NUR 337 Midterm Arizona State University-Downtown Phoenix |
UPDATED Questions with 100% Verified Answers
Question:
Should you shave or clip hair of an IV site before starting an
IV?
Answer:
Clip! Shaving the hair may cause tiny abrasions which could increase the risk for infection.
Question:
Which anatomical part should be avoided in the elderly when
starting an IV?
Answer:
The dorsal part of the hand because the veins are susceptible to damage and the hand
can be bumped easily.
Question:
What may be used instead of a tourniquet with the elderly?
Answer:
Blood pressure cuff
Question:
An adult patient developed a complication with his IV and it
had to be removed, yet continued IV fluids were needed.
Which site would be most appropriate for the nurse to
choose?
a. Proximal to the previous IV site.
b. Distal to the previous IV site.
c. In the antecubital fossa.
d. In the foot.
Answer:
A (The most appropriate site would be proximal to the previous site or in the opposite
extremity if possible. The foot in an adult should be avoided. Having the IV catheter
,located in the antecubital fossa would limit the patient's movement.)
Question:
At what angle should an IV catheter puncture the skin and vein
during insertion in a middle-aged adult?
a. 10- to 30-degree angle
b. 45-degree angle
c. 90-degree angle
d. 5- to 10-degree angle
Answer:
A (The skin and vein should be punctured with the catheter held at a 10- to 30-degree
angle. The angle of insertion may be decreased when inserting the catheter into an
elderly patient to avoid rolling the vein or puncturing through the vein. Superficial veins
require a smaller angle, and deeper veins require a greater angle. A 45-degree angle may
be used for administering a subcutaneous injection. A 90-degree angle may be used to
administer an intramuscular injection.)
Question:
When should the tourniquet be released a second time during
the procedure for insertion of a peripheral intravenous
device?
a. After the catheter is secured with tape or a transparent
dressing
b. Immediately after the catheter punctures the skin
c. Immediately after observing a "flashback" of blood in the
catheter
d. After a "flashback" of blood is observed and the catheter
has been advanced off the stylet
Answer:
D (The tourniquet is released after a "flashback" of blood is observed in the catheter's
flashback chamber and the catheter has been advanced off the stylet until the catheter
hub rests at the venipuncture site. Releasing the tourniquet restores blood flow to the
arm. If the tourniquet is released too soon, the vein will collapse, making insertion more
, difficult.)
Question:
The nurse is preparing an IV infusion prior to initiating an IV.
The nurse removes the protective sheath covering the tubing
insertion spike and accidentally touches the spike. What is the
nurse's best action at this time?
a. Wipe the insertion spike with an alcohol swab, allow to dry,
and insert into opening of IV bag.
b. Insert spike into opening of IV bag and compress the drip
chamber and release, allowing it to fill to one-half full.
c. Discard IV tubing and obtain a new one.
d. Discard IV tubing and fluids and obtain new supplies.
Answer:
C (The insertion spike has been contaminated. To reduce the likelihood of infection, the
nurse should discard the tubing and obtain a new one.)
Question:
The nurse knows to monitor the patient's IV site for signs of
phlebitis. Why is it most important to discontinue the IV site if
phlebitis is evident?
a. Because it will cause the patient pain.
b. In order to prevent the spread of infection to the other
extremity.
c. Phlebitis will eventually result in infiltration.
d. Phlebitis can be dangerous because blood clots can occur.
Answer:
D (Phlebitis can be dangerous because blood clots (thrombophlebitis) can occur and in
some cases may result in emboli. This may result in permanent damage to veins as well as
resulting in extended facility care.)
Question:
UPDATED Questions with 100% Verified Answers
Question:
Should you shave or clip hair of an IV site before starting an
IV?
Answer:
Clip! Shaving the hair may cause tiny abrasions which could increase the risk for infection.
Question:
Which anatomical part should be avoided in the elderly when
starting an IV?
Answer:
The dorsal part of the hand because the veins are susceptible to damage and the hand
can be bumped easily.
Question:
What may be used instead of a tourniquet with the elderly?
Answer:
Blood pressure cuff
Question:
An adult patient developed a complication with his IV and it
had to be removed, yet continued IV fluids were needed.
Which site would be most appropriate for the nurse to
choose?
a. Proximal to the previous IV site.
b. Distal to the previous IV site.
c. In the antecubital fossa.
d. In the foot.
Answer:
A (The most appropriate site would be proximal to the previous site or in the opposite
extremity if possible. The foot in an adult should be avoided. Having the IV catheter
,located in the antecubital fossa would limit the patient's movement.)
Question:
At what angle should an IV catheter puncture the skin and vein
during insertion in a middle-aged adult?
a. 10- to 30-degree angle
b. 45-degree angle
c. 90-degree angle
d. 5- to 10-degree angle
Answer:
A (The skin and vein should be punctured with the catheter held at a 10- to 30-degree
angle. The angle of insertion may be decreased when inserting the catheter into an
elderly patient to avoid rolling the vein or puncturing through the vein. Superficial veins
require a smaller angle, and deeper veins require a greater angle. A 45-degree angle may
be used for administering a subcutaneous injection. A 90-degree angle may be used to
administer an intramuscular injection.)
Question:
When should the tourniquet be released a second time during
the procedure for insertion of a peripheral intravenous
device?
a. After the catheter is secured with tape or a transparent
dressing
b. Immediately after the catheter punctures the skin
c. Immediately after observing a "flashback" of blood in the
catheter
d. After a "flashback" of blood is observed and the catheter
has been advanced off the stylet
Answer:
D (The tourniquet is released after a "flashback" of blood is observed in the catheter's
flashback chamber and the catheter has been advanced off the stylet until the catheter
hub rests at the venipuncture site. Releasing the tourniquet restores blood flow to the
arm. If the tourniquet is released too soon, the vein will collapse, making insertion more
, difficult.)
Question:
The nurse is preparing an IV infusion prior to initiating an IV.
The nurse removes the protective sheath covering the tubing
insertion spike and accidentally touches the spike. What is the
nurse's best action at this time?
a. Wipe the insertion spike with an alcohol swab, allow to dry,
and insert into opening of IV bag.
b. Insert spike into opening of IV bag and compress the drip
chamber and release, allowing it to fill to one-half full.
c. Discard IV tubing and obtain a new one.
d. Discard IV tubing and fluids and obtain new supplies.
Answer:
C (The insertion spike has been contaminated. To reduce the likelihood of infection, the
nurse should discard the tubing and obtain a new one.)
Question:
The nurse knows to monitor the patient's IV site for signs of
phlebitis. Why is it most important to discontinue the IV site if
phlebitis is evident?
a. Because it will cause the patient pain.
b. In order to prevent the spread of infection to the other
extremity.
c. Phlebitis will eventually result in infiltration.
d. Phlebitis can be dangerous because blood clots can occur.
Answer:
D (Phlebitis can be dangerous because blood clots (thrombophlebitis) can occur and in
some cases may result in emboli. This may result in permanent damage to veins as well as
resulting in extended facility care.)
Question:
