IV Infusion Procedures & Push Practice Questions

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Questions and Answers

A nurse is preparing to administer a primary IV infusion. Which of the following steps should the nurse take first?

Perform hand hygiene and identify the patient. (correct)

Hang the IV bag at the appropriate height.

Label the IV tubing.

Check the IV insertion site for signs of infiltration or phlebitis.

An elderly patient is admitted with dehydration and requires IV therapy. Which consideration is most critical for this patient when administering IV fluids?

Using a hypotonic solution to replace fluids.

Monitoring the IV site for signs of infiltration. (correct)

Increasing the infusion rate to avoid dehydration.

Ensuring the catheter is placed in the lower extremities.

Which of the following IV solutions would be most appropriate for a patient requiring isotonic fluid replacement?

D5/Lactated Ringers

0.45% NaCl

D5/0.45% NaCl

D5W (5% Dextrose in Water) (correct)

During an IV infusion, the nurse notices the patient's IV site is cool, pale, and swollen. What complication should the nurse suspect, and what is the first intervention?

Infiltration; stop the infusion immediately. Signup and view all the answers

The nurse is preparing to administer a secondary IV (IVPB) antibiotic through a primary line. Which of the following actions is essential to ensure proper infusion of the secondary solution?

Lower the primary bag and raise the secondary bag. Signup and view all the answers

A nurse is preparing to administer a medication via IV push through a primary IV line. Which technique should the nurse use to administer the medication correctly?

Attach the syringe to the port closest to the patient, pinch the tubing, inject the medication over the prescribed time, and release. Signup and view all the answers

A patient requires an IV push medication through a saline lock. Which sequence should the nurse follow to administer the medication safely?

Saline flush, medication, saline flush. Signup and view all the answers

While administering an IV push medication, the nurse is instructed to infuse the medication over two minutes. What should the nurse do if the patient complains of pain at the IV site?

Continue infusing at the prescribed rate and assess the IV site. Signup and view all the answers

A nurse is preparing to program an infusion pump for a patient who has an order for 1000 mL of 0.9% NaCl to be infused over 8 hours. At what rate should the nurse set the pump?

100 mL/hr Signup and view all the answers

After administering an IV push medication, what is the nurse's next priority action?

Reassess the patient within 30 minutes for any adverse reactions. Signup and view all the answers

The nurse is discontinuing a patient's IV. Which action is correct to ensure patient safety?

Apply pressure to the IV site with a sterile gauze immediately after removing the catheter. Signup and view all the answers

A nurse is educating a patient about the use of an infusion pump. Which statement by the nurse is most accurate?

The infusion pump has alarms that will alert us if there is an issue. Signup and view all the answers

A patient receiving IV therapy shows signs of infiltration, including swelling, pallor, and coolness around the insertion site. What is the nurse's first intervention?

Discontinue the IV infusion and catheter. Signup and view all the answers

A nurse is caring for a patient with an IV vesicant medication. The patient's IV site shows redness, swelling, and signs of extravasation. What is the appropriate intervention?

Apply a cold compress and discontinue the IV line. Signup and view all the answers

A patient receiving IV therapy suddenly exhibits symptoms of fluid overload, including shortness of breath, distended neck veins, and crackles in the lungs. What is the nurse's priority action?

Slow down the IV infusion and elevate the head of the bed. Signup and view all the answers

A nurse assesses a patient's IV site and notes redness, warmth, and tenderness along the vein's path. The patient reports a throbbing sensation at the site. Which complication does this indicate?

Phlebitis Signup and view all the answers

While discontinuing a patient's IV line, the nurse observes that the catheter tip appears incomplete. What should the nurse do next?

Save the catheter tip and notify the physician. Signup and view all the answers

A patient receiving IV therapy presents with erythema, heat, and purulent drainage at the insertion site. Systemically, the patient has a fever and chills. What complication is most likely occurring?

Cellulitis (infection) Signup and view all the answers

A nurse notes a small hematoma forming at an IV insertion site after catheter removal. What intervention should the nurse implement?

Apply pressure with a sterile gauze pad until the bleeding stops. Signup and view all the answers

Study Notes

IV Infusion Procedures and Complications

Initial IV Steps: Perform hand hygiene and identify the patient first. Other steps follow initial assessment.
Elderly Patient IV Considerations: Monitor IV site closely for infiltration. Avoid hypotonic solutions and lower extremity placements. Infusion rates should be carefully monitored to avoid fluid overload.
Isotonic Solution for Fluid Replacement: Use D5W (5% Dextrose in Water).
IV Infiltration: If IV site is cool, pale, and swollen, stop the infusion immediately.
Secondary IV (IVPB) Infusion: When administering secondary IV medications through a primary line keep the primary line bag lower than the secondary line bag.

IV Push Medication Administration

Safe IV Push Technique: Attach the syringe to the port closest to the patient, pinch the tubing, inject medication over the prescribed time, and then release.
Saline Lock Technique: Flush with saline, administer medication, flush with saline.
Pain at IV Site: If pain is experienced while administering, stop the infusion immediately and notify the healthcare provider. Continue to assess the IV site.
Post-IV Push Assessment: Reasses the patient within 30 minutes for adverse reactions.

IV Complications

Infiltration: Cool, pale, swollen IV site—discontinue the IV and catheter. Apply cold compress.
Extravasation (Vesicant Medications): Redness, swelling, signs of extravasation at the site—stop the infusion, apply cold compress.
Phlebitis: Redness, warmth, tenderness, throbbing at IV site—continue monitoring, notify healthcare provider.
Fluid Overload: Shortness of breath, distended neck veins, crackles—stop infusion, elevate head of bed, notify physician.
Cellulitis: Erythema, heat, purulent drainage, fever, chills at insertion site—stop infusion, notify physician.
Hematoma: Small hematoma at site after catheter removal—apply pressure with sterile gauze until bleeding stops.
IV Pump Setting: Set pumps accurately: Divide total volume by infusion time. (e.g. 1000 mL / 8 hours = 100 mL/hour).

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Description

This quiz covers essential IV infusion procedures, including initial steps, considerations for elderly patients, and the safe administration of IV push medications. Learn about isotonic solutions, infiltration signs, and secondary IV infusion techniques to enhance your nursing skills.