NURSING 172 ACTUAL FINAL PAPER UPDATED
QUESTIONS AND ANSWERS GRADED A+
✔✔If the patient notices the dressing of the peripheral nerve catheter coming off before
sensation returns, what should you instruct them to do? - ✔✔Reinforce with tape, DO
NOT remove the dressing
✔✔True or False: the patient should not take a shower or tub bath while the catheter is
in place. - ✔✔True - patient should do a sponge bath instead
✔✔What are the goals of IV therapy? - ✔✔Maintenance, replacement, restoration of
homeostasis
✔✔Maintenance therapy - ✔✔provides nutrients that meet the daily needs of a patient
for water, electrolytes, and dextrose
✔✔Replacement therapy - ✔✔necessary to take care of fluid, electrolyte, or blood
product deficits of patients in acute distress
✔✔Restoration - ✔✔when maintenance and replacement therapy don't meet the needs
of the patient, fluid and electrolyte management is accomplished through this
✔✔What is the preferred antiseptic agent recommended by INS? - ✔✔Chlorhexidine
✔✔How long should the needless connector be scrubbed for? - ✔✔15 seconds
✔✔Why is the saline lock (formerly: hep-lock) primed before it is attached to the hub of
the catheter during IV insertion? - ✔✔to avoid air embolism
✔✔What is hematoma? - ✔✔Infiltration of blood into tissues at ventipuncture site
✔✔S/S of hematoma - ✔✔discoloration of skin, swelling and discomfort, inability to
advance cannula into vein, resistance to pressure during flushing
✔✔Prevention of hematoma - ✔✔use indirect method for starting a PIV
✔✔Treatment of hematoma - ✔✔removal of catheter, direct pressure on site with
gauze, elevate extremity, apply ice to affected area
✔✔What is thrombosis? - ✔✔catheter related obstruction
✔✔S/S of thrombosis - ✔✔fever, malaise, slowed or stopped infusion rate, inability to
flush catheter
, ✔✔Treatment for thrombosis - ✔✔Remove IV, notify MD - NEVER flush cannula to
remove occlusion
✔✔What is inflitration? - ✔✔Inadvertent administration of nonvesicant solution to
surrounding tissues
✔✔S/S of infiltration - ✔✔swollen, cool, taut, pale skin
✔✔Interventions for infiltration - ✔✔stop infusion, remove IV catheter
✔✔What is phlebitis? - ✔✔Inflammation of delicate inner lining of the vein
✔✔S/S of phlebitis - ✔✔site is red, warm to touch, localized swelling, palpable cord,
painful, sluggish infusion rate
✔✔Treatment for phlebitis - ✔✔discontinue IV, warm or cold compress to affected site,
restart infusion in opposite extremity using new admin set
✔✔What is extravasation? - ✔✔The inadvertent administration of vesicant solution to
surrounding tissue
✔✔Patient becomes at risk for extravasation with which hypertonic solution? - ✔✔D10W
✔✔Extravasation - ✔✔can lead to tissue necrosis, debridement surgeries, cosmetic
disfiguration, amputation
✔✔S/S of extravasation - ✔✔pain, burning, change in temp of skin, tightness, blanching
of area, slow or stopped infusion
✔✔Treatment for extravasation - ✔✔stop infusion, use 1-3mL syringe to pull back as
much vesicant med as possible, remove IV
✔✔What is a venous spasm? - ✔✔Sudden, involuntary contraction of a vein or artery
resulting in temporary cessation of blood flow through a vessel; usually results from
infusion of COLD IV solution, irritating solution, or rapid infusion
✔✔S/S of venous spasm - ✔✔cramping or sharp pain at IV site that travels up the arm
✔✔Treatment of venous spasm - ✔✔apply warm compress to site and decrease flow
rate, restart IV if spasm continues; DO NOT remove IV right away
✔✔Can an LPN change needless connector on a central line? - ✔✔No
✔✔Would you initiate an IV on the affected side of a stoke patient? - ✔✔No
QUESTIONS AND ANSWERS GRADED A+
✔✔If the patient notices the dressing of the peripheral nerve catheter coming off before
sensation returns, what should you instruct them to do? - ✔✔Reinforce with tape, DO
NOT remove the dressing
✔✔True or False: the patient should not take a shower or tub bath while the catheter is
in place. - ✔✔True - patient should do a sponge bath instead
✔✔What are the goals of IV therapy? - ✔✔Maintenance, replacement, restoration of
homeostasis
✔✔Maintenance therapy - ✔✔provides nutrients that meet the daily needs of a patient
for water, electrolytes, and dextrose
✔✔Replacement therapy - ✔✔necessary to take care of fluid, electrolyte, or blood
product deficits of patients in acute distress
✔✔Restoration - ✔✔when maintenance and replacement therapy don't meet the needs
of the patient, fluid and electrolyte management is accomplished through this
✔✔What is the preferred antiseptic agent recommended by INS? - ✔✔Chlorhexidine
✔✔How long should the needless connector be scrubbed for? - ✔✔15 seconds
✔✔Why is the saline lock (formerly: hep-lock) primed before it is attached to the hub of
the catheter during IV insertion? - ✔✔to avoid air embolism
✔✔What is hematoma? - ✔✔Infiltration of blood into tissues at ventipuncture site
✔✔S/S of hematoma - ✔✔discoloration of skin, swelling and discomfort, inability to
advance cannula into vein, resistance to pressure during flushing
✔✔Prevention of hematoma - ✔✔use indirect method for starting a PIV
✔✔Treatment of hematoma - ✔✔removal of catheter, direct pressure on site with
gauze, elevate extremity, apply ice to affected area
✔✔What is thrombosis? - ✔✔catheter related obstruction
✔✔S/S of thrombosis - ✔✔fever, malaise, slowed or stopped infusion rate, inability to
flush catheter
, ✔✔Treatment for thrombosis - ✔✔Remove IV, notify MD - NEVER flush cannula to
remove occlusion
✔✔What is inflitration? - ✔✔Inadvertent administration of nonvesicant solution to
surrounding tissues
✔✔S/S of infiltration - ✔✔swollen, cool, taut, pale skin
✔✔Interventions for infiltration - ✔✔stop infusion, remove IV catheter
✔✔What is phlebitis? - ✔✔Inflammation of delicate inner lining of the vein
✔✔S/S of phlebitis - ✔✔site is red, warm to touch, localized swelling, palpable cord,
painful, sluggish infusion rate
✔✔Treatment for phlebitis - ✔✔discontinue IV, warm or cold compress to affected site,
restart infusion in opposite extremity using new admin set
✔✔What is extravasation? - ✔✔The inadvertent administration of vesicant solution to
surrounding tissue
✔✔Patient becomes at risk for extravasation with which hypertonic solution? - ✔✔D10W
✔✔Extravasation - ✔✔can lead to tissue necrosis, debridement surgeries, cosmetic
disfiguration, amputation
✔✔S/S of extravasation - ✔✔pain, burning, change in temp of skin, tightness, blanching
of area, slow or stopped infusion
✔✔Treatment for extravasation - ✔✔stop infusion, use 1-3mL syringe to pull back as
much vesicant med as possible, remove IV
✔✔What is a venous spasm? - ✔✔Sudden, involuntary contraction of a vein or artery
resulting in temporary cessation of blood flow through a vessel; usually results from
infusion of COLD IV solution, irritating solution, or rapid infusion
✔✔S/S of venous spasm - ✔✔cramping or sharp pain at IV site that travels up the arm
✔✔Treatment of venous spasm - ✔✔apply warm compress to site and decrease flow
rate, restart IV if spasm continues; DO NOT remove IV right away
✔✔Can an LPN change needless connector on a central line? - ✔✔No
✔✔Would you initiate an IV on the affected side of a stoke patient? - ✔✔No
