NUR 172 Intravenous Therapy for the Practical Nurse
Final Exam
Question:
What is hematoma?
Answer:
Infiltration of blood into tissues at venipuncture site
Question:
S/S of hematoma
Answer:
discoloration of skin, swelling and discomfort, inability to advance cannula into vein, resistance to pressure during flushing
Question:
Prevention of hematoma
Answer:
use indirect method for starting a PIV 1 / 4
Question:
Treatment of hematoma
Answer:
removal of catheter, direct pressure on site with gauze, elevate extremity, apply ice to affected area
Question:
What is thrombosis?
Answer:
catheter related obstruction
Question:
S/S of thrombosis
Answer:
fever, malaise, slowed or stopped infusion rate, inability to flush catheter
Question:
Treatment for thrombosis
Answer:
Remove IV, notify MD - NEVER flush cannula to remove occlusion
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Question:
What is infiltration?
Answer:
Inadvertent administration of nonvesicant solution to surrounding tissues
Question:
S/S of infiltration
Answer:
swollen, cool, taut, pale skin
Question:
Interventions for infiltration
Answer:
stop infusion, remove IV catheter
Question:
What is phlebitis?
Answer:
Inflammation of delicate inner lining of the vein
- / 4
Question:
S/S of phlebitis
Answer:
site is red, warm to touch, localized swelling, palpable cord, painful, sluggish infusion rate
Question:
Treatment for phlebitis
Answer:
discontinue IV, warm or cold compress to affected site, restart infusion in opposite extremity using new admin set
Question:
What is extravasation?
Answer:
The inadvertent administration of vesicant solution to surrounding tissue
Question:
Patient becomes at risk for extravasation with which hypertonic solution?
Answer:
D10W
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