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Infusion Solutions
IV Management
CVADs
Documentation
Infection Control
100
This category of fluid is used to treat conditions like ketoacidosis in which cells are dehydrated.
What is Hypotonic Fluid (Will accept 1/2NS/.33% NS or D2.5W
100
When starting an IV what angle should you hold the catheter?
What is 15-30 degrees
100
This type of catheter is clamped or capped at all times to prevent inadvertent air embolism.
What is a tunneled catheter.
100
In the NVRH Intravenous Protocol this phrase is used for all types of Infusion Therapy documentation.
What is the IV intervention in the EMR
100
This is the first and the best line of defense. hand hygiene.
What is hand hygiene.
200
When this type of fluid is infusing, there is little to no difference in osmotic pressure.
What is isotonic fluid (will accept 0.9% NS, LR, D5W)
200
The largest arm vein of the upper extremity.
What is he Basilic Vein
200
If a patient complains of pain in the shoulder,neck, or arm at insertion site, catheter placement should be checked by __________examination at any time during the course of therapy.
What is radiographic examination
200
Site of IV insertion, size and type of catheter, date and time of action, number of attempts, type and rate of infusion, status of IV site, dressing fluids , tubing, patient’s tolerance of insertion procedure and fluid infusion, patient teaching, and evidence of understanding are all part of this.
What are the required components for documentation
200
This type of dressing increases the risk for infection and needs to be changed every 48 hours for either PIV or CVAD. a gauze dressing
What is a gauze dressing
300
Albumin and this solution are both considered volume expanders, yet this solution has other benefits.
What is blood or blood products. (PRBC, FFP or Platelets).
300
This is what you need to do after verifying the IV order.
What is patient/family education and consent. (NPSG for administration of treatment is education and involvement of patients and families in their care).
300
Using this technique will assist in decreasing catheter complications.
What is SASH
300
INS guidelines recommend using this chart for assessment of IVs. the Phlebitis and/or Infiltration Scale
What is the Phlebitis and/or Infiltration Scale
300
CMS have not paid for infections that are deemed preventable in the healthcare setting and central line infections are in this category: the 3 high risk points of entry for organization contamination at insertion time are? the insertion site, the catheter hub and IV solution connected to the hub.
What is the insertion site, the catheter hub and IV solution connected to the hub.
400
All infusates have this one potential risk in common.
What is hypervolemia/fluid overload. (S/S = Increased heart rate/HTN/Audible crackles)
400
This allows routine visualization of the insertion site and changed when the site is changed.
What is a transparent semi-permeable membrane dressing and an INS guideline!
400
This is the best practice for flushing ports.
What is Push-Pause Method (prevents fibrin from building up and around the catheter lumens).
400
Accountability, communication, collaboration, and autonomy.
What are elements of IV nursing competency.
400
This is the clinical definition used for diagnosing and treatment of CVAD infections
What is Catheter-Related Bloodstream Infections(CRBSI) This is different than Central Line Associated Blood Stream Infections CLABSI, which is surveillance of infection based on data collection, tracking and trending, which may lead to an overestimation of actual CRBSI.
500
These fluids increase osmotic pressure within the plasma space, drawing fluid to increase intravascular volume.
What are colloid solutions. Will accept (Dextran/Mannitol/Hespan/Albumin)
500
Coercion of a rational adult patient to place an intravenous catheter constitutes______.
What is Assault and Battery
500
When caring for the patient with a CVAD why is it important to ask these questions: 1. Where is the catheter inserted (assess patient)? 2. Where is the catheter tip located (look up results of chest radiograph)? 3. Is the catheter valved or non-valved? 4. Is the catheter power-injectable?
What is the correct identification of the type of vascular device in place.
500
May result from infiltration/phlebitis, fractured central venous catheters, nerve injury, extravasations, administering the wrong drug, failure to document appropriately.
What is Litigation for nurses.
500
Infusion factors: solution container, stopcocks, catheter material and structure, insertion site, hematogenous seeding, manipulation of the infusion system, certain transparent dressings, and duration of cannulation.
What are risk factors associated with septicemia.