The document discusses various topics related to IV therapy including capillary filtration, aldosterone, body fluids, diffusion, intracellular fluids, fluid overload, hypertonic solutions, IV catheters, central line catheters, circulatory overload, incompatibility, transfusion reactions, blood types, phlebitis, infiltration, packed red blood cells, and extravasation.
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Iv Therapy Final
The document discusses various topics related to IV therapy including capillary filtration, aldosterone, body fluids, diffusion, intracellular fluids, fluid overload, hypertonic solutions, IV catheters, central line catheters, circulatory overload, incompatibility, transfusion reactions, blood types, phlebitis, infiltration, packed red blood cells, and extravasation.
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IV THERAPY FINAL
1. The movement of molecules from a area of LOWER
concentration to AREA OF HIGHER concentration is called capillary filtration. 2. What is the name of the water regulating hormone that helps fluid and electrolyte balance called aldosterone. 3. What is the main purpose of body fluids all of the above 4. left unchecked blank can cause plasma to move out of One Direction out of the capillaries causing hypovolemic and shock is capillary diffusion. 5. IN WHICH Direction does diffusion cause solid To move ACROSS A CELL MEMBRANE the Diffusion only moves CELLS ACROSS THE CELL MEMBRANE. 6. Which OF THE FOLLOWINGS are components of intracellular fluid to Intracellular AND interstitial fluid. 7. Patient with the impaired heart or kidney function Should not receive WHICH fluid BECAUSE POSSIBLE FLUID OVERLOAD NONE IS CORRECT (KIDNEY/FLUID OVERLOAD) 8. Which type of solution raises THE SERUM osmolarity AND PULLS FLUID AND ELECTROLYTE FROM THE INTERCELLULAR/INTERSTITIAL compartment TO THE INTRVASCULR COMPARTMENT Hypertonic (strong pulling fluid out of something/high). 9. When selecting an iv catheter for a patient receiving a blood transfusion you expect to use a 22-gauge needle (smallest for blood) 10. _______________ hydrate cells when reducing fluids in the circulatory system. Isotonic 11. What is an intracellular fluid fluid inside the cell. 12. human adult body composed largely of liquid accounted for by total weight 80% 13. which central line catheter is appropriate for a 4yr old pediatric patient (tunneled into their Vessel in their leg) Breviate 14. semi-fowler position, oxygen, diuretic can correct this complication Circulatory overload. 15. Which of the following statements describe incompatibility? Change in expected outcome 16. Nurse is providing Demerol in a free flowing iv line and notices A hazy appearance in the tube it is necessary to what? Stop the infusion. 17. Dr feel good is performing a bedside central line your assisting with procedure and you that the patient should be place in which positions for the procedure? Supine 18. How long should lidocaine cream (ema) remain on the skin for venipuncture? 20 mins 19. A scape vein is the usual ideal for a 3 month old 20. How long should synere patch remain on the skin to provide anesthesia for venipuncture 40mins 21. Umbilical vessel catheter should be utilized on patients 7 weeks 22. Which med would not be consideration for discontinuing iv aspirin 23. What does a gauge of the catheter reflect neither 24. How does a 22g and 18g compare? 18g Larger diameter 25. what is the maximum time that you should leave a tourniquet on a patient? 2 min 26. Which of these statements does not describe the rh Reese factor. It is not a major inheritance 27. Your friend joe is scheduled for surgery and aware that he will be receiving blood products and Questions you on testing performed and you know that blood products are tested for the following except? Syphilis 28. Which of the following precaution is not advised when administering TPN? Not peripheral (always Central Line) 29. WHAT IS THE MAX AMOUNT OF TIME THAT THE TPN SOLOUTIONS ARE TO INFUSED BEFORE BAG MUST BE REPLACED? 24HOURS 30. IF YOU DETECT SIGNS/SYMPTOMS OF TRANSFUSION REACTION THE FIRST THING YOU SHOULD DO IS? STOP INFUSION 31. WHICH BLOOD TYPE IS CONSIDER THE UNIVERSAL DONOR o 32. WHICH BLOOD TYPE IS CONSIDER THE UNIVERSAL RECEPIENT AB 33. CLIENT IS TOLD BY PHYSCIAN A BLOOD TRANSFUSION IS NEEDED AND BLOOD SAMPLE MUST BE DRAWN FOR CROSS-MATCHING AFTER PHYSICIAN LEAVES CLIENT WHAT EXACTLY IS A BLOOD TYPE ANYWAY? Blood type represents the antibody found on the surface of red blood cells 34. Client rings call bell and complains pain at site of a infusion nurse assess site and determine client has phlebitis at the site, which of these actions would nurse do first? Start new iv at a proximal vein 35. Nurse notice that a site of clients peripheral iv cath is red painful, warm and slightly edemas proximal to insertion point, nurse documents the client experiences what infiltration. 36. Nurse has obtained a unit of blood from the blood blank and properly check the blood bag with another nurse, just before which does the nurse check before? Hemoglobin 37. Client has order to receive a unit of packed blood cells a nurse would obtain which solution from iv shortage to hang with it 0.9% ns 38. Packed red blood cells have been prescribed for a client with a low hemoglobin/hematocrit a nurse measure temp to be 100.8 orally which would be appropriate action? administer amphetamine and Benadryl 39. Neck vein distension, respiratory distress, and crackles are signs of what? Circulatory overload 40. Leaking of a vesicant drug into tissue that produces severe local tis damage is what? Extravasation 41. Example of isotonic fluid is 0.9 ns 42. This iv fluid has the same osmolality as serum/body fluid? Isotonic 43. Administering med by iv to fast is? Speed shock 44. Caring for pt that is experiencing complications requiring iv line to be discontinued and site and device to be cultured, most like reason for this Systemic infection. 45. What are the purposes of valves? Keep away from heart and enable to flow against gravity. 46. Which is good first of iv therapy choice because they distal on the extremities? Metacarpals 47. What size drops are micro drip tubing delivered 60 48. Which of the following catheters are best suited for a pediatric patient 24 GUAGE 49. Making rounds for a patient who’s receiving morphine pca when you know pt has slow irregulars’ respirations, pinpoint pupils, which would you perform first? Oxygen 50. Pt experiencing a hemolytic reaction: facial swelling, itching 51. The most common blood transfusion reaction is: bacterial, allergic febrile 52. When teaching the elderly pt about iv therapy: talk slowly and clearly. 53. Nurse who just initiated a iv infusion the nurse teaches the patient that which of these would indicate early infiltration Tingling 54. Before preparing equipment to administering venipuncture the nurse washes hands for how many secs 15-20 secs 55. Nurse notes the pt central venous access site is saturated, what should the nurse do? Change dressing 56. Pt in an outpt oncology clinic is going to have a picc line place how would nurse explain it to patient? Goes thru jugular vein ends up in the central circulation. 57. Guage colors: 22 BLue 23 18 clean Green 24 20 pinkies 25 24 mellow yellow MATH OF COURSE **********