ACTUAL Exam Questions and
CORRECT Answers
The 5 purposes of IV therapy?
1) Restore or maintain _______ and ________
2) Use it to _________
3) Provide __________
4) _________ therapy
5) Route for __________ - CORRECT ANSWER - -fluid and electrolytes
-administer medicines
-nutrition
-Transfusion
-blood sampling
Components of IV therapy order:
1) Type of _________
2) Any ________ in solution and what _________- it is (i.e. D5 1⁄2 NS + 20k)
3) _______ and _______ and _______ (i.e. 1000mL q8h, 100mL/h)
5) __________ (i.e. Peripheral IV, Central Line) - CORRECT ANSWER - -solution
-additives
-concentration
-Rate, volume, duration
-Method
- Medications are administered ______ for their immediate effect.
- It is the most ________ site. (no getting those meds back)
- The absorption is most _________ (straight into blood stream)
,- It is the ________, it goes right into the blood stream. You cannot get it back.
- Have to be at least _____ to do it, so if you're going straight IV push you have to be an RN, or a
student with an instructor standing there - CORRECT ANSWER - -IV
-dangerous
-complete
-fastest
-RN
- We can add ________ to an infusion.
- When it comes to LPNs, if the medications are added to the infusion by the pharmacist then the
LPN can ______ the IV drug. However, they are not allowed to do the actual _________.
- So, if you're working the night shift and the pharmacy is closed, You have to administer the
medication if it's mixed, because you're going to be the one mixing it. Can the LPN mix it? why?
- CORRECT ANSWER - -medications
-hang
-mixing
-no, pharmacist didnt do it
when a concentrated dose is given directly into the IV, or directly into the saline lock, or on rare
occasions directly into the pt's vein. OR we can give it by intermittent infusion, secondary
infusion, piggyback infusion. - CORRECT ANSWER - IV push (IV blous)
If it's an intermittent infusion:
The pt could have a _________ IV that's running and we could go in periodically, we could
piggyback a second little one in, and when that's done we disconnect that little bag. So we could
give a gram of Ancef q8h, and when that's done we discontinue that small infusion.
OR we could do it to a ________:
In between they have no IV, they just have the saline lock sitting in their arm. - CORRECT
ANSWER - -primary
-saline lock
, Solution (liquid containing dissolved substances called solutes):
what are the 3 types of solutions? - CORRECT ANSWER - Isotonic, hypertonic,
hypotonic
_________ of solution: How it compares to normal blood plasma
When discussing Isotonic, Hypertonic, or Hypotonic of a solution, it's always compared to that
of the _________ to make that determination. That's how we measure it.
(vascular space measures tonicity) - CORRECT ANSWER - -Tonicity
-vascular space
__________: The same tonicity as the blood.
Solution ONLY expand within the _________ (inside the blood vessels) volume.
What are examples?
__________ (________) & tonicity of _______
_______ (5% sugar in water) when in the bag, osmolarity of ______, however this is not isotonic
in the body, its _______ because the body is going to use the sugar, and leave the _____ and go
into the _______.
Lactated ringers osmolarity of ______ - CORRECT ANSWER - -Isotonic
-intravascular
-0.9% Saline, normal saline, 308
-D5W, 260, hypotonic, h2o, cells
-275