IV therapy exam 2 UPDATED Exam Questions and CORRECT Answers

IV therapy exam 2 UPDATED Exam
Questions and CORRECT Answers
IV infiltration is - CORRECT ANSWER - Localized inadvertent administration of a
nonvesicant IV solution into surrounding tissues.


~IV catheter is improperly placed or secured
~IV catheter becomes dislodged
~IV is placed in a vein that is thin or fragile.

~Infusion pump set at a pressure setting greater than 10 psi - CORRECT ANSWER -
Causes IV infiltration


A solution that does not cause blisters - CORRECT ANSWER - is a nonvesicant IV
solution


Swelling, discomfort, burning, tightness, cool skin, and blanching (whitish color that appears
when pressure is applied), IV will not run or runs at a slower rate are - CORRECT
ANSWER - Signs and symptoms of IV infiltration


Nerve and muscle damage may occur and pt may loose function in the affected extremity -
CORRECT ANSWER - If IV INFILTRATION is severe



IV INFILTRATION - CORRECT ANSWER - Apply slight pressure over the vein about 3
inches below the catheter tip. If IV continues to
flow, it is probably infiltrated.


Checking for positive blood return is not a reliable indicator of whether the IV is - CORRECT
ANSWER - infiltrated

,Check for edema - CORRECT ANSWER - this is not always are reliable indicator of
whether the IV is infiltrated as edema may be due to immobilization, etc.


What do I do if an IV is infiltrated? - CORRECT ANSWER - • Stop the infusion
• *Remove the catheter*
• Determine the severity - INS (Nursing Infusion Society) Scale
• A rating of grade 2 or more must be reported as an unusual occurrence and an incident report
must be completed
• Start a new IV in the other arm
• Warm or cold compresses per facility protocol or physician's order
• Elevate - if patient desires (elevation does not affect fluid absorption)


No symptoms - CORRECT ANSWER -0


Skin blanched Edema <1 in. around site Cool to touch With or without pain - CORRECT
ANSWER -1


Skin blanched Edema 1 to 6 in. around site Cool to touch With or without pain - CORRECT
ANSWER -2


Skin blanched and translucent Gross edema >6 in. around site Cool to touch Mild to moderate
pain Possible numbness - CORRECT ANSWER -3


Skin blanched and translucent Skin tight, leaking Skin discolored, bruised, swollen Gross edema
>6 in. around site Deep pitting edema Circulatory impairement Moderate to severe pain
Infiltration of any amount of blood product, irritant, or vesicant - CORRECT ANSWER -
4


• Blanching skin
• Tight, leaking

, • Discolored

• Gross edema - CORRECT ANSWER - INFILTRATION GRADE 4



What is IV extravasation? - CORRECT ANSWER - When a vesicant drug infiltrate



What causes IV extravasation - CORRECT ANSWER - • IV catheter is improperly placed
or secured
• IV catheter becomes dislodged
• IV is placed in a vein that is thin or fragile.
• Infusion pump set at a pressure setting greater than 10 psi


What are the signs and symptoms of extravasation? - CORRECT ANSWER - vesicants
will cause pain or burning around the IV site rather than just discomfort


What do I do for IV extravasation? - CORRECT ANSWER - • Stop the infusion
• Always grade as 4 and do incident report
• *Do not remove catheter* in can an antidote can be administered into the tissue
• Monitor for infection
• Site may become disfigured, pt may have loss of function, or amputation


Inflammation of the vein due to mechanical or chemical causes is known as - CORRECT
ANSWER - PHLEBITIS


• Using too large catheter in a small vein
• Improper securing of the catheter - this allows movement and over-manipulation of the catheter

• Prolonged use - CORRECT ANSWER - Mechanical phlebitis


* Chemical phlebitis*