IV Therapy Final Exam Questions & Answers, Rated A-According to the Centers for Disease Control, IV sites should be rotated every: - 48 to 72 Before equipment setup and venipuncture, _________ se... conds of hand washing with an antimicrobial soap are recommended. - 15 to 30 What are the advantages to Over-the-Needle catheters? - - easy to insert - stays patent longer - catheter tip tapered to prevent peel-back - radiopaque feature makes x-ray detection easy - infiltration rare - winged cannula easy to tape - stable: allows for greater patient mobility What are the disadvantages to over-the-needle catheters? - - depending on the hub, sometimes difficult to secure with tape - long inflexible stylet increases risk of accidental puncture; pressure marks from hub - some catheters drag through the skin on insertion - increased risk of phlebitis Which statement is true regarding the insertion of an over the needle catheter? - remove the tourniquet after advancing the catheter into the vein When starting an I.V., the nurse remembers that a 14 to 16 gauge over the needle catheter may be selected for which of the following? - multiple trauma, heart surgery, and transplantation procedures When choosing the Metacarpal vein for IV therapy, the nurse should remember which of the following considerations? - - this is a good site to begin therapy - this site is usually easily visualized - this site should be avoided if infusing antibiotics, potassium chloride, or chemotherapeutic agents When choosing an IV therapy site always try to: - select a vein that's straight and will not be disturbed when the patient moves The nurse should monitor the client receiving infusion therapy at least every: - 2 hours for adults and one hour for children IV therapy labels should be on which areas? - catheter site, tubing, and solution container Which IV fluid type pulls fluid into the veins from the more dilute area in cells and interstitial space? - hypertonic A client is scheduled a test that requires an NPO status and has been ordered 5% Dextrose in water (D5W). The nurse understands which of the following to be the best rational for this action: - isotonic solutions maintain body fluid balance A patient is prescribed an IV fluid to replace electrolytes and expand plasma volume. Which type of fluid will the nurse provide to the patient? - hypertonic solution Is an isotonic solution good to use? - yes, because they maintain fluid balance A patient is prescribed an IV infusion of a hypertonic solution. Which fluid shift should the nurse expect to occur with this type of infusion? - Fluid moves from the interstitial space into the venous circulation What are the examples of an Isotonic solution? - - 0.9% NaCl - 5% D and 0.2% NaCl - Lactated Ringer's (multiple electrolyte solution) - Ringer's injection (MES) - Normosol-R (MES) - Plasmalyte-A (MES) - Isolyte E (MES) - 10% Dextran and 0.9% NaCl (Specialty solution) What are some examples of a Hypertonic solution? - - 10% D/W [Show More]
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