Term
| What is a goal of psychologically preparing a patient for IV thearpy? |
|
Definition
| Provide the patient with an understanding of what the ordered therapy entails. |
|
|
Term
| What of the following is an essential component of the patient's IV therapy teaching plan? |
|
Definition
| Limitations or restrictions imposed as a consequence of the therapy. |
|
|
Term
| What factor could directly escalate the degree of anxiety a patient experiences when receiving IV therapy? |
|
Definition
| Misguided concept that IV thearpy is only administered to critically ill patients. |
|
|
Term
| Which of the following factors are identified as affecting a patient's personal psychological resources? |
|
Definition
| Previous experience with illness and pain, family relationships, relationship with health care team. |
|
|
Term
| Which of the following signs and symptoms are typical of a vasovagal reaction consequential to patient stress? |
|
Definition
| Vasoconstriction, syncope, and diaphoresis. |
|
|
Term
| Dependent, regressive behavior exhibited by an IV therapy patient is often a consequence of what condition? |
|
Definition
|
|
Term
| Which of the following factors is identified as generating noncooperation in an IV therapy patient? |
|
Definition
| Alternation in patient's mental status secondary to chronic brain syndrome. |
|
|
Term
| Which of the following are considered appropriate nursing considerations when caring for an uncooperative IV therapy patient? |
|
Definition
| Closely monitor patient status and use safety mittens when indicated. |
|
|
Term
|
Definition
| diameter size vascular access device opening |
|
|
Term
|
Definition
| female connection point vascular access device |
|
|
Term
|
Definition
| length vascular access device |
|
|
Term
|
Definition
| space written vascular access device |
|
|
Term
|
Definition
| short, small gauge needle with one or two plastic side arms or wings |
|
|
Term
|
Definition
| Catheter mounted on a needle; needle removed once catheter is inserted |
|
|
Term
|
Definition
| Catheter tip terminates in upper aspect of the arm |
|
|
Term
| Intermittent infusion device |
|
Definition
| Has a permanently attached injection port |
|
|
Term
| Multilumen central venous catheter |
|
Definition
| Catheter containing three internal lumens for patients requiring multiple therapies |
|
|
Term
| Tunneled central venous catheter |
|
Definition
| Commonly referred to as a Hickman or Broviac catheter |
|
|
Term
| Implanted central venous catheter |
|
Definition
| Consist of an implanted long-term venous access port device composed of a catheter and reservoir with a self-sealing septum |
|
|
Term
|
Definition
| Site of insertion is in vein adjacent to the antecubital fossa |
|
|
Term
|
Definition
| Has a rounded, blunt, venous catheter closed tip |
|
|
Term
| Microdrop primary standard set |
|
Definition
|
|
Term
| Pressure sensitive check-valve sets |
|
Definition
| Allows primary infusion to cease during IVPB delivery |
|
|
Term
| Secondary administration set |
|
Definition
| Used for drug delivery with pressure sensitive check-valve set |
|
|
Term
| Precision volume-controlled sets |
|
Definition
| Contains a calibrated chamber |
|
|
Term
| Macrodrip primary standard set |
|
Definition
| Drops per ml vary among set manufacturers |
|
|
Term
|
Definition
| Used for administration of blood/blood components |
|
|
Term
| Nonpolyvinyl chloride sets |
|
Definition
| Used to prevent absorption of certain infusates into tubing. |
|
|
Term
| Which of the following factors should be considered when selecting a peripheral vascular access device? |
|
Definition
| Ordered therapy, patient's clinical status, and patient's age |
|
|
Term
| Which of the following are characteristics of parenteral fluid glass containers? |
|
Definition
| The containers may be of vented or nonvented designs, and they contain a vacuum. |
|
|
Term
| Which of the following is indentified as a disadvantage of using parenteral fluid plastic containers? |
|
Definition
| It may be difficult to ascertain the volume of fluid remaining in the container. |
|
|
Term
| Which of the following is an important nursing consideration when using resealable injection ports? |
|
Definition
| Integrity may be compromised if subjected to numerous penetrations. |
|
|
Term
| Which of the following is identified as a disadvantage of using transparent semipermeable membrane dressings? |
|
Definition
|
|
Term
| Needle protective systems are designed to: |
|
Definition
| reduce the risk of needle-stick injuries. |
|
|
Term
| Which of the following is the most vital nursing consideration when using a non-electronic rate minder? |
|
Definition
| Its use does not negate the need for a nurse to monitor the infusion rate. |
|
|
Term
| Which of the following statements correctly reflect the use of a microbore extension tubing set? |
|
Definition
| Often used as an adjuvant to a PICC |
|
|
Term
| What is the setting in which elastomeric infusion devices are predominantly used? |
|
Definition
|
|
Term
| The purpose of an IV site protector is to prevent: |
|
Definition
|
|
Term
|
Definition
| Design incorporates a drop sensor |
|
|
Term
|
Definition
| Generates flow under positive pressure |
|
|
Term
|
Definition
| Used with standard disposable syringes |
|
|
Term
|
Definition
| Lightweight, compact, and battery driven |
|
|
Term
| What supplies should be collected in preparation for establishing a peripheral IV site? |
|
Definition
| Tourniquet, antiseptic, dressing, cannulas, tape, gloves, prescribed fluid, and administraion set |
|
|
Term
| Evaluating the appropriateness of a parenteral fluid for infusion includes checking the: |
|
Definition
| fluid's expiration date, evaluating the integrity of the fluid container and cap, and type/volume of fluid. |
|
|
Term
| When verifying the appropriateness of a parenteral fluid for patient infusion, an essential factor is to determine: |
|
Definition
| that it corresponds with the physician's order. |
|
|
Term
| What protective barrier item should be included in the equipment collected for insertion of an IV line? |
|
Definition
|
|
Term
| The drip chamber of the administration set should be filled with fluid to at least which of the listed capacities? |
|
Definition
|
|
Term
| How many feet is the appropriate height for suspending the fluid container from the IV pole in relationship to the intended IV site? |
|
Definition
|
|
Term
| Prime factors to be considered when selecting a vein for venipuncture include: |
|
Definition
| characteristics of available veins, objective of ordered therapy, and anticipated duration of therapy. |
|
|
Term
| Which of the following is characteristic of a vein that is appropriate for venipuncture? |
|
Definition
|
|
Term
| Vein dilation may be achieved by: |
|
Definition
|
|
Term
| How and where should supplies be placed when setting up for an IV insertion? |
|
Definition
| In sequential order near the insertion site |
|
|
Term
| What blood barrier precautions should be followed when inserting an IV? |
|
Definition
| Protective pad under site and gloves |
|
|
Term
| Which of the following actions is appropriate for site preparation? |
|
Definition
| Allow antiseptic agent to dry naturally. |
|
|
Term
| What is the appropriate technique for inserting an ONC or a winged-infusion set? |
|
Definition
| Bevel up at 10-30 degree angle |
|
|
Term
| What precaution should be observed when inserting an ONC? |
|
Definition
| Avoid readvancing the needle into the catheter once threading has begun. |
|
|
Term
| What precaution should be observed when inserting a winged-infusion set? |
|
Definition
| Prime air from set before insertion. |
|
|
Term
| Which of the following actions is considered appropriate when stabilizing an IV cannula? |
|
Definition
| It should not interfere with future site assessment. |
|
|
Term
| Which one of the following statements applies to IV site dressings? |
|
Definition
| Dressings may be gauze or transparent semipermable membrane dressings. |
|
|
Term
| What information should be inscribed on the IV site dressing label? |
|
Definition
| Date/time; gauge, type, and length of cannula; and nurse's initials |
|
|
Term
| Which of the following sites is considered appropriate when selecting a peripheral vein for IV cannula insertion? |
|
Definition
| Soft, spongy veins located away from areas flexion |
|
|
Term
| A peripheral IV catheter may be converted to an intermittent infusion device by connecting what type of equipment to the catheter hub? |
|
Definition
|
|
Term
| The goal of injecting a flush solution into the intermittent infusion device is to: |
|
Definition
|
|
Term
| How many units per milliliter is the most commonly used concentration of heparin flush solution for peripheral intermittent infusion devices? |
|
Definition
|
|
Term
| The recommended time span for injecting flush solutions into peripheral intermittent infusion devices is over how many seconds? |
|
Definition
|
|
Term
| It is important to maintain positive pressure on the syringe while simultaneously injecting the last 0.2 ml of flush solution and withdrawing the needle in order to prevent: |
|
Definition
| blood reflux into catheter lumen. |
|
|
Term
| What would occur if sterile water were used to flush an intermittent infusion device? |
|
Definition
|
|
Term
| Alternate terms used in reference to an intermittent infusion device include: |
|
Definition
| locked cannula, heparin lock, and saline lock. |
|
|
Term
| Intermittent infusion devices are used to provide which of the following IV related procedures? |
|
Definition
| Intermittent delivery of IV push drugs and intermittent IVPB infusions |
|
|
Term
| What essential component is required when documenting patency maintenance of intermittent infusion devices using NS flusing? |
|
Definition
| Volume and time span for flusing |
|
|
Term
| What factors does the physician consider when ordering an infusion flow rate? |
|
Definition
| Patient's clinical status, age, and ethnicity |
|
|
Term
| What drop factors are available in macrodrip administraion sets? |
|
Definition
|
|
Term
| When regulating the flow rate of a gravity infusion, for how many seconds should a nurse use a watch to time fluid drops? |
|
Definition
|
|
Term
| What are the potential complications of an inaccurate infusion flow rate? |
|
Definition
| Inappropriate drug serum levels, pulmonary edema, and cannula occlusion |
|
|
Term
| What factors affect the infusion flow rate? |
|
Definition
| Phlebitis, height of container, and viscosity of the fluid |
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
|
|
Term
|
Definition
| Possess built-in stimulus barrier causing reactive delays |
|
|
Term
|
Definition
| Language limitations may result in physical expressions of fear |
|
|
Term
|
Definition
| Avoid "baby talk" during procedural explanation |
|
|
Term
|
Definition
| Have particualr concern about body image |
|
|
Term
| Which of the following is a primary consideration in fluid and electrolyte imbalance in pediatric patients? |
|
Definition
| The younger the child, the greater the risk of fluid and electrolyte imbalance, fluid overload, and congestive heart failure. |
|
|
Term
| When venipuncture is to be performed on a child, the parent or guardian should be: |
|
Definition
| provided with an explanation of what the procedure entails. |
|
|
Term
| What type of IV cannula is most frequently used for pediatric vascualr access? |
|
Definition
|
|
Term
| What IV catheter gauge is commonly used for all pediatric patient age groupings? |
|
Definition
|
|
Term
| When using a volume-control set to provide infusion therapy for an infant, it should: |
|
Definition
| contain no more than one third of the infant's daily fluid requirement at any given time. |
|
|
Term
| Where is the ideal place to perform venipuncture on a child? |
|
Definition
|
|
Term
| Which one of the following statements applies to the use of scalp veins for venipuncture? |
|
Definition
| Using this site can cause psychological stress for the child's parent or guardian. |
|
|
Term
| To ensure the accurate infusion flow rate in a pediatric patient, the flow rate should be adjusted when the child is: |
|
Definition
|
|
Term
| The intake and output of a pediatric IV therapy patient should be computed and recorded for accurate monitoring every: |
|
Definition
|
|
Term
| When evaluating the general condition of an infant receiving IV therapy, the absence of tears when crying is a sign of: |
|
Definition
|
|
Term
| Which of the following variables affect how often infusioin flow rates must be monitored for pediatric patients? |
|
Definition
| Age of child, clinical status, and mode of delivery |
|
|
Term
| What products are transfused during exchange blood transfusions? |
|
Definition
| Fresh red blood cells and plasma |
|
|
Term
| The persevative sodium benzoate in the form of benzyl alcohol is recognized as being toxic to which group? |
|
Definition
|
|
Term
| When can an umbilical catheter be used? |
|
Definition
|
|
Term
| Which statement is applicable to the principles of pediatric drug administration? |
|
Definition
| There is often a lack of information regarding interaction between a drug and the body processes of a child. |
|
|
Term
|
Definition
| Causes patient to be hyporesponsive to foreign antigens |
|
|
Term
| Diminished pulmonary function |
|
Definition
| Predisposes patient to carbon dioxide retention |
|
|
Term
|
Definition
| Results in increased difficulty in eliminating heavy solute loads |
|
|
Term
| Cardiovascular system changes |
|
Definition
| Decreased size of capillay beds |
|
|
Term
| Diminished hepatic function |
|
Definition
| Decreases ability to metabolize drugs |
|
|
Term
| Alterations in skin and subcutaneous tissue |
|
Definition
| May result in purpura and ecchymosis |
|
|
Term
|
Definition
| May compromise compliance with instructions/ precautions |
|
|
Term
| Decrease in total body water |
|
Definition
| Approximately 6% reduction in body water |
|
|
Term
| In direct contrast to young patients, disorientation, loss of appetite, confusion, and lethargy in elderly patients may be the first sign of: |
|
Definition
| onset of an infectious process. |
|
|
Term
| Diminished pulmonary function predisposes the elder patient to: |
|
Definition
|
|
Term
| Which of the following is a change in the cardiovascualr system secondary to the aging process? |
|
Definition
| Increased fragility of the veins |
|
|
Term
| Decreased ability of the elder patient to metabolize drugs is caused by alterations in: |
|
Definition
|
|
Term
| Which of the following characteristics of a geriatric patient's skin necessitates the use of minimal amounts of tape to secure an IV cannula? |
|
Definition
|
|
Term
| Impaired homeostasis in the elder patient can often be directly attributed to: |
|
Definition
| diminished thirst sensation. |
|
|
Term
| When selecting a cannula for venipuncture in a geriatric patient, which principle should be observed? |
|
Definition
| If available, use a winged-hub catheter. |
|
|
Term
| Increased oncotic pressure in which of the following sites negates its use for venipuncture? |
|
Definition
|
|
Term
| What action is required to effectively dilate the vein of a geriatric patient before venipuncture? |
|
Definition
| Apply the tourniquet lightly |
|
|
Term
| Which of the following statements is correct regarding IV cannula insertion in an elder patient? |
|
Definition
| Insertion angle of 5-15 degrees is often required. |
|
|
Term
| What type of dressing is recommended to stabilize cannulas and minimize injury to fragile skin in geriatric patients? |
|
Definition
|
|
Term
| Using an armboard when the IV site is located in an area of flexion prevents what condition? |
|
Definition
|
|
Term
| Long-term IV therapy patients at high risk for armboard-related contractures are those who have which two pre-existing conditions? |
|
Definition
| Muscular weakness and edema |
|
|
Term
| How often should the neurological and circulatory status of the extremity distal to the venipuncture site of a pediatric patient be evaluated during armboard usage? |
|
Definition
|
|
Term
| Which of the following is a prime legal consideration applicable to restraint usage? |
|
Definition
| Restraint use must be congruent with federal and state regulations. |
|
|
Term
| Which of the following principles apply to restraint usage with IV therapy patients? |
|
Definition
| Follow manufacturer's instructions for application. |
|
|
