Term
|
Definition
| A localized mass of blood causing a hard painful lump |
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Term
|
Definition
| Inadvertent administration of a vesicant solution/drug into the tissue |
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Term
|
Definition
| Inflammation of cellular or connective tissue |
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Term
|
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 |
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Term
|
Definition
| Inadvertent administration of a nonvesicant solution/drug into the tissue |
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Term
|
Definition
| Cannula becomes occluded with blood or drug precipitate |
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Term
|
Definition
| Bacterial invasion at venipuncture site resulting in an infectious disease process |
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Term
|
Definition
| Systemic disease caused by presence of pathogenic microorganisms in the body |
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Term
|
Definition
| Condition precipitated by presence of more fluid volume than the circulatory system can manage |
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Term
|
Definition
| Inflammation of the intima of a vein |
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Term
|
Definition
|
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Term
|
Definition
| Any agent capable of producing blisters/tissue damage |
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Term
|
Definition
| Inflammation of a vein in conjunction with a thrombus |
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Term
|
Definition
| Escape of blood into the tissues |
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|
Term
| Which of the following are local complications associated with IV thearpy? |
|
Definition
| Phlebitis, infiltration, and extravasation |
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|
Term
| Which of the following IV therapy complications has been reported to have a 40-50% mortality rate? |
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Definition
|
|
Term
| Discoloration and formation of a hard painful lump adjacent to the venipuncture site are the two signs and symptoms of what condition? |
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Definition
|
|
Term
| What are the two characteristics of a thrombophlebitis? |
|
Definition
| Inflammation and thrombosis |
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Term
| Engorged neck veins, hypertension, severe dyspnea, and moist rales are indicators of: |
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Definition
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Term
| Fever, chills, general malaise, headache, nausea and vomiting, vascular collapse, and shock are signs and symptoms of what condition? |
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Definition
|
|
Term
| Pleuritic pain or discomfort, tachycardia, dyspnea, hemoptysis, and cyanosis are signs and symptoms of what condition? |
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Definition
|
|
Term
| Which of the following signs and symptoms are indicative of an infiltration? |
|
Definition
| Swelling, coolness, and altered flow rate |
|
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Term
| Sterile/chemical, mechanical, and septic are subclassifications of which of the following local complications? |
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Definition
|
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Term
| Weeping of tissue may or may not develop in a patient who has which of the following complications? |
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Definition
|
|
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 |
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Term
|
Definition
| Discontinue site, elevate extremity, caution patient not to rub or massage area, notify physician of observations, provide therapeutic processes as ordered by physician |
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Term
|
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 |
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Term
|
Definition
| Discontinue site, elevate extremity, apply warm compresses, notify physician |
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Term
|
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 |
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Term
|
Definition
| Place in semi-Fowler's position, assess vital signs, notify physician, provide therapeutic processes as ordered by physician |
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Term
|
Definition
| Discontinue site, culture cannula tip and drainage, notify physician, provide therapeutic processes as ordered by physician, continue monitoring |
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Term
|
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 |
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Term
|
Definition
| Cease venipuncture attempt, remove armboard, relocate IV site to other extremity, notify physician |
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Term
|
Definition
| Stop drug administration, follow facility extravasation treatment protocol; notify physician of event, continue monitoring of area. |
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Term
|
Definition
| Discontinue IV immediately, apply direct pressure, elevate extremity, and apply cold compresses |
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|
Term
| What are the main sources of bacteria responsible for IV-associated infections? |
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Definition
|
|
Term
| What factors influence bacterial survival? |
|
Definition
| Presence of specific organism, number of organisms, and resistance of host |
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|
Term
| Intrinsic contamination may occur during: |
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Definition
|
|
Term
| What type of contamination can result from compromised integrity of the venipuncture site dressing? |
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Definition
|
|
Term
| What governmental agency issued the Bloodborne Pathogen Standard? |
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Definition
|
|
Term
| Which of the following statements applies to the Bloodborne Pathogen Standard? |
|
Definition
| Gloves should be worn when touching blood and certain body fluids. |
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|
Term
| Which of the following intravenous therapy procedures is accompanied by a high risk for blood contact? |
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Definition
|
|
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 |
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|
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. |
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|
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 |
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|
Term
| What is the regulatory agency of the Venous Access and Intravenous Infusion Treatment Modalities? |
|
Definition
| Missouri State Board of Nursing |
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|
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) |
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|
Term
| Which of the following is a true statement regarding maintenance of LPN IV therapy certification status in Missouri? |
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Definition
| Rule 4 CSR 200.6010 does not require a recertification process. |
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|
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. |
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|
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? |
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Definition
|
|
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 |
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|
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 |
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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: |
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Definition
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|
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: |
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Definition
|
|
Term
| Which of the following indicates that "every person is liable for his or her own tortious conduct"? |
|
Definition
| Rule of Personal Liability |
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|
Term
| Coercion of a rational adult patient in order to establish an intravenous site could result in the nurse being chargewd with: |
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Definition
|
|
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
|
|
Term
| Failure of an IV therapy-certified LPN to employ universal precautions when performing venipuncture is considered a: |
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Definition
|
|
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. |
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Term
|
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 |
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|
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 |
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|
Term
| What form of documentation is composed of a story format? |
|
Definition
|
|
Term
| Which one of the following documentary forms is used to document IV therapy procedures performed? |
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Definition
|
|
Term
| Why should the word units be written out and not abbreviated as U? |
|
Definition
| If abbreviated, it might accidentally be read as zero. |
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|
Term
| Which example is a subjective statement that is considered a common documentation error? |
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Definition
|
|
Term
| Which of the following charting formats tends to lead to greater opportunities for subjective rather than objective entries? |
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Definition
|
|
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. |
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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. |
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Term
|
Definition
|
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Term
|
Definition
|
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Term
|
Definition
|
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Term
|
Definition
|
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Term
|
Definition
|
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Term
|
Definition
|
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Term
|
Definition
|
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Term
|
Definition
|
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Term
|
Definition
|
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Term
|
Definition
|
|
Term
| Functions of skin include which of the following? |
|
Definition
| Protection, temperature regulation, and sensation |
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|
Term
| Which of the following comprise the structure of the skin? |
|
Definition
| Dermis, epidermis, and superficial fascia |
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|
Term
| The uppermost layer of skin that provides a protective cover is the: |
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Definition
|
|
Term
| The highly sensitive and vascular layer of skin is the: |
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Definition
|
|
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: |
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Definition
|
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Term
|
Definition
| Vessels carrying oxygenated blood from the heart to the tissues |
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Term
|
Definition
| Microscopic vessels between arterioles and venules |
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Term
|
Definition
| More numerous than arteries |
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Term
|
Definition
| Connects arteries and capillaries |
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Term
|
Definition
| Connect capillaries and veins |
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|
Term
| Which of the following are characteristics of veins? |
|
Definition
| Veins do not pulsate and are more numerous than arteries. |
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|
Term
| Which one of the following statements is applicable to arteries? |
|
Definition
| Compromised circulation to the tissue area is supplies resultant of the injury |
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|
Term
| Structural components common to both veins and arteries include which of the following? |
|
Definition
| Tunica intima, tunica media, and tunica adventitia |
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|
Term
| Which of the following is a true statement regarding valves? |
|
Definition
| Purpose is to prevent back flow of blood |
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|
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 |
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|
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) |
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Term
|
Definition
| Any contrivance or arrangement that regulates the amount and direction of flow of liquid, gas, vapor, or loose material |
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Term
|
Definition
| Disease state that changes the structural or functional state of an organ |
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Term
|
Definition
| Abnormal accumulation of fluid in tissues |
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|
Term
| What is the function of the heart? |
|
Definition
| Pump blood into arterial system |
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|
Term
| Which of the following IV therapy-related factors can cause variations in heart function and respiratory rates? |
|
Definition
| Fluid and electrolyte imbalances |
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|
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 |
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|
Term
| What is the function of the pulmonary system? |
|
Definition
| Exchange of gases between organism and environment |
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|
Term
| Which of the following IV therapy-related factors would cause a change in respiratory rate? |
|
Definition
| Electrolyte imbalance, emboli, and medication |
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Term
|
Definition
| Deficiency of Hgb in blood |
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Term
|
Definition
|
|
Term
|
Definition
|
|
Term
| What is the approximate number of liters of blood in an adult? |
|
Definition
|
|
Term
| The blood aids in regulating: |
|
Definition
|
|
Term
| Which function of blood is essential to homeostasis? |
|
Definition
| Helps maintain acid-base balance |
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Term
|
Definition
| red bone marrow and lymphatic tissue. |
|
|
Term
| What two factors can alter normal blood clotting? |
|
Definition
| Cetain disease processes and medications. |
|
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Term
|
Definition
| Aids in transporting oxygen and carbon dioxide |
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Term
|
Definition
| Protects body against infection |
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Term
|
Definition
|
|
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. |
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Term
|
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
|
|
Term
| What percentage of body weight for a 65-year-old womain is made up of water? |
|
Definition
|
|
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
|
|
Term
| Which body fluid compartment contains the smallest volume of fluid at any given time? |
|
Definition
|
|
Term
| Which body fluid compartment contains 40% of body weight? |
|
Definition
|
|
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
|
|
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 |
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Term
|
Definition
| Sodium, Potassium, Magnesium, Calcium |
|
|
Term
|
Definition
| Chloride, Bicarbonate, Phosphate |
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|
Term
|
Definition
| Urea, Dextrose, Creatinine |
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Term
|
Definition
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Term
|
Definition
|
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Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
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
|
|
Term
| Excessive amounts of sodium and an abnormal loss of water is the cause of: |
|
Definition
|
|
Term
| Excessive sodium and fluid intake is a recognized cause of: |
|
Definition
|
|
Term
| What condition may GI suctioning and fistulas and K-depleting drugs cause? |
|
Definition
|
|
Term
| What condition is characterized by dry, sticky mucous membranes? |
|
Definition
|
|
Term
| What condition is characterized by pulmonary edema, distended neck veins, peripheral edema, and a bounding, rapid pulse? |
|
Definition
|
|
Term
| Vague muscle weakness, GI hyperactivity, and parathesia of face, tongue, feet, and hands are signs and symptoms of: |
|
Definition
|
|
Term
| Postural hypotension, altered sensorium, and slow-filling hand veins are signs and symptoms of: |
|
Definition
|
|
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. |
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Term
|
Definition
| Fluid that increases osmotic pressure drawing fluid from cells |
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Term
|
Definition
| Fluid that decreases osmotic pressure forcing fluid into cells |
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Term
|
Definition
| Determined by relation to osmolarity of normal blood plasma |
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|
Term
|
Definition
| Fluid whose action is expansion of extracellular fluid compartment |
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Term
|
Definition
| Indicator of hydrogen ion concentration of free-acid activity |
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|
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
|
|
Term
| Extended or excessive infusion of dextrose in water parenteral fluids can result in: |
|
Definition
|
|
Term
| When excessively infused, which of the following parenteral fluids can cause dilutional hyponatremia in persons predisposed to water retention? |
|
Definition
|
|
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
|
|
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
|
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