WITH ANSWERS GUARANTEE A+
✔✔Decrease in total water - ✔✔Approximately 6% reduction in body water
✔✔Diminished pulmonary function - ✔✔Predisposes patient to carbon dioxide retention
✔✔Immune system changes - ✔✔Causes patient to be hyporesponsive to foreign
antigens
✔✔What is a Volutrol and when should it be used? - ✔✔An administration set that helps
to avoid inadvertent fluid overload, can deliver large amounts of IV fluid safely
✔✔Name 3 characteristics concerning adolescents and IV therapy - ✔✔Peer status
Hyper responsive to pain
Noncompliance with medication and treatment plan
✔✔Name the steps for flushing and IV catheter before administering medication
There are 4 steps - ✔✔1. Check for patency of catheter
2. Flush with sodium chloride using a push pause method
3. Administer the medication
4. Flush with normal saline and apply positive pressure
✔✔What is the purpose of a patient controlled analgesia pump? - ✔✔To allow the
patient control of the activated bolus dosing
- Educate the family, do not need pain meds while sleeping, only the patient can press
the button
✔✔Where should you take a pediatric patient to start an IV? - ✔✔You should take them
to a treatment room so that their room is a safe environment
- Do not do harmful treatments in the room
✔✔IV therapy related factors that cause variations in respiratory function - ✔✔Fluid
balances imbalance
Acid base - pH changes
Emboli
✔✔Local complication with IV therapy - ✔✔Phlebitis
Infiltration
Extravasation
✔✔Main sources of bacteria responsible for IV associated infections - ✔✔Port of entry:
air, blood, and skin
, ✔✔What things should we look for on extremity to start IV - ✔✔Ecchymosis, extremity
affected by CVA
✔✔Aging process involving changes in cardiovascular system - ✔✔Increased fragility of
the veins
✔✔Older patients and their inability to metabolize drugs - ✔✔Caused by alterations in
hepatic function
✔✔Ambiguity: Etiological factors that contribute to drug errors - ✔✔Improper
administration techniques, illegible orders, inadequate monitoring of pt response
✔✔How can the IV certified LPN administer an IV push drug - ✔✔Through the Y
injection port of the primary infusion administration set or through the injection port of an
intermittent infusion set
✔✔Cannula hub should be stabilized during tape and dressing removal, why? - ✔✔Tp
prevent discontinuation generated mechanical phlebitis
✔✔Which nursing consideration should the IV certified LPN observe while monitoring a
pt for chemotherapy side effects? - ✔✔Document and report to physician
✔✔Immediate nursing intervention should be taken in response to an acute
intravascular hemolytic reaction - ✔✔Stop the transfusion
Keep the vein open with normal saline
Disconnect blood administration set from cannula
Start another set with new tubing and normal saline
✔✔Pt is receiving parenteral nutrition infusions - ✔✔Start slowly and increase until
desired infusion rate is achieved
✔✔Supplies to bring into room to start an IV - ✔✔Tourniquet, tape, dressing, catheter,
antiseptic for the skin, gloves
✔✔Bio incompatibility - ✔✔Prevent by flushing line with normal saline between meds
✔✔3 purposes of documentation - ✔✔Communicates patient's status
Obtain reimbursement
Legal record of care provided
✔✔What do valves do? - ✔✔Prevent back flow of blood
✔✔Standard of care vs standard of practice - ✔✔Standard of practice: activates and
belabors of practitioner needed to achieve pt outcomes