Nur 172 exam 2- IV THERAPY HONDROS Questions and Answers 100% Pass

Nur 172 exam 2- IV THERAPY HONDROS Questions and Answers 100% Pass WHO recommendations - Correct Answer ️️ -Wash hands(b4&after) when doing any FOLEY care. No Acrylic Nails Nails are to be no longer than 1/4 inch Wash hands for 15-30 seconds NO JEWLERY Hematoma - Correct Answer ️️ -Infiltration of blood in the tissues at the venipuncture site S/S: swelling and discomfort at IV SITE Causes of Hematoma TX - Correct Answer ️️ -Poor venipuncture technique Patients taking steroids or anticoagulants/ASA TX: direct pressure Elevate extremity Ice/cold pack TX of Fluid volume overload (pulmonary edema) S/S - Correct Answer ️️ -S/S: Crackles Blood tinged Sputum SOB Low pulse/Ox TX: IM Lasix, Daily weights, fluid restrictions, Oxygen, slow IV rate or KVO or STOP it. infiltrate - Correct Answer ️️ -Common complication; when IV fluid happens to make its way outside the vein. This is why we check IV sites Q2-4H S/S: cool, pale, edematous skin with pain Tx: Heat/Cold compress, take IV out, check facility(MD ORDER) protocol, elevate extremity, continue to monitor Vesicant - Correct Answer ️️ -A fluid/ medication that can cause injury or even death to tissue if leaked outside the vein Examples of vesicants - Correct Answer ️️ --Calcium Chloride -Calcium Gluconate -Contrast -Dextrose 10% -Vancomycin -Potassium Chloride Extravasation - Correct Answer ️️ -infiltration of vesicant type medication S/S: looks like Infiltration but, blisters develop and the skin starts to slough off. Tx: STOP infusion IMMEDIATELY Check for antidote before removing IV, check with Pharmacists for directions with heat or cold or elevation of extremity, Monitor Patient closely. What can happen when extravasation occurs? - Correct Answer ️️ -Prolonged healing Potential infection Multi-debriment surgeries Cosmetic disfigurement Loss of limb functio