Show:
IV
PICC lines, CVLs, and Ports
Fluid Types
Fluid Balance/Imbalance
Electrolytes
100
Edema, pallor, decreased skin temperature around the site, and pain are symptoms of this.
What are signs if infiltration? From ATI
100
Before using a central line, this is needed to confirm placement.
What is a chest x-ray? (From PP)
100
This is the only IV fluid that can be given with blood.
What is NS? (From PP)
100
This is the urine output amount an average adult excretes in 24 hours.
What is 1500mL/24 hour? (From PP)
100
A patient is hooked to NG tube suction, what lab values should the nurse monitor?
What is potassium and sodium because any time the patient loses fluid he/she is at risk for hypokalemia and hyponatremia? (From PP)
200
Pain, tenderness, increased skin temperature, redness, and bulging of the vein are symptoms of this. The redness may follow the course of the vein under the skin.
What are signs and symptoms of phlebitis? From ATI
200
After having a PICC line inserted, the patient is taught this ______.
What is to avoid heaving lifting with the PICC line arm. (From PP)
200
Name an isotonic solution.
What is NS, D5W, and LR ? (From PP)
200
A patient is receiving 1/2 NS through an IV. The nurse should monitor this _______.
What is mental status changes - this may indicate cerebral edema. (From PP)
200
These foods are high in potassium.
What are avocados, broccoli, dairy products, dried fruit, cantaloupe, bananas (from PP)
300
This is a situation where medication infuses into the tissues.
What is extravasation? From ATI
300
These are possible complications of a central venous line (CVL).
What is catheter occlusion, embolism, infection, pneumothorax, and catheter migration. (From PP)
300
Name an example/s of hypertonic fluids.
What are D5NS, D5 1/2 NS, D5LR, PRBC's, and whole blood? 3% NS could be included in this. (From PP)
300
These signs and symptoms are discovered when assessing a patient with fluid volume excess.
What is full, bounding pulses, HTN, distended neck veins (JVD), shortness of breath, crackles, peripheral edema, and skin turgor? (From PP)
300
These are important nursing interventions when caring for a patient with a potassium imbalance.
What is monitor cardiac and respiratory status, provide for patient safety, monitor daily weights and I/Os, Monitor IV site, Monitor electrolytes, ABGs, and kidney function, and provide patient education? (From PP).
400
Pain, stinging or burning at the site, redness, and swelling are symptoms of this.
What are signs and symptoms of extravasation? From ATI
400
If a patient is going to need long-term IV therapy, this type of catheter would be preferred.
What is an implanted port. (From PP)
400
This is an example of hypotonic fluids.
What is 1/2 NS? (From PP)
400
These are nursing interventions for fluid volume excess.
What is restrict fluid and sodium intake as ordered, TED hose, assess skin breakdown/change positions, monitor intake and output, encourage rest periods, educate patient on weight monitoring and I and Os, monitor for cardiac changes, monitor for respiratory changes, and monitor for neurologic changes. (From PP)
400
These are nursing interventions for hypercalcemia.
What are monitor cardiac rhythm and status, I and O, daily weights, strain urine for stones/assess flank pain, increase movement and weight-bearing activities, prevent injury, seizure precautions, Avoid high calcium foods and meds, and assess for signs of fractures? (From PP)
500
These three things should be included when a provider writes a prescription for IV infusion fluids.
What is the specific type of fluid, the rate of administration written in mL/hr, and the specific drug and dose to be added to the solution. page 189 in textbook.
500
This type of needle is used to access an implanted port.
What is a Huber needle? (From PP)
500
These are the steps in a blood transfusion reaction.
What is: 1. Stop transfusion. 2. Start NS in a separate line. 3. Call the blood bank and prescriber. 4. Save the blood and tubing for testing. 5. Monitor VS and urine output. 6. Treat signs and symptoms per prescriber orders. 7. Complete a transfusion reaction report. 8. Collect blood and urine specimens. 9. Documentation. (From PP)
500
These are nursing interventions for a patient with fluid volume deficit.
What is fluid replacement, I and O, hourly outputs, daily weights, monitor V/S, assess skin turgor, and assess labs (urine specific gravity)? (From PP)
500
A patient is taking digoxin, what electrolyte should be monitored and why?
What is potassium level - a low level could cause digoxin toxicity. Signs and symptoms of digoxin toxicity are: dysrhythmias, N and V, yellow-tinted vision, halos around lights, fatigue/weakness, and confusion. (From PP).