Microdrip tubing has a calibration of _______.
60 gtt/mL
The inadvertent administration of a nonvesicant IV solution into surrounding tissue is known as:
Infiltration
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
To determine mL/hour, the following information is needed:
Volume/amount of fluid
Total time or IV to infuse in hours
Peripheral IV sites should be changed every ___________ hours.
72 hours
IV tubing that delivers 20 gtt/mL is ________.
Macrodrip
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
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
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
Use of an IV catheter too large for the vein cause result in an IV complication called ______________.
Mechanical phlebitis
Ordered: 250 mL D5W over 3 hour by infusion pump. What is the flow rate? Whole number.:
83 mL/hour
Which of these solutions can cause extravasation?
Vesicants
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)
Neck vein distention is one indication of:
Fluid overload
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
Ordered: 1000 mL RL over 6 hours. What is the flow rate in milliliters per hour? Whole number.
167 mL/hour
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
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.
The IV solution bag is changed every _____ hours.
24 hours
Redness of the skin resulting from inflammation is:
Erythema
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
A Grade ____ of phlebitis has a visible streak formation.
Grade 3
A secondary administration set is used for which of the following scenarios?
Intermittent infusions, such as antibiotics
In what position should the patient with a suspected air emolus be placed?
On left side
Causes of chemical phlebitis include:
Acidic medications
Alkaline medications