NR-226 FLUID ADMINISTRATION & ACID BASE BALANCE,
PREWORK 6 & 7 EXAM II ASSESSMENT ALREADY PASSED WITH
FIRST TRIAL
rp rigid
1. define Venipuncture: a technique in which a vein is punctured stylet
through
the skin by a sha metal needle) (e.g.,
2. Guidelines for preventing Intravenous infections: #1 - Hand Hygiene
• Gloves
• Standard Precautions
• Tubing Changes
• Do Not Write on Bags
• Sterile insertion
• Maintain asepsis
3. Protection of Skin and Veins of Older adults During Intravenous
Therapy: • Use the smallest-gauge catheter or needle possible (e.g., 22 to 24 gauge). Veins are
very fragile, and a smaller gauge allows better blood flow to provide increased hemodilution of the
intravenous (IV) fluids or medications
• Avoid the back of the hand, which may compromise a patient's need for independence and mobility.
• Avoid placement of IV line in veins that are easily bumped because older adults have less subcutaneo
support tissue
• Avoid vigorous friction while cleaning a site to prevent tearing fragile skin.
• If a patient has fragile skin and veins, use minimal or no tourniquet pressure
• If using a tourniquet, place it over the patient's sleeve or use a blood pressure cutt.
• With loss of supportive tissue, veins tend to lie more superficially; lower the insertion angle for
venipuncture to 10 to 15 degrees after penetrating the skin
• Veins roll away from the needle easily because of loss of subcutaneous tissue. To stabilize a vein, apply
traction to the skin below the projected insertion site
• Secure IV site with a catheter stabilization device, avoiding excessive use of tape on fragile skin; consider
covering the site additionally with surgical stretch mesh
• Numerous medications and supplements (e.g., anticoagulants, antibiotics, glucocorticoids, and garlic)
increase the likelihood of bruising and bleeding
4. Rotate peripheral IV site every: q72 hours
5. Can the same needle be used again if the nurse missed the first
, NR-226 FLUID ADMINISTRATION & ACID BASE BALANCE,
PREWORK 6 & 7 EXAM II ASSESSMENT ALREADY PASSED WITH
stick?: NO! new needle FIRST TRIAL
-needs to be sterile
, NR-226 FLUID ADMINISTRATION & ACID BASE BALANCE,
PREWORK 6 & 7 EXAM II ASSESSMENT ALREADY PASSED WITH
FIRST TRIAL
6. How should the nurse proceed if he needs to write something
on an IV bag?: use a sticker; Write on the sticker/label and place it on the IV bag
-Never write directly on an IV bag
7. Change IV fluids every: q24 hours to prevent infections
8. What must be done if nurse needs to access a port?: clean it for 15
seconds w/ alcohol wipe.
9. A nurse must clean the port for
seconds, unless it has a : 15 seconds; c
10. Describe the Cap of an IV port: it is a cap on the port,
-they have alcohol in them and stay on the port
-w/in 5 minutes of being on port, the alcohol sterilizes the port
11. define Infiltration: fluid/ meds that were intended to go intravenously, have now
infiltrated into the tissues (interstitially)
-If vesicant (cytotoxic) med this can be dangerous.
-depending on meds, may need an antidote
-Call pharmacist, explain, they will inform you if you need to apply cold or heat to site
-establish new site
12. What does the site/skin look like w/ Infiltration?: Taut, pale, blanched, cool,
Edema, painful, Alarm on pump will sound cuz its hard to push fluid in (infusion may slow / stop)
13. What would be the priority action if a nurse sees infiltration or
phlebitis?: Stop the IV
14. define Phlebitis or Thrombophlebitis: -Inflammation of the vein
-apply warm compress
-change the site and restart meds
15. Manifestations of phlebitis: redness/ inflammation along length, edema,
hardness, pain, warmth, tenderness, palpable vein
-red streak
16. define Hematoma: -bruising, ecchymosis, dark, hard area, bleeding under skin
-Do not put alcohol on it
-may develop of puncture vein all the way thru or if not enough pressure is placed after removal of the
catheter (vein bleeds under skin)
17. define Fluid overload: -Stop IV site, raise the head of bed, get Vitals, SpO2,
PREWORK 6 & 7 EXAM II ASSESSMENT ALREADY PASSED WITH
FIRST TRIAL
rp rigid
1. define Venipuncture: a technique in which a vein is punctured stylet
through
the skin by a sha metal needle) (e.g.,
2. Guidelines for preventing Intravenous infections: #1 - Hand Hygiene
• Gloves
• Standard Precautions
• Tubing Changes
• Do Not Write on Bags
• Sterile insertion
• Maintain asepsis
3. Protection of Skin and Veins of Older adults During Intravenous
Therapy: • Use the smallest-gauge catheter or needle possible (e.g., 22 to 24 gauge). Veins are
very fragile, and a smaller gauge allows better blood flow to provide increased hemodilution of the
intravenous (IV) fluids or medications
• Avoid the back of the hand, which may compromise a patient's need for independence and mobility.
• Avoid placement of IV line in veins that are easily bumped because older adults have less subcutaneo
support tissue
• Avoid vigorous friction while cleaning a site to prevent tearing fragile skin.
• If a patient has fragile skin and veins, use minimal or no tourniquet pressure
• If using a tourniquet, place it over the patient's sleeve or use a blood pressure cutt.
• With loss of supportive tissue, veins tend to lie more superficially; lower the insertion angle for
venipuncture to 10 to 15 degrees after penetrating the skin
• Veins roll away from the needle easily because of loss of subcutaneous tissue. To stabilize a vein, apply
traction to the skin below the projected insertion site
• Secure IV site with a catheter stabilization device, avoiding excessive use of tape on fragile skin; consider
covering the site additionally with surgical stretch mesh
• Numerous medications and supplements (e.g., anticoagulants, antibiotics, glucocorticoids, and garlic)
increase the likelihood of bruising and bleeding
4. Rotate peripheral IV site every: q72 hours
5. Can the same needle be used again if the nurse missed the first
, NR-226 FLUID ADMINISTRATION & ACID BASE BALANCE,
PREWORK 6 & 7 EXAM II ASSESSMENT ALREADY PASSED WITH
stick?: NO! new needle FIRST TRIAL
-needs to be sterile
, NR-226 FLUID ADMINISTRATION & ACID BASE BALANCE,
PREWORK 6 & 7 EXAM II ASSESSMENT ALREADY PASSED WITH
FIRST TRIAL
6. How should the nurse proceed if he needs to write something
on an IV bag?: use a sticker; Write on the sticker/label and place it on the IV bag
-Never write directly on an IV bag
7. Change IV fluids every: q24 hours to prevent infections
8. What must be done if nurse needs to access a port?: clean it for 15
seconds w/ alcohol wipe.
9. A nurse must clean the port for
seconds, unless it has a : 15 seconds; c
10. Describe the Cap of an IV port: it is a cap on the port,
-they have alcohol in them and stay on the port
-w/in 5 minutes of being on port, the alcohol sterilizes the port
11. define Infiltration: fluid/ meds that were intended to go intravenously, have now
infiltrated into the tissues (interstitially)
-If vesicant (cytotoxic) med this can be dangerous.
-depending on meds, may need an antidote
-Call pharmacist, explain, they will inform you if you need to apply cold or heat to site
-establish new site
12. What does the site/skin look like w/ Infiltration?: Taut, pale, blanched, cool,
Edema, painful, Alarm on pump will sound cuz its hard to push fluid in (infusion may slow / stop)
13. What would be the priority action if a nurse sees infiltration or
phlebitis?: Stop the IV
14. define Phlebitis or Thrombophlebitis: -Inflammation of the vein
-apply warm compress
-change the site and restart meds
15. Manifestations of phlebitis: redness/ inflammation along length, edema,
hardness, pain, warmth, tenderness, palpable vein
-red streak
16. define Hematoma: -bruising, ecchymosis, dark, hard area, bleeding under skin
-Do not put alcohol on it
-may develop of puncture vein all the way thru or if not enough pressure is placed after removal of the
catheter (vein bleeds under skin)
17. define Fluid overload: -Stop IV site, raise the head of bed, get Vitals, SpO2,
