IV THERAPY EVALUATION TEST QUESTIONS AND ANSWERS SURE A.pdf

IV THERAPY EVALUATION TEST QUESTIONS AND
ANSWERS SURE A+
✔✔caused by puncture of vein during venipuncture, dislodgement of catheter, or a
poorly secured infusion device - ✔✔infiltration

✔✔Manifestations of infiltration - ✔✔coolness around site, edema, soreness, blanching

✔✔nursing interventions for infiltration - ✔✔CCC (cut off infusion, counteract effect of
drug, contain affected area), discontinue IV, apply warm/cold compress to site, elevate
site, be aware if drug is a vesicant

✔✔vesicant IV fluid - ✔✔blistering agent that damages tissue

✔✔extravasation - ✔✔leakage of vesicant (blistering agent that damages tissue) IV
fluid, tissue sloughing, more pain and burning

✔✔phlebitis - ✔✔inflammation of the vein

✔✔Manifestations of phlebitis - ✔✔redness/inflammation along length, edema,
hardness, pain, warmth

✔✔nursing interventions for phlebitis - ✔✔discontinue IV, apply warm, moist heat to
area as ordered

✔✔mechanical cause of phlebitis - ✔✔too large of a catheter in a small vein causing
irritation of the vein

✔✔chemical cause of phlebitis - ✔✔inflamed by irritating or vesicant
solutions/medications