NUR 337 Midterm ASU Arizona State University-Downtown Phoenix |
UPDATED Questions with 100% Verified Answers
Question:
IV Catheter Insertion
Answer:
- Locate vein — if having trouble go proximal not distal to find another one - Tourniquet
on — max = 1 minute
- Clean site for 30 seconds — let it dry for 2 minutes
- Do NOT contaminated site
- Prime extension tubing
- Apply tourniquet
- Insert bevel side up
- 10 to 30 degree insert
- Flash
- Insert 0.25 inch more
- Angle flush with skin and advance catheter
- Remove tourniquet once the "click" is heard = after catheter advancement and the
needle is in the camber
- Label PIV with initial, date, time, gauge
- Document site, time, gauge/size, location, patient tolerance
- 72-96 hour change per PIV
Question:
IV Catheter: Assessing and Managing IV Site
Answer:
- Inspect catheter tip after removal for intactness
- Aspirate with flush for patency
- Flush and observe for infiltration
- If IV is placed at outside facility, best to get a new IV
- Discontinue line if there is infection, phlebitis, infiltration, extravasation, circulatory
overload
Question:
,Infiltration Symptoms
Answer:
Pain, Swelling, Coolness
Question:
Phlebitis Symptoms
Answer:
Warm, Increase temp, red, pain
Question:
Extravasation Symptoms
Answer:
Similar to infiltration but with meds. May sting/burn
Question:
IV Push
Answer:
- Safety check - providers orders and MAR
- Pull check
- Prepare medication - clean vials for 30 seconds and let them dry, draw up medication
and diluent in separate syringes, insert diluent in medication
- Label medication
- Prep check
- Identify patient - name and DOB
- Allergies and reaction
- Patient check
- Education
- Clean port for 30 seconds, let it dry
- Administer medication over the correct amount of time
- Discard sharp in sharps container
- End visit
Question:
IV Piggyback
, Answer:
- Safety check - providers order and MAR
- Identify patient - name and DOB
- Allergies and reaction
- Pause pump that is already running
- Clamp the line of the medication
- Prime the piggyback and hang it
- Channel select
- Secondary
- Select med
- 1000 mg / 50 mL
- Check medication to confirm
- Yes
- Next
- Duration — 30 minutes
- Rate is automatically set
- Verify secondary clamp is open
- Start Pump
Question:
Specimen Collection
Answer:
Capillary blood — use lancet
Veins — use butterfly
Routine urinalysis — clean catch
Sterile urine samples — straight catheter
Blood in stool — guaiac test (looks for hidden (occult) blood)
Fecal occult — must have 3 separate stool samples ; AVOID poultry prior to test
Midstream urine sample — void a litter before collection
Pressure ulcer culture specimen — use sterile swab in area
UTI — leukocyte esterase
Question:
PCA Pumps Assessment and Interventions
UPDATED Questions with 100% Verified Answers
Question:
IV Catheter Insertion
Answer:
- Locate vein — if having trouble go proximal not distal to find another one - Tourniquet
on — max = 1 minute
- Clean site for 30 seconds — let it dry for 2 minutes
- Do NOT contaminated site
- Prime extension tubing
- Apply tourniquet
- Insert bevel side up
- 10 to 30 degree insert
- Flash
- Insert 0.25 inch more
- Angle flush with skin and advance catheter
- Remove tourniquet once the "click" is heard = after catheter advancement and the
needle is in the camber
- Label PIV with initial, date, time, gauge
- Document site, time, gauge/size, location, patient tolerance
- 72-96 hour change per PIV
Question:
IV Catheter: Assessing and Managing IV Site
Answer:
- Inspect catheter tip after removal for intactness
- Aspirate with flush for patency
- Flush and observe for infiltration
- If IV is placed at outside facility, best to get a new IV
- Discontinue line if there is infection, phlebitis, infiltration, extravasation, circulatory
overload
Question:
,Infiltration Symptoms
Answer:
Pain, Swelling, Coolness
Question:
Phlebitis Symptoms
Answer:
Warm, Increase temp, red, pain
Question:
Extravasation Symptoms
Answer:
Similar to infiltration but with meds. May sting/burn
Question:
IV Push
Answer:
- Safety check - providers orders and MAR
- Pull check
- Prepare medication - clean vials for 30 seconds and let them dry, draw up medication
and diluent in separate syringes, insert diluent in medication
- Label medication
- Prep check
- Identify patient - name and DOB
- Allergies and reaction
- Patient check
- Education
- Clean port for 30 seconds, let it dry
- Administer medication over the correct amount of time
- Discard sharp in sharps container
- End visit
Question:
IV Piggyback
, Answer:
- Safety check - providers order and MAR
- Identify patient - name and DOB
- Allergies and reaction
- Pause pump that is already running
- Clamp the line of the medication
- Prime the piggyback and hang it
- Channel select
- Secondary
- Select med
- 1000 mg / 50 mL
- Check medication to confirm
- Yes
- Next
- Duration — 30 minutes
- Rate is automatically set
- Verify secondary clamp is open
- Start Pump
Question:
Specimen Collection
Answer:
Capillary blood — use lancet
Veins — use butterfly
Routine urinalysis — clean catch
Sterile urine samples — straight catheter
Blood in stool — guaiac test (looks for hidden (occult) blood)
Fecal occult — must have 3 separate stool samples ; AVOID poultry prior to test
Midstream urine sample — void a litter before collection
Pressure ulcer culture specimen — use sterile swab in area
UTI — leukocyte esterase
Question:
PCA Pumps Assessment and Interventions
