Intravenous Therapy Lesson 4 PostTest 6 Questions With Correct Answers

Intravenous Therapy: Lesson 4 Post-Test |6 Questions| With Correct Answers. Match the appropriate nursing intervention to the unexpected outcome. Hematoma formation Site is reddened and tender Catheter tip is broken off Notify health care provider immediately because this is an emergency situation. Discontinue IV site and notify health care provider. May apply warm moist pack. Apply a pressure dressing to the site. The student nurse is watching the staff nurse discontinue a peripheral IV. The staff nurse removes the catheter and then looks at it. The student asks the nurse what she is looking for. What would be a correct response? "I'm noting the gauge of the catheter so I can document removal accurately." "I am inspecting the catheter for intactness." "To see if there is exudate at the catheter tip." "To see if there is any clot formation on the tip." What is the primary danger related to a broken catheter tip? Infection. Hematoma formation. Embolus. Pain. Phlebitis. The nurse is discontinuing peripheral IV access. Which of the following steps, if performed by the nurse, requires correction? Instruct the patient to report any redness, pain, drainage, or swelling that may occur after catheter removal. Document discontinuation of the IV access device. Explain to the patient that the affected extremity must be held still. Turn the IV roller clamp to the "off" position. Perform hand hygiene and apply clean gloves. Remove the tape securing the tubing. Remove the IV site dressing and tape while stabilizing the catheter. With dry gauze or an alcohol swab held over the site, apply light pressure and withdraw the catheter by using a slow, steady movement with the hub at a 10- to 30-degree angle. Apply pressure to the site for 1 to 2 seconds by using a dry, sterile gauze pad. Inspect the catheter for intactness. Discard used supplies. Remove and discard gloves, and perform hand hygiene. Which of the following demonstrates the best documentation of discontinuation of an IV? 1030 20 Gauge 1 inch (2.5 cm) catheter removed from left forearm. Catheter tip intact. Site without redness, swelling, or bleeding. T. Rodriguez, RN. 1445 21-gauge, 1-inch (2.5 cm) catheter removed from right hand. Catheter intact. Pressure applied for 5 minutes due to anticoagulant therapy. Gauze dressing and tape applied. P't states is ready to go home. L. Castello, RN. 2000 IV removed and pressure applied for 2 min. Pt tolerated well. S. Chan, RN. 1300 22-gauge 1 inch catheter removed due to complaints of pain and signs of infiltration. New 22 gauge 1 inch (2.5 cm) catheter inserted in right forearm x1 attempt. 0.45% sodium chloride infusing at 50 mL/hr without difficulty. P. Gonzalez, RN. Which of the following situations indicates discontinuation of peripheral intravenous (IV) access? (Select all that apply.) The patient is being discharged to home on oral (PO) medications. The health care provider has ordered normal saline at 100 mL per hour and the patient's bag of IV fluids is empty. The patient's arm is swollen and cool to the touch; the patient complains of pain at the IV site. The patient is drinking fluids well postoperatively and has an order for morphine IV every 3 hours as needed. The electronic infusion pump keeps alarming, indicating "occlusion" on its screen, and the nurse is unable to flush the IV.