IV Insertion and Fluid Administration Quiz

<p>0.45% NaCl (C)</p> Signup and view all the answers

<p>Development of cerebral swelling (C)</p> Signup and view all the answers

<p>Dialysis shunts or AV fistulas (C)</p> Signup and view all the answers

<p>Using chlorhexidine or alcohol with a gentle wiping motion (B)</p> Signup and view all the answers

<p>To expand intravascular volume and treat hypotension (C)</p> Signup and view all the answers

<p>It presents with a rash primarily on the face and neck (D)</p> Signup and view all the answers

<p>0.9% Sodium chloride (B), Lactated Ringer's solution (C)</p> Signup and view all the answers

<p>Signs of adverse reactions and the patient’s response (D)</p> Signup and view all the answers

<p>Antibiotics (B)</p> Signup and view all the answers

<p>Support the airway and administer oxygen (D)</p> Signup and view all the answers

<p>To inhibit viral DNA replication (C)</p> Signup and view all the answers

<p>Persistent nausea and vomiting (D)</p> Signup and view all the answers

<p>Skin rash (D)</p> Signup and view all the answers

<p>Abstain from sexual activity when there are sores (B)</p> Signup and view all the answers

<p>Reduction in lesions and no symptoms of herpes (C)</p> Signup and view all the answers

<p>Areas with extensive scarring or burns (A)</p> Signup and view all the answers

<p>Medication should be taken with plenty of water on a regular schedule (A)</p> Signup and view all the answers

<p>Performing a baseline assessment at the onset of treatment (A)</p> Signup and view all the answers

<p>The treatment will completely cure the herpes virus (C)</p> Signup and view all the answers

<p>Nephrotoxicity (B)</p> Signup and view all the answers

<p>They cause cells to swell. (D)</p> Signup and view all the answers

<p>Increased intracranial pressure. (B)</p> Signup and view all the answers

<p>Restoring fluid balance without changing cell size. (C)</p> Signup and view all the answers

<p>Reducing cellular edema in critical care. (B)</p> Signup and view all the answers

<p>0.45% Sodium Chloride (B)</p> Signup and view all the answers

<p>Fluid overload and edema. (B)</p> Signup and view all the answers

<p>Treatment for cerebral edema. (D)</p> Signup and view all the answers

<p>0.9% Normal Saline (D)</p> Signup and view all the answers

<p>Fluid volume excess. (C)</p> Signup and view all the answers

<p>They promote water retention in cells. (A)</p> Signup and view all the answers

<p>Cells will swell due to water influx. (C)</p> Signup and view all the answers

<p>It has a higher concentration of solutes than the cells. (D)</p> Signup and view all the answers

<p>It incorporates into viral DNA, halting replication. (C)</p> Signup and view all the answers

<p>Acute kidney injury and nephrotoxicity. (A)</p> Signup and view all the answers

<p>Agitation and confusion. (D)</p> Signup and view all the answers

<p>Giving the medication without any prior assessment. (B)</p> Signup and view all the answers

<p>Skin rash and pruritus. (D)</p> Signup and view all the answers

<p>Herpesvirus infections. (C)</p> Signup and view all the answers

<p>3% NaCl. (B)</p> Signup and view all the answers

<p>Thrombotic thrombocytopenic purpura. (A)</p> Signup and view all the answers

<p>Extremities with recent surgical procedures (C)</p> Signup and view all the answers

<p>2 minutes (D)</p> Signup and view all the answers

<p>Poor aseptic insertion technique (A)</p> Signup and view all the answers

<p>Hypovolemia (A)</p> Signup and view all the answers

<p>Half Normal Saline (C)</p> Signup and view all the answers

<p>Before administering IV push medications (A)</p> Signup and view all the answers

<p>Support the airway and give oxygen (D)</p> Signup and view all the answers

<p>Cellular dehydration (D)</p> Signup and view all the answers

<p>The cell swells as water moves into it. (D)</p> Signup and view all the answers

<p>Diabetic ketoacidosis (DKA) with cellular dehydration. (A)</p> Signup and view all the answers

<p>It inhibits the action of benzodiazepines. (C)</p> Signup and view all the answers

<p>Cellular burst due to osmotic pressure changes. (A)</p> Signup and view all the answers

<p>Direct inhibition of opioid receptor binding. (B)</p> Signup and view all the answers

<p>Cells swell as water moves into them. (C)</p> Signup and view all the answers

<p>It can cause severe hypersensitivity reactions like Stevens-Johnson syndrome. (A)</p> Signup and view all the answers

<p>Hypertonic fluids have more solute concentration than cells. (A)</p> Signup and view all the answers

<p>Valacyclovir halts viral replication by integrating into viral DNA. (A)</p> Signup and view all the answers

<p>Increased intracranial pressure. (B)</p> Signup and view all the answers

<p>Development of thrombotic thrombocytopenic purpura. (A)</p> Signup and view all the answers

<p>Administer the drug as a high-dose bolus for rapid effect. (C)</p> Signup and view all the answers

<p>Patients with kidney disease. (C)</p> Signup and view all the answers

<p>Label each line appropriately to identify the solution infusing. (B)</p> Signup and view all the answers

<p>Understanding how to manage side effects and when to seek help (D)</p> Signup and view all the answers

<p>Avoiding veins on the side of a mastectomy (B)</p> Signup and view all the answers

<p>Absence of lesions and resolution of herpes simplex symptoms (B)</p> Signup and view all the answers

<p>Nephrotoxicity (D)</p> Signup and view all the answers

<p>Inhibiting viral DNA replication (C)</p> Signup and view all the answers

<p>Condoms should always be used to reduce transmission risk (D)</p> Signup and view all the answers

<p>Common side effects include headache and nausea, which require monitoring (D)</p> Signup and view all the answers

<p>Inserting IV in an extremity with recent infiltration (A)</p> Signup and view all the answers

<p>Stay well-hydrated during the treatment (D)</p> Signup and view all the answers

<p>Adhere to a regular medication schedule with sufficient water (A)</p> Signup and view all the answers

<p>They maintain normal cell size and function. (A)</p> Signup and view all the answers

<p>Increased intracranial pressure. (D)</p> Signup and view all the answers

<p>They shrink the cells by pulling water out. (D)</p> Signup and view all the answers

<p>Restoring blood volume and maintaining hydration. (C)</p> Signup and view all the answers

<p>They promote fluid movement into cells. (B)</p> Signup and view all the answers

<p>Fluid overload leading to congestive heart failure. (C)</p> Signup and view all the answers

<p>They shift fluids from the intracellular space to the intravascular compartment. (A)</p> Signup and view all the answers

<p>0.45% NS. (C)</p> Signup and view all the answers

<p>They require central line access due to high risk of phlebitis. (D)</p> Signup and view all the answers

<p>Cerebral edema. (A)</p> Signup and view all the answers

Avoid veins in extremities with dialysis shunts, AV fistulas, infections, extensive scarring, burns, surgeries, CVA paralysis, previous infiltrations, extravasations, or phlebitis. Choose sites distal to previous punctures.

Follow strict aseptic technique (alcohol or chlorhexidine), use a tourniquet 6-8 inches above the insertion site, massage the vein as needed, and clench the fist, if needed. Use heat as needed.

Connects the IV catheter to a saline lock; closed end prevents leakage.

Inflammation of loose connective tissue caused by poor IV insertion technique, resulting in a red, swollen area spreading outwardly from the insertion site.

Verifying the correct patient identity and confirming their consent before administering medication.

Continuously observing the patient for signs of adverse reactions during and after medication administration and knowing the emergency protocol.

IV fluids that maintain similar concentrations inside and outside cells, preventing cellular shrinkage or swelling.

IV fluids are used to restore fluid balance, expand blood volume, and manage ongoing health problems affecting fluid and electrolyte levels.

A solution with a lower concentration of solutes than the body's fluids, causing water to move into cells, potentially causing cell swelling.

A solution with a higher concentration of solutes than the body's fluids, pulling water out of cells into the bloodstream, potentially causing cell shrinkage.

An isotonic solution commonly used in IV fluids.

Factors such as congestive heart failure (CHF) can put patients at risk for fluid overload.

Used to treat dehydration of cells, such as in cases like DKA (diabetic ketoacidosis) or HHNS (hyperosmolar hyperglycemic nonketotic syndrome).

Generally not given during cases of increased intracranial pressure (ICP) ,Dehydration, or trauma, as they can cause further fluid imbalances.

Commonly used to maintain fluid balance and treat conditions like cerebral edema and hyponatremia in clinical settings.

A condition characterized by excessive fluid buildup in the body's tissues.

Abnormal accumulation of fluids in the body.

Valacyclovir interferes with viral DNA replication by inserting into replicating viral DNA.

A common side effect of valacyclovir, similar to many other antiviral drugs.

A common side effect of valacyclovir, related to drug effects on the digestive system.

A possible side effect of valacyclovir affecting the skin.

Kidney damage as a potential side effect of valacyclovir.

Severe allergic reaction, including Stevens-Johnson syndrome and angioedema, from valacyclovir.

Antiviral drugs that include Valacyclovir, used to treat herpesviruses.

Treated with Antiviral medications such as valacyclovir, to halt viral DNA replication and stop spread.

Conditions with high blood sugar levels, such as DKA (diabetic ketoacidosis) and HHNS (hyperosmolar hyperglycemic state), that draw fluid out of cells and into the bloodstream.

To maintain or restore fluid volume and electrolyte balance, provide nutrition, administer medication, transfuse blood products, and facilitate diagnostic testing

Naloxone (Narcan) is a medication that reverses the effects of opioid drugs.

Vitamin K is used to counteract the effects of Warfarin, a blood thinner.

Decreases herpes symptoms but doesn't eliminate the infection or stop its spread.

Avoid sexual activity if sores/signs of herpes are present. Use condoms even without sores.

Take antiviral medicine with plenty of water, with or without food, regularly.

Headache, fatigue, nausea, and vomiting are potential side effects of herpes treatment.

Watch for side effects and symptom resolution or worsening during antiviral therapy.

Common antiviral medication used to treat herpes.

Avoid veins near dialysis shunts, AV fistulas, infections, scars, burns, surgeries, CVA paralysis, recent infiltrations, or extravasations on the same side of the body.

Select a vein that has not been used recently for IV's or other procedures.

Instruct patients on medicine use, potential side effects, and when to contact a healthcare provider.

Never choose veins in an arm with dialysis shunts, AV fistulas, signs of infection, extensive scarring, burns, surgeries, CVA paralysis, or recent infiltration, extravasation, phlebitis, or sites distal to previous punctures.

Always maintain strict aseptic technique during IV insertion using alcohol or chlorhexidine.

Apply a tourniquet 6-8 inches above the intended IV insertion site, but don't leave it on for more than 2 minutes.

IV fluids that remain within the intravascular compartment (blood vessels). Have the same concentration inside and outside the cell, so cells maintain their normal size.

IV fluids that have a lower solute concentration than the body's fluids. This causes water to move into the cells, potentially causing them to swell.

IV fluids that have a higher solute concentration than the body's fluids. This causes water to be pulled out of the cells and into the bloodstream, potentially causing cells to shrink.

They help maintain fluid balance and prevent cells from shrinking or swelling.

Normal saline (0.9% NaCl) and lactated Ringer's solution.

Dehydration of cells, often seen in conditions like DKA and HHNS, which pull fluid out of the cells.

Cerebral edema and hyponatremia by pulling fluid out of the cells and into the bloodstream.

Isotonic fluids prevent cell change, Hypotonic fluids cause cells to swell, Hypertonic fluids cause cells to shrink.

Increased intracranial pressure (ICP) as it can shift fluid into the brain tissue and cause swelling.

High risk of phlebitis (inflammation of the vein) and the need for close monitoring.

IV fluids are used to expand intravascular volume, correct imbalances of fluids and electrolytes, compensate for ongoing health problems affecting fluid levels, and deliver medications and nutrition.

Antiviral medication aims to decrease symptoms caused by herpes simplex virus, but it does not eliminate the infection or stop its spread to others.

Avoid sex if sores or other signs of herpes are present. Always use condoms even if no sores are visible.

Common side effects of antiviral medication include headache, fatigue, nausea, and vomiting. Report persistent side effects or worsening symptoms to your healthcare provider.

Nursing care for clients on herpes antivirals involves monitoring for side effects, evaluating therapeutic response (lesion absence), and providing education about safe medication use and potential side effects.

Common side effects of valacyclovir include headache and nausea. More serious side effects include nephrotoxicity, thrombotic thrombocytopenic purpura, and hemolytic uremic syndrome.

Hypotonic fluids are used to treat cellular dehydration, such as in cases of DKA (diabetic ketoacidosis) or HHNS (hyperosmolar hyperglycemic nonketotic syndrome).

Hypertonic fluids are used to treat conditions like cerebral edema and hyponatremia by pulling fluid out of the cells and into the bloodstream.

The key difference lies in their solute concentration compared to the cells. Hypotonic fluids have a lower solute concentration, causing water to move into cells, while hypertonic fluids have a higher solute concentration, causing water to move out of cells.