PN3006 QUIZ 2 COMPLETE QUESTIONS
AND ANSWERS GRADED A+
◉ thrombophlebitis
Answer: inflammation that causes a blood clot to form;
s&s=DECREASED FLOW RATE, bruising;
complications=pulmonary embolism, stroke
◉ infiltration
Answer: IV fluids enter the surrounding space around the
venipuncture site; s&s=swelling, pallor, COOLNESS fluid at site;
tx=d/c IV and insert new catheter into alternate extremity
◉ extravasation
Answer: same as infiltration except with CHEMOTHERAPY agents
◉ air embolism
Answer: air bubble in vien; s&s=SOB, coughing, shoulder/neck
pain, agitation, hypotension, increased heart rate, jugular vein
distension
◉ pulmonary edema
,Answer: fluid overload; excess fluid accumulation in lungs due to
increased fluid in circulatory system; s&s=decreased O2 sat,
increased resp rate, crackles at lung base, pinky frothy sputum
◉ CR-BSI
Answer: systemic infection caused by pathogens introduced to
bloodstream through puncture site; can lead to sepsis/bacteremia
◉ infection
Answer: local infection at IV site; 2-3 days after IV site started
◉ hyponatremia
Answer: low sodium; causes - dehydration, hypertonic solution
◉ allergic reaction during IV administration
Answer: rx to IV device; anaphylaxis
◉ hypervolemia
Answer: increased fluid in blood; s&s=pulmonary edema, resp
issues (dyspenea); nursing interventions=lung assessment, vs,
electrolyte balance, monitor output
◉ infiltration scale
Answer: grade 0-4; 1=edema<2.5cm, 2=edema 2.5-15cm, 3=gross
edema 2.5- 15cm, 4=deep pitting edema with severe pain
, ◉ phlebitis scale
Answer: 0-4; 1=erythema, 2=pain with erythema, 3=pain,
erythema, streaks, 4=purulent drainage
◉ 6 factors that affect flow rate
Answer: 1. infiltration 2. tube occlusion 3. vein spasms (chilled
fluids?) 4. height of drip chamber (>3ft) 5. position of cannula
(flexion?) 6. patient (moving, touching)
◉ when to change IV tubing
Answer: q72 hrs for primary tubing with hyper/hypo/iso solution
(or when insertion site is changed), q24 hrs for secondary tubing,
q24 hrs for infusions of TPN, q4 hrs for blood products
◉ 6 transfusion reactions
Answer: acute hemolytic, febrile, mild allergic, anaphylactic,
circulatory overload, sepsis
◉ cause of acute hemolytic reaction
Answer: incompatible blood products
◉ cause of febrile transfusion reaction
Answer: incompatible WBC/plasma/plasma protein
AND ANSWERS GRADED A+
◉ thrombophlebitis
Answer: inflammation that causes a blood clot to form;
s&s=DECREASED FLOW RATE, bruising;
complications=pulmonary embolism, stroke
◉ infiltration
Answer: IV fluids enter the surrounding space around the
venipuncture site; s&s=swelling, pallor, COOLNESS fluid at site;
tx=d/c IV and insert new catheter into alternate extremity
◉ extravasation
Answer: same as infiltration except with CHEMOTHERAPY agents
◉ air embolism
Answer: air bubble in vien; s&s=SOB, coughing, shoulder/neck
pain, agitation, hypotension, increased heart rate, jugular vein
distension
◉ pulmonary edema
,Answer: fluid overload; excess fluid accumulation in lungs due to
increased fluid in circulatory system; s&s=decreased O2 sat,
increased resp rate, crackles at lung base, pinky frothy sputum
◉ CR-BSI
Answer: systemic infection caused by pathogens introduced to
bloodstream through puncture site; can lead to sepsis/bacteremia
◉ infection
Answer: local infection at IV site; 2-3 days after IV site started
◉ hyponatremia
Answer: low sodium; causes - dehydration, hypertonic solution
◉ allergic reaction during IV administration
Answer: rx to IV device; anaphylaxis
◉ hypervolemia
Answer: increased fluid in blood; s&s=pulmonary edema, resp
issues (dyspenea); nursing interventions=lung assessment, vs,
electrolyte balance, monitor output
◉ infiltration scale
Answer: grade 0-4; 1=edema<2.5cm, 2=edema 2.5-15cm, 3=gross
edema 2.5- 15cm, 4=deep pitting edema with severe pain
, ◉ phlebitis scale
Answer: 0-4; 1=erythema, 2=pain with erythema, 3=pain,
erythema, streaks, 4=purulent drainage
◉ 6 factors that affect flow rate
Answer: 1. infiltration 2. tube occlusion 3. vein spasms (chilled
fluids?) 4. height of drip chamber (>3ft) 5. position of cannula
(flexion?) 6. patient (moving, touching)
◉ when to change IV tubing
Answer: q72 hrs for primary tubing with hyper/hypo/iso solution
(or when insertion site is changed), q24 hrs for secondary tubing,
q24 hrs for infusions of TPN, q4 hrs for blood products
◉ 6 transfusion reactions
Answer: acute hemolytic, febrile, mild allergic, anaphylactic,
circulatory overload, sepsis
◉ cause of acute hemolytic reaction
Answer: incompatible blood products
◉ cause of febrile transfusion reaction
Answer: incompatible WBC/plasma/plasma protein
