____________ solution should be administered in larger veins. Why? correct answers
Hypertonic, increased flow rate
What is the blood flow rate in the cephalic and basilic veins? correct answers 45-95
What is the blood flow rate in the subclavian vein? correct answers 150-300
What is the blood flow rate in the superior vena cava? correct answers 2000
What are some veins you should avoid for venipuncture due to higher risk of nerve injury? (3)
correct answers Cephalic vein, antecubital fossa, palm side of wrist
What are the pros (1) and cons (3) of using the metacarpal veins? correct answers Easy to see,
hard to access in infants/lots of SC fat/loss of skin turgor in older adults
What are the pros (1) and cons (1) of using the basilic veins? correct answers Easy to palpate,
moves easily
What is the 16 step venipuncture method? correct answers Check the order, hand hygiene,
prepare equipment, assess patient, select vein, pain management, catheter selection, gloving, site
prep, vein entry, catheter stabilization and dressing, label, dispose equipment, patient education,
rate calculations, documentation
What should the order for and IV include? (8) correct answers Date and time, infusate, route,
dose, VTIB, rate, duration, signature
What are some advantages of midline catheters? (2) correct answers Longer dwell time,
improved hemodilution
, PIVs are used for __ or fewer days of infusion. Midline catheter infusions last for up to __ days.
correct answers 5, 14
When do you do hand hygiene when initiating an IV? (6) correct answers Before and after
palpating catheter insertion sites, inserting catheter, replacing catheter, accessing catheter,
repairing catheter, dressing catheter
What are some examples of patient identifiers? (3) correct answers Name, ID number, birth date
What is site selection based on? (6) correct answers Patient's condition, age, diagnosis, vascular
condition, history, type and duration of therapy
In today's practice, is the hand or forearm initially accessed? Why? (4) correct answers Forearm,
increase dwell time, decrease pain, promote self-care, prevent accidental removal
What are advantages to forearm placement? (5) correct answers Larger veins (better
hemodilution), less irritation, less movement, ease of stabilization, less interference with ADLs
When subsequent PIV placement is required, placement should always be ___________ the
previously placed PIV. correct answers Above
Where are some areas to avoid during IV initiation? (6) correct answers Lower extremities
(embolism, phlebitis), compromised veins, areas of flexion, cephalic vein above thumb, ventral
surface of wrist (pain, nerve damage), extremity with cellulitis/fistula/lymph node dissection/side
of stroke
Are PIVs reliable for blood tests? correct answers Yes
Scalp veins are used in infants less than what age? correct answers 18 months