of intraosseous (IO) infusion therapy? - correct answer-
Osteomyelitis
(Osteomyelitis is the serious complication of IO therapy. Osteoporosis and osteogenesis
are contraindications to IO therapy. Osteoarthritis is not associated with IO therapy.)
Which central vascular access device (CVAD) is placed in arteries, epidural space, and the
peritoneal cavity? - correct answer-Implanted ports
(Implanted ports are CVADs and may be placed in arteries, epidural spaces, and the
peritoneal cavities. Catheters may also be placed in arteries, epidural spaces, and the
peritoneal cavities but catheters are central venous catheters (CVCs). A tunneled CVT is
placed inside the subcutaneous tunnel. It is used in the venous systems. A peripherally
inserted central catheter is inserted through a vein of antecubital fossa or the middle of the
upper arm. It is used in the venous system. A nontunneled percutaneous central venous
catheter is placed in a subclavian vein of the chest or an internal jugular vein in the neck. It
is used in venous systems.)
A patient receiving intravenous therapy reports tingling and numbness at the insertion site.
What could be the possible complication? - correct answer-Nerve damage
(Tingling and numbness at the insertion site are the signs of nerve damage. Nerve damage
is due to vein puncture at or near the nerve location. Ecchymosis is the infiltration of blood
into the surrounding tissues. It may cause swelling, bruising, pain, or tenderness.
Thrombosis is characterized by swollen extremities and engorged veins of the ipsilateral
chest. Venous spasms are sudden vein contractions caused by vein irritation or injury. This
condition causes cramping or pain at the insertion site.)
