IV
IV Problems
Lagniappe
Lagniappe
IV Problems 2
100

Microdrip tubing has a calibration of _______.

60 gtt/mL

100

The inadvertent administration of a nonvesicant IV solution into surrounding tissue is known as:

Infiltration

100

Which of the following should specifically be monitored and recorded in relation to a patient receiving IV fluids: 

Electrolyte levels     

I and O    

Hydration status    

Vital signs

100

To determine mL/hour, the following information is needed:

Volume/amount of fluid

Total time or IV to infuse in hours

100

Peripheral IV sites should be changed every ___________ hours.

72 hours

200

IV tubing that delivers 20 gtt/mL is ________.

Macrodrip

200

Which of the following are signs and symptoms of an infiltrated IV?

Swelling, discomfort, tightness to area, cool skin, blanching, slow or stopped flow rate

200

Do Not Use abbreviation list prepared by The Joint Commission are abbreviations that are deemed dangerous and should not be used. This list includes: (Select all that apply)


 U for units    

 IU for Internation Units    

 Trailing zero, such as 5.0 mg

200

As a nurse, we know we should check any medication against the physician’s order three times before administering. These pre-administration checks occur when? 

When the medication is removed from storage container or location. When obtained.       

During preparation of the medication administration

Prior to administration of medication

200

Use of an IV catheter too large for the vein cause result in an IV complication called ______________.

Mechanical phlebitis

300

Ordered: 250 mL D5W over 3 hour by infusion pump. What is the flow rate? Whole number.:

83 mL/hour

300

Which of these solutions can cause extravasation?

Vesicants

300

 The amount of fluid left in the IV solution container at the time you total the fluid balance record, or at the end of the shift, is called the:

IV to be absorbed (TBA)

300

Neck vein distention is one indication of:

Fluid overload

300

You are discontinuing an IV on your patient and notice the tip of the catheter is missing.  Which of the following actions should you perform FIRST?

Place a tourniquet around patient’s arm above the insertion site

400

Ordered: 1000 mL RL over 6 hours. What is the flow rate in milliliters per hour? Whole number.

167 mL/hour

400

While assessing Mr. Gordon, the nurse notes his IVPB of KCl has stopped infusing. Upon further assessment, she notes a red line above his IV insertion site to his left hand. The site is also hard and warm to touch and Mr. Gordon is c/o pain to the area. The nurse knows the most probable cause of this IV problem is:

Chemical phlebitis

400

Drop counting and timing are not always precise when administering IV fluids by pump. The nurse can assure fluids are infusing at the rate ordered by the infusion by doing what? 

The nurse should check at least once every 1 hour to see if an IV is infusing on schedule.  

400

The IV solution bag is changed every _____ hours.

24 hours

400

Redness of the skin resulting from inflammation is:

Erythema

500

The drop factor of an IV tubing is defined as:

How many drops of IV solution are equal to 1 mL when you use that tubing

500

A Grade ____ of phlebitis has a visible streak formation.

Grade 3

500

A secondary administration set is used for which of the following scenarios?

Intermittent infusions, such as antibiotics

500

In what position should the patient with a suspected air emolus be placed?

On left side

500

Causes of chemical phlebitis include:

 Acidic medications   

 Alkaline medications

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