,- avoiding tourniquets, using BP cuff to visualize.
- no slapping
- hold their hand below the heart.
- avoid using the back of the hand
- avoid rigorous friction while cleaning site. - CORRECT ANSWERS-What are specific
considerations for adult clients, clients who are taking anticoagulants, and clients who
have fragile veins?
Infiltration - CORRECT ANSWERS-An IV that is pale, has local swelling, decreased
skin temperature around the site, damp dressing and slowed infusion is what
complication?
- Stop the infusion and remove catheter
- elevate extremity
- encourage ROM
- apply a cold or warm compress depending on the solution infiltrated.
- check with the provider to determine whether they still need IV therapy. - CORRECT
ANSWERS-What is the treatment for infiltrated IV?
Extravasation (infiltration of vesicant) - CORRECT ANSWERS-An IV is painful, burning,
red and swelling what complication is occurring?
- Stop the infusion and notify the provider
- follow facility protocol. (withdrawing the vesicant solution from the IV access and
infusing an antidote through catheter before removal.
- repeated treatment for infiltration. - CORRECT ANSWERS-what is the treatment for
extravasation?
Fluid overload - CORRECT ANSWERS-A pt receiving IV solutions begins appearing
with distended neck veins, hypertension, tachycardia, SOB, crackles in lungs, and
edema what complication is occurring?
- Slow IV rate or stop.
- raise HOB
- monitor VS & O2
- Adjust the rate after correcting fluid.
- anticipate administering diuretics - CORRECT ANSWERS-What is the treatment for
fluid overload?
Phlebitis/thrombophlebitis - CORRECT ANSWERS-A pt with an IV appears edematous,
erythema, throbbing, burning, or pain at the site, increased skin temperature, red line,
and slowed infusion
are s/s of what IV complication?
- promptly d/c the infusion and remove the catheter.
, - elevate extremity
- apply a cold compress to minimize flow of blood, then warm to increase circulation.
- restart if needed.
- obtain a specimen for culture at site. - CORRECT ANSWERS-what treatments are
there for phlebitis/thrombophlebitis?
- Rotate sites at least every 72 hours according to facility policy.
- Monitory IV sites using phlebitis scale
- avoid lower extremities
- use hand hygiene
- use surgical aseptic technique. - CORRECT ANSWERS-What are some ways to
prevent thrombophlebitis?
Central nervous system stimulation - CORRECT ANSWERS-what type of medication
would put a patient at risk for seizures and precautions should be taken.
Central nervous system depression - CORRECT ANSWERS-what type of medication
would require a patient to do not drive, operate heavy machinery, or participate in other
activities can be dangerous.
Anticholinergic drugs - CORRECT ANSWERS-what type of medications will require
clients to increase fluids for their dry mouth, wear sunglasses for photophobia,
maintaining urinary habits, and avoid overheating.
Cardiovascular medications - CORRECT ANSWERS-What type of medications would
make clients monitor for indications of orthostatic hypotension (lightheadedness,
dizziness).
- monitoring AST and ALT
- n/v
- jaundice
- dark urine
- abdominal discomfort
- anorexia
Primarily with acetaminophen. - CORRECT ANSWERS-A nurse should do what when
giving medications that can create hepatoxicity?
Primarily result of antimicrobial agents and NSAIDs.
- monitor creatinine and BUN
- peak and trough - CORRECT ANSWERS-What should the nurse monitor for drugs
that cause nephrotoxicity?
Nephrotoxicity - CORRECT ANSWERS-Acyclovir, ahminoglycosides, cyclosporine,
NSAIDs, amphotericin B are all medications that can cause what?
- no slapping
- hold their hand below the heart.
- avoid using the back of the hand
- avoid rigorous friction while cleaning site. - CORRECT ANSWERS-What are specific
considerations for adult clients, clients who are taking anticoagulants, and clients who
have fragile veins?
Infiltration - CORRECT ANSWERS-An IV that is pale, has local swelling, decreased
skin temperature around the site, damp dressing and slowed infusion is what
complication?
- Stop the infusion and remove catheter
- elevate extremity
- encourage ROM
- apply a cold or warm compress depending on the solution infiltrated.
- check with the provider to determine whether they still need IV therapy. - CORRECT
ANSWERS-What is the treatment for infiltrated IV?
Extravasation (infiltration of vesicant) - CORRECT ANSWERS-An IV is painful, burning,
red and swelling what complication is occurring?
- Stop the infusion and notify the provider
- follow facility protocol. (withdrawing the vesicant solution from the IV access and
infusing an antidote through catheter before removal.
- repeated treatment for infiltration. - CORRECT ANSWERS-what is the treatment for
extravasation?
Fluid overload - CORRECT ANSWERS-A pt receiving IV solutions begins appearing
with distended neck veins, hypertension, tachycardia, SOB, crackles in lungs, and
edema what complication is occurring?
- Slow IV rate or stop.
- raise HOB
- monitor VS & O2
- Adjust the rate after correcting fluid.
- anticipate administering diuretics - CORRECT ANSWERS-What is the treatment for
fluid overload?
Phlebitis/thrombophlebitis - CORRECT ANSWERS-A pt with an IV appears edematous,
erythema, throbbing, burning, or pain at the site, increased skin temperature, red line,
and slowed infusion
are s/s of what IV complication?
- promptly d/c the infusion and remove the catheter.
, - elevate extremity
- apply a cold compress to minimize flow of blood, then warm to increase circulation.
- restart if needed.
- obtain a specimen for culture at site. - CORRECT ANSWERS-what treatments are
there for phlebitis/thrombophlebitis?
- Rotate sites at least every 72 hours according to facility policy.
- Monitory IV sites using phlebitis scale
- avoid lower extremities
- use hand hygiene
- use surgical aseptic technique. - CORRECT ANSWERS-What are some ways to
prevent thrombophlebitis?
Central nervous system stimulation - CORRECT ANSWERS-what type of medication
would put a patient at risk for seizures and precautions should be taken.
Central nervous system depression - CORRECT ANSWERS-what type of medication
would require a patient to do not drive, operate heavy machinery, or participate in other
activities can be dangerous.
Anticholinergic drugs - CORRECT ANSWERS-what type of medications will require
clients to increase fluids for their dry mouth, wear sunglasses for photophobia,
maintaining urinary habits, and avoid overheating.
Cardiovascular medications - CORRECT ANSWERS-What type of medications would
make clients monitor for indications of orthostatic hypotension (lightheadedness,
dizziness).
- monitoring AST and ALT
- n/v
- jaundice
- dark urine
- abdominal discomfort
- anorexia
Primarily with acetaminophen. - CORRECT ANSWERS-A nurse should do what when
giving medications that can create hepatoxicity?
Primarily result of antimicrobial agents and NSAIDs.
- monitor creatinine and BUN
- peak and trough - CORRECT ANSWERS-What should the nurse monitor for drugs
that cause nephrotoxicity?
Nephrotoxicity - CORRECT ANSWERS-Acyclovir, ahminoglycosides, cyclosporine,
NSAIDs, amphotericin B are all medications that can cause what?
