NUR172 Final
7
1. When giving IV for fluids, how At least 15 Seconds
long should you clean the
port (or hub)?
2. What is important to remem- Make sure to use only compatible fluids
ber when using IV Stopcocks?
3. When you have IV piggyback use secondary IV tubing (30-36")
antibiotic, and you already
have IV fluids running, what
tubing would you use?
4. Benefits for using IV pump for Patient can move around easily, give multiple meds at once
patient (using multi-channels), alarms when finished
5. PICC line (peripherally insert- Always ends up in superior vena cava, placed by RN who is
ed central cath) Is a ster- specially trained, ALWAYS verified by X-Ray and read by a Dr.
ile procedure (even dressing prior to use, can be used for 1 year.
changes). What else do you
, NUR172 Final
7
need to know about PICC
lines?
6. If PICC line dressing is wet: Gather supplies and change the sterile dressing with a new
one. Dressing should be sterile & occlusive (completely sealed)
7. Why do we use a Biopatch- cir- This helps dressing from having to be changed so often.
cular patch that encloses the
PICC line (blue side up-blue to
the sky)?
8. Infiltration Site is cool, taut, edema is present
9. Vanco infusing- you suspect Stop the infusion
leaking into tissue. What is
the first thing you should do?
10. If you suspect bloodstream Report S&S to Dr., anticipate culture, save IV cath, antibiotics,
infusion, list the steps you fluids, and give O2.
should take.
11. What do you do if you have a Turn patient on left lateral Trendelenburg until you can get MD.
patient and you suspect an air
embolism?
, NUR172 Final
7
12. Why is an IV a source of infec- It is an open wound in skin, goes directly into bloodstream.
tion?
13. Is insertion is sterile? No, it's Aseptic
14. Name the diagnosis for Pulmonary edema
cough, dyspnea, restlessness,
and crackles.
15. What would you do if you sus- going to chart assessment of site, include date and time, notify
pect a patient has infiltration? MD, what treatment ordered, what you did for it (what MD
ordered), how patient tolerated.
16. Name the diagnosis for red, Phlebitis
raised veins
17. What PPE would you wear for gown and gloves
a patient with MERSA?
18. If you are sending someone Teach them to report S&S of infection- redness, swelling, fever.
home with PICC line, what is
important to educate them
about?
19. Name this diagnosis with: pa- Pulmonary Edema
tient has blood-tinged spu-
tum and pounding pulse
, NUR172 Final
7
20. What determines the size of Length of time patient has IV, condition of veins, type of solu-
the IV cath? tions ordered
21. How often do you change pri- Primary-96 Hours
mary tubing? Secondary? Secondary-24 Hours
22. What can happen if you use Can cause a hematoma
an IV cath that is too large or if
you have a patient with fragile
skin?
23. What is the best way to pre- Flush the line as much as possible
vent an occlusion?
24. Name this diagnosis based Septicemia
off these symptoms: hypoten-
sion, tachycardia, change in
mental status, increased lac-
tate levels
25. What is the benefits of using Easy to use, store, puncture
plastic container
further teaching- graduation is not easy to read
26. If you find a patient with IV Take it out
site redness, swelling, etc.,
what would you do first?
27. What PPE should we use for a Patient must be in neg pressure room, wear mask(N95) and
patient with TB? gloves, airborne and droplet precautions.
28. Patient has redness, swelling, No! Remove old dressing, replace dressing, call MD
and exudate coming out of
7
1. When giving IV for fluids, how At least 15 Seconds
long should you clean the
port (or hub)?
2. What is important to remem- Make sure to use only compatible fluids
ber when using IV Stopcocks?
3. When you have IV piggyback use secondary IV tubing (30-36")
antibiotic, and you already
have IV fluids running, what
tubing would you use?
4. Benefits for using IV pump for Patient can move around easily, give multiple meds at once
patient (using multi-channels), alarms when finished
5. PICC line (peripherally insert- Always ends up in superior vena cava, placed by RN who is
ed central cath) Is a ster- specially trained, ALWAYS verified by X-Ray and read by a Dr.
ile procedure (even dressing prior to use, can be used for 1 year.
changes). What else do you
, NUR172 Final
7
need to know about PICC
lines?
6. If PICC line dressing is wet: Gather supplies and change the sterile dressing with a new
one. Dressing should be sterile & occlusive (completely sealed)
7. Why do we use a Biopatch- cir- This helps dressing from having to be changed so often.
cular patch that encloses the
PICC line (blue side up-blue to
the sky)?
8. Infiltration Site is cool, taut, edema is present
9. Vanco infusing- you suspect Stop the infusion
leaking into tissue. What is
the first thing you should do?
10. If you suspect bloodstream Report S&S to Dr., anticipate culture, save IV cath, antibiotics,
infusion, list the steps you fluids, and give O2.
should take.
11. What do you do if you have a Turn patient on left lateral Trendelenburg until you can get MD.
patient and you suspect an air
embolism?
, NUR172 Final
7
12. Why is an IV a source of infec- It is an open wound in skin, goes directly into bloodstream.
tion?
13. Is insertion is sterile? No, it's Aseptic
14. Name the diagnosis for Pulmonary edema
cough, dyspnea, restlessness,
and crackles.
15. What would you do if you sus- going to chart assessment of site, include date and time, notify
pect a patient has infiltration? MD, what treatment ordered, what you did for it (what MD
ordered), how patient tolerated.
16. Name the diagnosis for red, Phlebitis
raised veins
17. What PPE would you wear for gown and gloves
a patient with MERSA?
18. If you are sending someone Teach them to report S&S of infection- redness, swelling, fever.
home with PICC line, what is
important to educate them
about?
19. Name this diagnosis with: pa- Pulmonary Edema
tient has blood-tinged spu-
tum and pounding pulse
, NUR172 Final
7
20. What determines the size of Length of time patient has IV, condition of veins, type of solu-
the IV cath? tions ordered
21. How often do you change pri- Primary-96 Hours
mary tubing? Secondary? Secondary-24 Hours
22. What can happen if you use Can cause a hematoma
an IV cath that is too large or if
you have a patient with fragile
skin?
23. What is the best way to pre- Flush the line as much as possible
vent an occlusion?
24. Name this diagnosis based Septicemia
off these symptoms: hypoten-
sion, tachycardia, change in
mental status, increased lac-
tate levels
25. What is the benefits of using Easy to use, store, puncture
plastic container
further teaching- graduation is not easy to read
26. If you find a patient with IV Take it out
site redness, swelling, etc.,
what would you do first?
27. What PPE should we use for a Patient must be in neg pressure room, wear mask(N95) and
patient with TB? gloves, airborne and droplet precautions.
28. Patient has redness, swelling, No! Remove old dressing, replace dressing, call MD
and exudate coming out of
