Update) Intravenous Therapy for the Practical Nurse
Guide | Questions & Answers| Grade A| 100% Correct
(Verified Solutions)- Hondros
Can an LPN start an IV on a 4 year old child? - ✔️No - must be 18 or older
Can an LPN initiate chemotherapy treatment to a 65 year old patient? - ✔️No - LPN cannot
initiate chemotherapy or antineoplastic agents
Can an LPN initiate IVPB of antibiotic on a 16 year old patient who has been diagnosed with a
staph infection? - ✔️No - must be 18 or older
Can an LPN initiate NS on a 21 year old patient? - ✔️Yes
When can an LPN administer solutions that contain vitamins or electrolytes? - ✔️After an RN
initiates first solution
Can an LPN administer D2W per a central line? - ✔️No - not in specified list of solutions
allowed to give
Can an LPN inject heparin or NS to flush an intermittent infusion device or hep lock? - ✔️Yes -
in scope of practice
Can an LPN place a venous catheter that is 4.5 inches long in hand, forearm, or antecubital
space? - ✔️No - catheter cannot be longer than 3 inches
Can an LPN change tubing on a central line if solution is TPN? - ✔️No - TPN not in scope of
practice, may change tubing if solution in scope of practice
Can an LPN stop a PCA pump or an infusion of blood component when complication arises? -
✔️Yes
What is beneficience? - ✔️doing good for patients
What is veracity? - ✔️truthfulness
What is justice? - ✔️obligation to be fair to all people
What is nonmaleficence? - ✔️doing no harm to patients
What is fidelity? - ✔️obligation to be faithful
, What is autonomy? - ✔️right to self-determination; independence
What is a peripheral nerve catheter? - ✔️A form a pain relief at surgery site; small plastic
catheter placed under the skin where nerves provide feeling to the area where surgery will be
performed
What would you teach your patient about the peripheral nerve catheter? - ✔️Can remove
bandages and catheter after return of sensation (12 hours), must keep dressing over catheter
clean and dry, avoid hot/cold objects and keep extremity close to body, s/s of infection
If the patient notices the dressing of the peripheral nerve catheter coming off before sensation
returns, what should you instruct them to do? - ✔️Reinforce with tape, DO NOT remove the
dressing
True or False: the patient should not take a shower or tub bath while the catheter is in place. -
✔️True - patient should do a sponge bath instead
What are the goals of IV therapy? - ✔️Maintenance, replacement, restoration of homeostasis
Maintenance therapy - ✔️provides nutrients that meet the daily needs of a patient for water,
electrolytes, and dextrose
Replacement therapy - ✔️necessary to take care of fluid, electrolyte, or blood product deficits of
patients in acute distress
Restoration - ✔️when maintenance and replacement therapy don't meet the needs of the patient,
fluid and electrolyte management is accomplished through this
What is the preferred antiseptic agent recommended by INS? - ✔️Chlorhexidine
How long should the needless connector be scrubbed for? - ✔️15 seconds
Why is the saline lock (formerly: hep-lock) primed before it is attached to the hub of the catheter
during IV insertion? - ✔️to avoid air embolism
What is hematoma? - ✔️Infiltration of blood into tissues at ventipuncture site
S/S of hematoma - ✔️discoloration of skin, swelling and discomfort, inability to advance
cannula into vein, resistance to pressure during flushing
Prevention of hematoma - ✔️use indirect method for starting a PIV
Treatment of hematoma - ✔️removal of catheter, direct pressure on site with gauze, elevate
extremity, apply ice to affected area
What is thrombosis? - ✔️catheter related obstruction