QUESTIONS & ACTUAL PASSED
ANSWERS 100%
-administration of fluids, meds, or blood through a vein - Correct Answer ✔✔
Intravenous
-the introduction of fluid into a vein or tissue - Correct Answer ✔✔ Infusion
-piercing the vein - Correct Answer ✔✔ Venipuncture
-re-hydration: adults require 2600 cc fluid per day + electrolytes
-medications
-blood
-percaution - Correct Answer ✔✔ Purposes of IV therapy
-determined by the RN
-IV bags or bottles
-tubing
-filters
-IV pump - Correct Answer ✔✔ Equipment needed for IV therapy
-duration of therapy
-condition of veins
restrictions
dominant extremity
-size of needle needed
-type of fluids infused
-mastectomy
-pt cooperation - Correct Answer ✔✔ Selecting a Vein
-advantages: accessible, lg vein
-disadvantage: flexible joint, needle may become dislodged, painful, close to arteries,
quickly infiltrates - Correct Answer ✔✔ Antecubital Vein
-A: easily accessible, easy to see and locate
-D: sm, limits amt of fluid that can be infused, painful, easily dislodged, really not good
for the elderly - Correct Answer ✔✔ Hand Vein
-Cephalic: advantages: easily accessible, lg vein, can handle rapid fluid infusions, less
painful. BEST site. - Correct Answer ✔✔ Forearm Vein
, -used for peds
-A: visualization and security - Correct Answer ✔✔ Scalp Vein
-A: none
-D: very poor site, circulation not good, potential for phelebitis increases, just a bad idea
- Correct Answer ✔✔ Lower Extremities Vein
-use sm gauge possible
-consider the vein, duration, type of fluid
-# indicates size (bigger size--sm the needle)
-Ex: 20 sm then 18
-butterfly: sm, short needle-remains in the vein. Only used short term or to draw blood -
Correct Answer ✔✔ The Cannula
-used for long term therapy, inserted by physicians, maintained by nurse - Correct
Answer ✔✔ Central Line
-peripherally inserted central cath. Inserted and maintained by nurses after special
training. - Correct Answer ✔✔ PICC Lines
-place close to the site of insertion, helps to stabilize vein, tight enough to impede
venous flow, maintain arterial flow. Try not to use a tourniquet c elderly pt, it causes too
much pressure and then fragile veins blow - Correct Answer ✔✔ Tourniiquet
-place extremity dependent
-warm towels
-lightly tap the vein c finger - Correct Answer ✔✔ Distention of Vein
-Betadine: pros and cons, lots of people are allergic to iodine so always check
-ETOH: usually safe, very few people react to ETOH
-Cleanse for one FULL min - Correct Answer ✔✔ Skin preparation
-anchor the vein
-needle bevel up
-pierce the skin slightly below the point where the needle with enter the vein
-45 degree angle the flatten out the angle
-may feel a POP or less resistance
-slowly advance the cannula off of needle
-should see flash back
-release toruniquet
-attach tubing
-slowly begin infusing fluid, watch for s/sx infiltration - Correct Answer ✔✔ Approaching
the vein
-always check for redness, edema, warmth, and pain
-document findings on the flow sheet