EXAM SCRIPT TESTED QUESTIONS
VERIFIED CORRECT ANSWERS FULL
SOLUTION RESOURCE
⩥ Infiltration.
Answer: An IV that is pale, has local swelling, decreased skin
temperature around the site, damp dressing and slowed infusion is what
complication?
⩥ - Stop the infusion and remove catheter
- elevate extremity
- encourage ROM
- apply a cold or warm compress depending on the solution infiltrated.
- check with the provider to determine whether they still need IV
therapy..
Answer: What is the treatment for infiltrated IV?
⩥ Extravasation (infiltration of vesicant).
Answer: An IV is painful, burning, red and swelling what complication
is occurring?
,⩥ - Stop the infusion and notify the provider
- follow facility protocol. (withdrawing the vesicant solution from the IV
access and infusing an antidote through catheter before removal.
- repeated treatment for infiltration..
Answer: what is the treatment for extravasation?
⩥ Fluid overload.
Answer: A pt receiving IV solutions begins appearing with distended
neck veins, hypertension, tachycardia, SOB, crackles in lungs, and
edema what complication is occurring?
⩥ - Slow IV rate or stop.
- raise HOB
- monitor VS & O2
- Adjust the rate after correcting fluid.
- anticipate administering diuretics.
Answer: What is the treatment for fluid overload?
⩥ Phlebitis/thrombophlebitis.
Answer: A pt with an IV appears edematous, erythema, throbbing,
burning, or pain at the site, increased skin temperature, red line, and
slowed infusion
,are s/s of what IV complication?
⩥ - promptly d/c the infusion and remove the catheter.
- elevate extremity
- apply a cold compress to minimize flow of blood, then warm to
increase circulation.
- restart if needed.
- obtain a specimen for culture at site..
Answer: what treatments are there for phlebitis/thrombophlebitis?
⩥ - Rotate sites at least every 72 hours according to facility policy.
- Monitory IV sites using phlebitis scale
- avoid lower extremities
- use hand hygiene
- use surgical aseptic technique..
Answer: What are some ways to prevent thrombophlebitis?
⩥ Central nervous system stimulation.
Answer: what type of medication would put a patient at risk for seizures
and precautions should be taken.
⩥ Central nervous system depression.
, Answer: what type of medication would require a patient to do not drive,
operate heavy machinery, or participate in other activities can be
dangerous.
⩥ Anticholinergic drugs.
Answer: what type of medications will require clients to increase fluids
for their dry mouth, wear sunglasses for photophobia, maintaining
urinary habits, and avoid overheating.
⩥ Cardiovascular medications.
Answer: What type of medications would make clients monitor for
indications of orthostatic hypotension (lightheadedness, dizziness).
⩥ - monitoring AST and ALT
- n/v
- jaundice
- dark urine
- abdominal discomfort
- anorexia
Primarily with acetaminophen..
Answer: A nurse should do what when giving medications that can
create hepatoxicity?
⩥ Primarily result of antimicrobial agents and NSAIDs.