Podcast
Questions and Answers
What is a primary consequence of applying pressure to an infiltrated area?
What is a primary consequence of applying pressure to an infiltrated area?
- It can induce phlebitis.
- It can facilitate medication absorption.
- It can cause hematoma. (correct)
- It can enhance blood flow.
Which outward symptom is characteristic of phlebitis?
Which outward symptom is characteristic of phlebitis?
- Bleeding at the venipuncture site.
- Swelling of the entire limb.
- Hard, cord-like tenderness at the site. (correct)
- No visible signs at the infusion site.
In cases of thrombophlebitis, what does the vein feel like to the touch?
In cases of thrombophlebitis, what does the vein feel like to the touch?
- Cool and spongy.
- Hard and cord-like. (correct)
- Warm but flexible.
- Soft and pliable.
What approach should be taken regarding venipuncture in specific locations?
What approach should be taken regarding venipuncture in specific locations?
What is a recommended method for securing an IV cannula?
What is a recommended method for securing an IV cannula?
Which action is indicated when administering irritating solutions?
Which action is indicated when administering irritating solutions?
Why might an armboard or splint be necessary during IV therapy?
Why might an armboard or splint be necessary during IV therapy?
What should be documented when complications arise at the IV site?
What should be documented when complications arise at the IV site?
What should be checked in fluid containers to minimize the risk of infection?
What should be checked in fluid containers to minimize the risk of infection?
How often should IV tubing be changed according to CDC recommendations?
How often should IV tubing be changed according to CDC recommendations?
What occurs systemically from the entry of microorganisms into the body?
What occurs systemically from the entry of microorganisms into the body?
When should the IV site dressing be changed?
When should the IV site dressing be changed?
Who is considered an at-risk client for infections?
Who is considered an at-risk client for infections?
What information should be labeled on the IV site, bag, or tubing?
What information should be labeled on the IV site, bag, or tubing?
What is the maximum time IV solutions should hang?
What is the maximum time IV solutions should hang?
What preventative measure can help reduce local infections at the IV insertion site?
What preventative measure can help reduce local infections at the IV insertion site?
What should be done if tissue damage from extravasation is suspected?
What should be done if tissue damage from extravasation is suspected?
What is a common local sign of infection at the venipuncture site?
What is a common local sign of infection at the venipuncture site?
Which action is essential in preventing infection while managing an IV site?
Which action is essential in preventing infection while managing an IV site?
Which of the following indicates systemic infection?
Which of the following indicates systemic infection?
What is the purpose of documenting tissue condition and findings from an IV site assessment?
What is the purpose of documenting tissue condition and findings from an IV site assessment?
What indicates a high risk for infection related to venipuncture?
What indicates a high risk for infection related to venipuncture?
Which among the following is NOT a recommended action for monitoring the IV site?
Which among the following is NOT a recommended action for monitoring the IV site?
Which condition signifies extravasation at an IV site?
Which condition signifies extravasation at an IV site?
What is the purpose of placing a client in the Trendelenburg's position during tubing or cap changes?
What is the purpose of placing a client in the Trendelenburg's position during tubing or cap changes?
Which symptom should prompt the immediate notification of the PHCP when administering a high concentration of dextrose solution?
Which symptom should prompt the immediate notification of the PHCP when administering a high concentration of dextrose solution?
What may be a necessary assessment for a client receiving a high concentration dextrose solution?
What may be a necessary assessment for a client receiving a high concentration dextrose solution?
If a client's blood glucose level is above 200, what should be prioritized in their care?
If a client's blood glucose level is above 200, what should be prioritized in their care?
What action should be taken if a client exhibits weakness and confusion after receiving a high concentration of dextrose?
What action should be taken if a client exhibits weakness and confusion after receiving a high concentration of dextrose?
What instruction should be given to a client to perform the Valsalva maneuver effectively?
What instruction should be given to a client to perform the Valsalva maneuver effectively?
Which of the following conditions must be avoided when placing a client in Trendelenburg’s position?
Which of the following conditions must be avoided when placing a client in Trendelenburg’s position?
What is the risk associated with administering a high concentration dextrose solution too quickly?
What is the risk associated with administering a high concentration dextrose solution too quickly?
What should be done if discontinuation of PN is prescribed?
What should be done if discontinuation of PN is prescribed?
Which of the following is true regarding the care of the IV catheter after removal?
Which of the following is true regarding the care of the IV catheter after removal?
What action should be taken to prevent an air embolism during IV therapy?
What action should be taken to prevent an air embolism during IV therapy?
Which sign or symptom indicates a potential air embolism?
Which sign or symptom indicates a potential air embolism?
What is a key reason why central lines should not be left in without a valid purpose?
What is a key reason why central lines should not be left in without a valid purpose?
When assessing nutritional status before discontinuation of PN, which parameters should be recorded?
When assessing nutritional status before discontinuation of PN, which parameters should be recorded?
In the case of an air embolism, what is an immediate intervention?
In the case of an air embolism, what is an immediate intervention?
What should be continuously monitored in patients receiving PN?
What should be continuously monitored in patients receiving PN?
Study Notes
IV Therapy Management
- Avoid rubbing infiltrated areas to prevent hematomas; documentation and photographs of IV sites may be required by policy.
- Phlebitis is inflammation of the vein, often due to mechanical or chemical trauma; characterized by heat, redness, and tenderness without swelling or hardness.
- Thrombophlebitis involves cord-like hardness and tenderness at the site, with sluggish blood flow, indicating a risk for clot formation.
- Use an appropriately sized IV cannula; avoid very small veins for irritating solutions, and refrain from using lower extremities for IV access.
- Securely anchor the cannula to prevent movement; may use an armboard or splint for restless clients.
Extravasation and Infection Risks
- Extravasation occurs when vesicant solutions leak into surrounding tissues, risking necrosis; immediate PHCP notification is crucial.
- Monitor for local infection signs: redness, swelling, drainage; systemic infection symptoms include chills, fever, malaise.
- Maintain strict asepsis during venipuncture to prevent infection; assess risks prior to venipuncture.
- Regularly check fluid containers for integrity to minimize contamination risks; adhere to CDC recommendations for IV tubing changes every 96 hours.
- Label IV sites and containers to track dates and times for timely changes; IV solutions should not hang longer than 24 hours.
Nutritional Support and Discontinuation
- Evaluate nutritional status before discontinuing parenteral nutrition; gradually reduce flow rate for 1-2 hours while increasing oral intake to prevent hypoglycemia.
- Post-IV catheter removal, change dressings daily until healed; central lines should be used prudently to avoid infection risks.
Complication: Air Embolism
- Occurs when the catheter system is opened or IV tubing is disconnected; symptoms include chest pain, dyspnea, hypotension, and a loud churning sound upon auscultation.
- Interventions: clamp all IV catheter ports, place the client in a left side-lying position with the head lower than the feet, administer oxygen, and notify the PHCP.
- Educate clients on Valsalva maneuver during tubing changes to prevent air embolism.
Complication: Hyperglycemia
- Can arise from high dextrose concentration or insufficient insulin; symptoms include restlessness, confusion, and elevated blood glucose over 200.
- Monitor blood glucose levels in clients with a history of glucose intolerance; adjust infusion rates accordingly and notify the PHCP.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Related Documents
Description
This quiz focuses on best practices for managing IV sites, including how to handle infiltrated areas and the importance of documentation. Learn the appropriate actions to take when encountering issues such as hematomas and when to take photographs for documentation purposes.
