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IV thearpy
Unit 1-4
164
Nursing
Not Applicable
12/03/2011

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Term
Hematoma
Definition
A localized mass of blood causing a hard painful lump
Term
Extravasation
Definition
Inadvertent administration of a vesicant solution/drug into the tissue
Term
Cellulitis
Definition
Inflammation of cellular or connective tissue
Term
Embolism
Definition
Obstruction of a blood vessel by a thrombus or foreign material formed or introduced elsewhere in circulatory system and transported to that point through circulation
Term
Infiltration
Definition
Inadvertent administration of a nonvesicant solution/drug into the tissue
Term
Occluded cannula
Definition
Cannula becomes occluded with blood or drug precipitate
Term
Infection at site
Definition
Bacterial invasion at venipuncture site resulting in an infectious disease process
Term
Septicemia
Definition
Systemic disease caused by presence of pathogenic microorganisms in the body
Term
Circulatory overload
Definition
Condition precipitated by presence of more fluid volume than the circulatory system can manage
Term
Phlebitis
Definition
Inflammation of the intima of a vein
Term
Thrombus
Definition
Blood clot
Term
Vesicant
Definition
Any agent capable of producing blisters/tissue damage
Term
Thrombophlebitis
Definition
Inflammation of a vein in conjunction with a thrombus
Term
Ecchymosis
Definition
Escape of blood into the tissues
Term
Which of the following are local complications associated with IV thearpy?
Definition
Phlebitis, infiltration, and extravasation
Term
Which of the following IV therapy complications has been reported to have a 40-50% mortality rate?
Definition
Air embolism
Term
Discoloration and formation of a hard painful lump adjacent to the venipuncture site are the two signs and symptoms of what condition?
Definition
Hematoma
Term
What are the two characteristics of a thrombophlebitis?
Definition
Inflammation and thrombosis
Term
Engorged neck veins, hypertension, severe dyspnea, and moist rales are indicators of:
Definition
circulatory overload
Term
Fever, chills, general malaise, headache, nausea and vomiting, vascular collapse, and shock are signs and symptoms of what condition?
Definition
Septicemia
Term
Pleuritic pain or discomfort, tachycardia, dyspnea, hemoptysis, and cyanosis are signs and symptoms of what condition?
Definition
Pulmonary embolism
Term
Which of the following signs and symptoms are indicative of an infiltration?
Definition
Swelling, coolness, and altered flow rate
Term
Sterile/chemical, mechanical, and septic are subclassifications of which of the following local complications?
Definition
Phlebitis
Term
Weeping of tissue may or may not develop in a patient who has which of the following complications?
Definition
Cellulitis
Term
Which one of the following statements is applicable to a catheter embolism?
Definition
Patient may be asymptomatic.
Term
Immediate discovery catheter embolism
Definition
Apply tourniquet to involved extremity at torso junction, notify physician and supervisor immediately, prepare patient for radiological evaluation, retain portion of catheter removed
Term
Thrombophlebitis
Definition
Discontinue site, elevate extremity, caution patient not to rub or massage area, notify physician of observations, provide therapeutic processes as ordered by physician
Term
Air embolism
Definition
Correct source of air intake, place patient on left side in steep Trendelenburg position, obtain physician's assistance immediately, provide therapeutic processes as prescribed by physician
Term
Phlebitis
Definition
Discontinue site, elevate extremity, apply warm compresses, notify physician
Term
Circulatory overload
Definition
Slow infusion to a rate that just keeps the site patent, place patient in high Fowler's position, apply warmth measures, assess vital signs, notify physician, provide therapeutic processes as prescribed by physician
Term
Pulmonary embolism
Definition
Place in semi-Fowler's position, assess vital signs, notify physician, provide therapeutic processes as ordered by physician
Term
Infection at site
Definition
Discontinue site, culture cannula tip and drainage, notify physician, provide therapeutic processes as ordered by physician, continue monitoring
Term
Septicemia
Definition
Stop infusion; aseptically reserve assembled system for potential future testing; reestablish IV at new site with new solution, administration set, and cannula; obtain vital signs; notify physician; provide diagnostic culturing therapeutic processes as prescribed by physician
Term
Nerve irritation
Definition
Cease venipuncture attempt, remove armboard, relocate IV site to other extremity, notify physician
Term
Extravasation
Definition
Stop drug administration, follow facility extravasation treatment protocol; notify physician of event, continue monitoring of area.
Term
Hematoma
Definition
Discontinue IV immediately, apply direct pressure, elevate extremity, and apply cold compresses
Term
What are the main sources of bacteria responsible for IV-associated infections?
Definition
Air, blood, and skin
Term
What factors influence bacterial survival?
Definition
Presence of specific organism, number of organisms, and resistance of host
Term
Intrinsic contamination may occur during:
Definition
manufacturing process.
Term
What type of contamination can result from compromised integrity of the venipuncture site dressing?
Definition
Extrinsic
Term
What governmental agency issued the Bloodborne Pathogen Standard?
Definition
OSHA
Term
Which of the following statements applies to the Bloodborne Pathogen Standard?
Definition
Gloves should be worn when touching blood and certain body fluids.
Term
Which of the following intravenous therapy procedures is accompanied by a high risk for blood contact?
Definition
Peripheral venipuncture
Term
What factors are identified as major contributors to IV therapy-related contamination?
Definition
Use of outdated parenteral fluids, inadequate preparation of cannula insertion site, and inappropriate handwashing
Term
The purpose of the Venous Access and Intravenous Infusion Treatment Modalities is to prepare:
Definition
LPN's to perform limited IV fluid treatment therapy.
Term
The Venous Access and Intravenous Infusion Treatment Modalities is in accordance with the guidelines enacted by the:
Definition
Missouri Rule 4 CSR 200.6010.
Term
Of the following designated health care classifications listed below, the one who is NOT a candidate for enrollment in the Venous Access and Intravenous Infusion Treatment Modalities is the individual:
Definition
whose PN license is in revoked status
Term
What is the regulatory agency of the Venous Access and Intravenous Infusion Treatment Modalities?
Definition
Missouri State Board of Nursing
Term
During the provision of IV fluid therapy procedures, universal precautions are federally mandated by which one of the following organizations?
Definition
Occupational Safety and Health Administraion (OSHA)
Term
Which of the following is a true statement regarding maintenance of LPN IV therapy certification status in Missouri?
Definition
Rule 4 CSR 200.6010 does not require a recertification process.
Term
Intravenous therapy activities that may be delegated to an IV therapy-certified LPN include:
Definition
initiating peripheral access, converting an IV cannula to a "locked" cannula, and monitoring blood transfusions.
Term
An IV therapy-certified LPN is required to have additional education and experience to legally provide IV therapy activities to which one of the following patient classifications?
Definition
Neonates
Term
An IV therapy-certified LPN is restricted from performing which of the following intravenous therapy activities?
Definition
Adding vitamins to total parenteral nutrition solution in the home care setting
Term
Which of the following is an INCORRECT statement regarding a health care facility's policy governing the provision of IV therapy?
Definition
Based on need, may endorse initiation of blood transfusions by only IV therapy-certified LPNs
Term
Legally, a private wrong, by act or omission, that can result in a civil action by the harmed person or that person's legal heirs is termed:
Definition
tort.
Term
Failure of a professional person to act in a reasonable and prudent manner with resultant damage to a person or that person's property is legally termed:
Definition
negligence.
Term
Which of the following indicates that "every person is liable for his or her own tortious conduct"?
Definition
Rule of Personal Liability
Term
Coercion of a rational adult patient in order to establish an intravenous site could result in the nurse being chargewd with:
Definition
assault and battery.
Term
The performance of any intravenous therapy activity disallowed by Missouri Rule 4 CSR 200.6010 by an IV therapy-certified LPN can result in the LPN being charged with:
Definition
malpractice.
Term
Failure of an IV therapy-certified LPN to employ universal precautions when performing venipuncture is considered a:
Definition
negligent action.
Term
The likelihood of being charged with IV therapy-related malpractice is believed to be greatly diminished by:
Definition
establishing a good rapport with the patient and the patient's family.
Term
Define documentation:
Definition
Written or printed recording of original, official, or legal information.
Term
List the five W elements of appropriate documentation.
Definition
Who performed the procedure, What was done, When was it done, Where was it done, Why was it done
Term
What is the threefold purpose of documenting the nursing care provided?
Definition
Creating a legal record of care provided, communicating patient status, and obtaining reimbursement for services
Term
What form of documentation is composed of a story format?
Definition
Narrative
Term
Which one of the following documentary forms is used to document IV therapy procedures performed?
Definition
Nurses' notes
Term
Why should the word units be written out and not abbreviated as U?
Definition
If abbreviated, it might accidentally be read as zero.
Term
Which example is a subjective statement that is considered a common documentation error?
Definition
IV is dripping well.
Term
Which of the following charting formats tends to lead to greater opportunities for subjective rather than objective entries?
Definition
Narrative
Term
The purpose of an Unusual Occurrence or Variance Report, also known as an Incident Report, is to:
Definition
provide factual, nonjudgmental accounts of unusual situations and their consequences.
Term
The essential components of an Unusual Occurrence or Variance Report, also known as an Incident Report, include:
Definition
factual description of event, physician notification, and outcome.
Term
Venipuncture
Definition
VP
Term
Potassium chloride
Definition
KCl
Term
Measure of acidity
Definition
pH
Term
Drops
Definition
gtt
Term
IV piggyback
Definition
IVPB
Term
Lactated Ringer's
Definition
LR
Term
Pounds per square inch
Definition
psi
Term
Dextrose 5% in water
Definition
D5/W
Term
Chloride
Definition
Cl
Term
Sodium
Definition
Na
Term
Functions of skin include which of the following?
Definition
Protection, temperature regulation, and sensation
Term
Which of the following comprise the structure of the skin?
Definition
Dermis, epidermis, and superficial fascia
Term
The uppermost layer of skin that provides a protective cover is the:
Definition
epidermis.
Term
The highly sensitive and vascular layer of skin is the:
Definition
dermis.
Term
The skin layer that conects the dermis to the underlying tissue and contains the majority of veins used in the administration of IV therapy is the:
Definition
subcutaneous tissue.
Term
Arteries
Definition
Vessels carrying oxygenated blood from the heart to the tissues
Term
Capillaries
Definition
Microscopic vessels between arterioles and venules
Term
Veins
Definition
More numerous than arteries
Term
Arterioles
Definition
Connects arteries and capillaries
Term
Venules
Definition
Connect capillaries and veins
Term
Which of the following are characteristics of veins?
Definition
Veins do not pulsate and are more numerous than arteries.
Term
Which one of the following statements is applicable to arteries?
Definition
Compromised circulation to the tissue area is supplies resultant of the injury
Term
Structural components common to both veins and arteries include which of the following?
Definition
Tunica intima, tunica media, and tunica adventitia
Term
Which of the following is a true statement regarding valves?
Definition
Purpose is to prevent back flow of blood
Term
Which of the following forms of stimulation CANNOT generate vasoconstriction and subsequent spasm?
Definition
Infusion of an infusate that has been warmed by a controlled warming device
Term
List three factors that could predispose an IV therapy patient to a vasovagal reaction.
Definition
Preconceived fear of needles or IV therapy itself.
Traumatic experience associated with previous IV therapy (multiple unsuccessful venipuncture attempts)
Unfamiliarity with venipuncture procedure (lack of or inadequate patient preparation)
Term
Valve
Definition
Any contrivance or arrangement that regulates the amount and direction of flow of liquid, gas, vapor, or loose material
Term
Pathophysiology
Definition
Disease state that changes the structural or functional state of an organ
Term
Edema
Definition
Abnormal accumulation of fluid in tissues
Term
What is the function of the heart?
Definition
Pump blood into arterial system
Term
Which of the following IV therapy-related factors can cause variations in heart function and respiratory rates?
Definition
Fluid and electrolyte imbalances
Term
Which of the following IV therapy-related factors are likely to cause variations in respiratory function?
Definition
Fluid and electrolyte imbalances, pH change, and emboli
Term
What is the function of the pulmonary system?
Definition
Exchange of gases between organism and environment
Term
Which of the following IV therapy-related factors would cause a change in respiratory rate?
Definition
Electrolyte imbalance, emboli, and medication
Term
Anemia
Definition
Deficiency of Hgb in blood
Term
Plasma
Definition
Fluid portion of blood
Term
Hematology
Definition
Study of blood
Term
What is the approximate number of liters of blood in an adult?
Definition
5
Term
The blood aids in regulating:
Definition
body temperature.
Term
Which function of blood is essential to homeostasis?
Definition
Helps maintain acid-base balance
Term
Blood is formed in:
Definition
red bone marrow and lymphatic tissue.
Term
What two factors can alter normal blood clotting?
Definition
Cetain disease processes and medications.
Term
Erythrocytes
Definition
Aids in transporting oxygen and carbon dioxide
Term
Leukocytes
Definition
Protects body against infection
Term
Thrombocytes
Definition
Clotting
Term
Steps in the blood-clotting process:
Definition
Platelets form a white thrombus, or platelet plug.
Platelets release serotonin.
Blood vessel goes into spasm narrowing vessel to decrease blood loss.
Platelets release thromboplastin.
Thrombin works with fibrinogen to produce fibrin to form a meshwork that traps erythrocytes.
Term
What is homeostasis?
Definition
Maintenance of constant conditions in the internal environment
Term
What percentage of body weight of a full-term newborn is made up of water?
Definition
70-80
Term
What percentage of body weight for a 65-year-old womain is made up of water?
Definition
46
Term
Functions of water in the body include which of the following?
Definition
Providing for ionization of electrolytes, regulating body temperature, and acting as a solvent for a variety of substances
Term
Water balance is necessary for the maintenance of:
Definition
homeostasis.
Term
Which body fluid compartment contains the smallest volume of fluid at any given time?
Definition
Transcellular
Term
Which body fluid compartment contains 40% of body weight?
Definition
Intracellular
Term
Which one of the following staements is applicable to electrolytes?
Definition
The total number of cations is equal to the total number of anions.
Term
An important factor affecting acid-base balance is the pH of the blood. What is the normal range for pH of the blood?
Definition
7.35-7.45
Term
Which of the following are four of the major organs involved in homeostasis?
Definition
Heart, lungs, kidneys, and adrenal glands
Term
Which of the following is a correct staement regarding osmotic pressure?
Definition
Is proportional to total number of particles in the fluid
Term
Define acid-base balance:
Definition
Balance between acids and alkalies within the body
Term
Cation
Definition
Sodium, Potassium, Magnesium, Calcium
Term
Anion
Definition
Chloride, Bicarbonate, Phosphate
Term
Nonelectrolyte
Definition
Urea, Dextrose, Creatinine
Term
FVD
Definition
Fluid volume deficit
Term
Hypercalcemia
Definition
Calcium excess
Term
Respiratory acidosis
Definition
Carbonic acid deficit
Term
Hypokalemia
Definition
Potassium deficit
Term
Hyponatremia
Definition
Sodium deficit
Term
Metabolic alkalosis
Definition
Base bicarbonate excess
Term
The nursing objective in fluid and electrolyte imbalances is to know the importance of:
Definition
evaluating patient's fluid and electrolyte status in order to recognize disturbance and initiate appropriate intervention.
Term
Loss of water and electrolytes as a consequence of abnormal loss of body fluids are indentified factors causing:
Definition
fluid volume deficit
Term
Excessive amounts of sodium and an abnormal loss of water is the cause of:
Definition
hypernatremia.
Term
Excessive sodium and fluid intake is a recognized cause of:
Definition
fluid volume excess.
Term
What condition may GI suctioning and fistulas and K-depleting drugs cause?
Definition
Hypokalemia
Term
What condition is characterized by dry, sticky mucous membranes?
Definition
Hypernatremia
Term
What condition is characterized by pulmonary edema, distended neck veins, peripheral edema, and a bounding, rapid pulse?
Definition
Fluid volume excess
Term
Vague muscle weakness, GI hyperactivity, and parathesia of face, tongue, feet, and hands are signs and symptoms of:
Definition
hyperkalemia.
Term
Postural hypotension, altered sensorium, and slow-filling hand veins are signs and symptoms of:
Definition
fluid volume deficit.
Term
What are the two objectives of parenteral fluid administration?
Definition
Maintenance therapy and replacement therapy has a twofold rationale
Term
What is the twofold rationale for fluid replacement therapy?
Definition
Restoration preexisting fluid losses that occur when previous output has beeen greater than intake.
Restoration present fluid and electrolyte losses, such as loss intestinal fluid through continuing diarrhea.
Term
Hypertonic fluid
Definition
Fluid that increases osmotic pressure drawing fluid from cells
Term
Hypotonic fluid
Definition
Fluid that decreases osmotic pressure forcing fluid into cells
Term
Tonicity of fluid
Definition
Determined by relation to osmolarity of normal blood plasma
Term
Isotonic fluid
Definition
Fluid whose action is expansion of extracellular fluid compartment
Term
pH
Definition
Indicator of hydrogen ion concentration of free-acid activity
Term
Indentified parameters in the assessment of patients receiving parenteral fluid therapy include:
Definition
comparison of I & O, vital signs, skin turgor, and laboratory values.
Term
What organization establishes the tests, standards, and specifications applicable to injections of intravenous fluids?
Definition
United States Pharmacopeia (USP)
Term
How many calories are contained in 1 L of dextrose 5% in water?
Definition
170
Term
Extended or excessive infusion of dextrose in water parenteral fluids can result in:
Definition
water intoxication.
Term
When excessively infused, which of the following parenteral fluids can cause dilutional hyponatremia in persons predisposed to water retention?
Definition
0.45% sodium chloride
Term
Assessment of renal status before the initiation of electrolyte replacement and maintenance is generally achieved by infusing:
Definition
dextrose 5% in 0.45% sodium chloride.
Term
Which of the following is the most frequently administered balanced electrolyte fluid?
Definition
Lactated Ringer's
Term
What is the indication for use of amino acid administration?
Definition
Source of protein to maintain positive nitrogen balance in TPN therapy
Term
A true statement about nutritional lipid emulsions is that they:
Definition
provide a concentrated source of calories and prevent essential fatty acid deficiency.
Term
Which of the following assessment parameters is considered to be of the most crucial importance before initiating parenteral fluid therapy?
Definition
Renal status
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