NURSING 172 STUDY EXAM GUIDE UPDATED
QUESTIONS AND ANSWERS GRADED A+
✔✔Once a week sterile procedure - ✔✔How often do dressings for picc have to be
changed and what kind of procedure is it
✔✔Flush - ✔✔Syringe are pre-filled with NS and the saline lock has to be swiped for 15
seconds before we connect the syringe
✔✔Two attempts - ✔✔How many attempts to start an Iv before getting help
✔✔30 seconds - ✔✔How long does IV site have to be cleaned before insertion in skin
✔✔Stylet needle - ✔✔Create an opening through the skin into the bloodstream causes
a risk for infection
✔✔How long IV therapy is
Condition of patients veins
Type of solution to infuse - ✔✔What do we take into consideration when choosing right
infusion catheter for patient
✔✔Over joint - ✔✔Where do we not Place peripheral IV to prevent complications
✔✔The smallest gauge that is appropriate for prescribed therapy - ✔✔What kind of
needle should you pick for IV therapy
✔✔Stop and fusion immediately
Remove catheter
Use antidote when appropriate
Unusual occurrence report
Cool or warm compress - ✔✔What do we do for an infiltration
✔✔Cool to touch
Swelling
Solution leaks into surrounding tissue
Absence of blood flow
Fluid leaking - ✔✔S sx of infiltration
✔✔Patients on anticoagulant such as warfarin aspirin Lovenox - ✔✔What patients are
at risk for developing hematoma
✔✔Elevate extremity
Pressure on site for 2 minutes
Cold compress to reduce swelling - ✔✔What do we do for a hematoma
, ✔✔When fluid escapes from the vein into surrounding tissue - ✔✔What is an infiltration
✔✔Hematoma - ✔✔Most common complication that is caused by Blood leaking into the
tissue during or after venipuncture and is rapid swelling at or near site
✔✔Swelling
Pain
Discoloration of skin
Resistance 2 pressure during catheter Flushing - ✔✔S sx hematoma
✔✔Extravasation - ✔✔An inadvertant administration of the vesicant medication into the
surrounding tissue may cause necrosis
✔✔Discontinue catheter and apply warm compress
Do not flush forcefully - ✔✔Thrombosis what to do for
✔✔Warm to touch
Redness
Local swelling
Able to feel cord - ✔✔Signs and symptoms of thrombosis
✔✔Caused by phlebitis a coagulant in vein - ✔✔What is thrombosis
✔✔Phlebitis is an inflammation and pain and tenderness along the vein also referred to
thrombosis - ✔✔What is phlebitis
✔✔Septcemia what is it - ✔✔Bloodstream infection
Need to get blood culture by not discarding IV catheter
Systemic complication may be life threatening
✔✔Give IV fluid and antibiotics
Give oxygen
Monitor temp white blood cell and blood cultures - ✔✔What do you do for septicemia
✔✔Rapid weight gain
Increase in blood pressure and heart rate
Edema
Crackles in lungs
Distended neck veins - ✔✔Circulatory overload signs and symptoms
✔✔Call rapid response team
Decrease IV flow rate
Place patient on high Fowler
QUESTIONS AND ANSWERS GRADED A+
✔✔Once a week sterile procedure - ✔✔How often do dressings for picc have to be
changed and what kind of procedure is it
✔✔Flush - ✔✔Syringe are pre-filled with NS and the saline lock has to be swiped for 15
seconds before we connect the syringe
✔✔Two attempts - ✔✔How many attempts to start an Iv before getting help
✔✔30 seconds - ✔✔How long does IV site have to be cleaned before insertion in skin
✔✔Stylet needle - ✔✔Create an opening through the skin into the bloodstream causes
a risk for infection
✔✔How long IV therapy is
Condition of patients veins
Type of solution to infuse - ✔✔What do we take into consideration when choosing right
infusion catheter for patient
✔✔Over joint - ✔✔Where do we not Place peripheral IV to prevent complications
✔✔The smallest gauge that is appropriate for prescribed therapy - ✔✔What kind of
needle should you pick for IV therapy
✔✔Stop and fusion immediately
Remove catheter
Use antidote when appropriate
Unusual occurrence report
Cool or warm compress - ✔✔What do we do for an infiltration
✔✔Cool to touch
Swelling
Solution leaks into surrounding tissue
Absence of blood flow
Fluid leaking - ✔✔S sx of infiltration
✔✔Patients on anticoagulant such as warfarin aspirin Lovenox - ✔✔What patients are
at risk for developing hematoma
✔✔Elevate extremity
Pressure on site for 2 minutes
Cold compress to reduce swelling - ✔✔What do we do for a hematoma
, ✔✔When fluid escapes from the vein into surrounding tissue - ✔✔What is an infiltration
✔✔Hematoma - ✔✔Most common complication that is caused by Blood leaking into the
tissue during or after venipuncture and is rapid swelling at or near site
✔✔Swelling
Pain
Discoloration of skin
Resistance 2 pressure during catheter Flushing - ✔✔S sx hematoma
✔✔Extravasation - ✔✔An inadvertant administration of the vesicant medication into the
surrounding tissue may cause necrosis
✔✔Discontinue catheter and apply warm compress
Do not flush forcefully - ✔✔Thrombosis what to do for
✔✔Warm to touch
Redness
Local swelling
Able to feel cord - ✔✔Signs and symptoms of thrombosis
✔✔Caused by phlebitis a coagulant in vein - ✔✔What is thrombosis
✔✔Phlebitis is an inflammation and pain and tenderness along the vein also referred to
thrombosis - ✔✔What is phlebitis
✔✔Septcemia what is it - ✔✔Bloodstream infection
Need to get blood culture by not discarding IV catheter
Systemic complication may be life threatening
✔✔Give IV fluid and antibiotics
Give oxygen
Monitor temp white blood cell and blood cultures - ✔✔What do you do for septicemia
✔✔Rapid weight gain
Increase in blood pressure and heart rate
Edema
Crackles in lungs
Distended neck veins - ✔✔Circulatory overload signs and symptoms
✔✔Call rapid response team
Decrease IV flow rate
Place patient on high Fowler
