NURA 230 IV Therapy Exam Questions with Correct Answers Graded A+
Assessment - Answers Location, Gauge, Date, Appearance, Patent
IVF (IV fluids) - Answers is it S\L (saline locked), intermittent, continuous
What if an IV won't flush - Answers clot, crystallization from meds, don't force (but it may be clamped)
Heparin flush - Answers dialysis patients, cancer port patients (higher risk of clots)
Gauge of peripheral venous caths (short term) - Answers 22-Blue, 20-Pink, 18-Green, 16-Gray
Vesicants - Answers Meds that are very irritating to the vein
Infiltration - Answers no longer in the vein, in the tissue, causes coolness and swelling, no blood return
what to do if a infiltration occurs - Answers D/C the IV, restart in another arm or vein *dont go below go
above* if *vesicant* leave in to give antidote
phlebitis - Answers inflammation of the vein, if med wasn't diluted, pt usually complain of burning, pain,
redness, warmth, feels very hard
cellulitis - Answers inflammation/infection within the Sub-Q tissue, redness, edema, firm, fever, possible
drainage (pt will need IV antibiotics)
central line/picc line - Answers central has to be inserted by MD, IV nurse can insert PICC line
extravasation - Answers tissue sloughing, wound that develops, (don't use that arm anymore) pain,
swelling, necrosis
reasons for central access - Answers vesicants, chemo, long-term antibiotic, drugs risk of causing
phlebitis, TPN/Lipids, multiple blood draws, blood infusion, dialysis, shock/burns
before any central line can be used - Answers get a CXR
measuring a B/P - Answers don't do it in an arm with PICC line
tunneled catheters/ports (implanted under skin) - Answers require heparin flush
central lines usually sit - Answers around subclavian
complications from central line - Answers thrombus, embolism, CLBSI, pneumothroax, catheter
migration
thrombus - Answers clot that is staying still
embolism - Answers a traveling clot
Assessment - Answers Location, Gauge, Date, Appearance, Patent
IVF (IV fluids) - Answers is it S\L (saline locked), intermittent, continuous
What if an IV won't flush - Answers clot, crystallization from meds, don't force (but it may be clamped)
Heparin flush - Answers dialysis patients, cancer port patients (higher risk of clots)
Gauge of peripheral venous caths (short term) - Answers 22-Blue, 20-Pink, 18-Green, 16-Gray
Vesicants - Answers Meds that are very irritating to the vein
Infiltration - Answers no longer in the vein, in the tissue, causes coolness and swelling, no blood return
what to do if a infiltration occurs - Answers D/C the IV, restart in another arm or vein *dont go below go
above* if *vesicant* leave in to give antidote
phlebitis - Answers inflammation of the vein, if med wasn't diluted, pt usually complain of burning, pain,
redness, warmth, feels very hard
cellulitis - Answers inflammation/infection within the Sub-Q tissue, redness, edema, firm, fever, possible
drainage (pt will need IV antibiotics)
central line/picc line - Answers central has to be inserted by MD, IV nurse can insert PICC line
extravasation - Answers tissue sloughing, wound that develops, (don't use that arm anymore) pain,
swelling, necrosis
reasons for central access - Answers vesicants, chemo, long-term antibiotic, drugs risk of causing
phlebitis, TPN/Lipids, multiple blood draws, blood infusion, dialysis, shock/burns
before any central line can be used - Answers get a CXR
measuring a B/P - Answers don't do it in an arm with PICC line
tunneled catheters/ports (implanted under skin) - Answers require heparin flush
central lines usually sit - Answers around subclavian
complications from central line - Answers thrombus, embolism, CLBSI, pneumothroax, catheter
migration
thrombus - Answers clot that is staying still
embolism - Answers a traveling clot
