IV Therapy Questions with All correct Answers A nurse is calculating the drip rate prior to initiating an IV infusion. Upon which factor s/the calculation of the drip rate depend? {{Ans- Drop Factor of the tubing and hourly infusion amount.
A nurse is initiating IV therapy on a client who is receiving anticoagulant therapy. Which techniques s/the nurse use when starting an IV line on this client?{{Ans- Avoid excess pressure when cleansing the skin.Avoid use of a tourniquet if possible or apply loosely.Use alcohol to loosen dressing.
A perioperative nurse is preparing a client for surgery. When providnig a client w/IV access, which action by the nurse produces the highest risk of potential contamination of the client's IV line?{{Ans- Addition of a stopcock.Add-on devices increase the potential for infection because of the increased opportunity for manipulation/risk of separation.
A client w/osteomyelitis is admitted to the acute-care hospital to begin infusion therapy. The client needs infusion therapy for 3 weeks and has poor venous access. The intravenous-team RNs are competent to insert PICC, as well as midline catheters. Which s/be taken into consideration when selecting the most appropriate venous access device?{{Ans- The interventional radiology support.The patient's understanding and caregiver support for managing catheter upon discharge.The pH and osmolarity of prescribed therapy.(If pH is above 9 or below 5 or is above 600mOsm, then PICC is needed to deliver the infusion to larger veins of SVC. PICC must be read and verified by x-ray prior to use. Discharge planning must begin upon admission w/choice of venous access device.)
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A hospital has recently adopted a needleless IV system. For which reason did the hospital most likely adopt the needleless system?{{Ans- To decrease risk of needle stick injuries.
If the dressing date on a client's peripheral cannula say July 1, when/s the dressing and the cannula be changed?{{Ans- July 4 IV site s/be change q 72 hrs., depending agency policy.
A nurse is preparing to flush a client's IV catheter before injecting medication. Which steps s/be taken by the nurse when flushing the client's intermittent locking device?{{Ans- 2. Check for patency of the catheter.
- Flush w/sodium chloride using push-pause method.
- Administer the medication.
- Flush w/sodium chloride applying positive pressure.(to remove medication residual from the lock, and
to fill the lock)
A PICU nurse is preparing to obtain IV access using an infant's scalp vein. The nurse is thinking critically about which type of catheter to use. What are the advantages of over-the-catheter (ONCs) needles over metal scalp vein needles?{{Ans- 1. ONCs are patent longer than scalp vein needles.
- ONCs have decreased infiltration risks.
- ONCs are radiopaque. (for visualization on radiography)
(ONCs carry a higher risk of phlebitis than metal needles.)
A nurse is initiating IV therapy for a client using a Teflon over-the-needle catheter. The primary
disadvantage of Teflon over-the-needle catheters for periperal infusion is:
{{Ans- The risk of phebitis.
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