IV Therapy and Fluid Replacement Quiz
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Questions and Answers

What solution is typically used for blood transfusions?

  • Dextran
  • Lactated Ringer's
  • Normal Saline Solution (correct)
  • Five Percent Dextrose and Water

    • Which of the following is NOT a common indication for administering an intravenous (IV) infusion?

  • Administering antibiotics
  • Diluting poisons in the blood
  • Replacing electrolytes
  • Providing a source of oxygen (correct)

    • Which IV solution is considered isotonic and contains 5 grams of dextrose per 100 ml of water?

  • Lactated Ringer's
  • Plasma Protein Fraction
  • Normal Saline Solution
  • Five Percent Dextrose and Water (correct)

    • What is the primary function of a CVAD?

    <p>To administer therapies and medications directly into the bloodstream</p> Signup and view all the answers

    Which of the following is an example of a colloid solution used in fluid replacement therapy?

    <p>Plasma Protein Fraction</p> Signup and view all the answers

    What is the primary indication for using Lactated Ringer's solution?

    <p>Dehydration</p> Signup and view all the answers

    Which of the following is NOT a type of fluid used in fluid replacement therapy?

    <p>Antibiotics</p> Signup and view all the answers

    What is the primary purpose of venipuncture?

    <p>To obtain blood samples for diagnostic purposes</p> Signup and view all the answers

    Which of the following is a factor that can contribute to inadequate catheter length and insertion depth for a central venous access device (CVAD)?

    <p>Patient's body habitus</p> Signup and view all the answers

    Which of the following conditions can lead to secondary intravascular malposition of a CVAD, also known as tip migration?

    <p>Congestive heart failure</p> Signup and view all the answers

    What is the primary purpose of documentation related to intravenous therapy?

    <p>All of the above</p> Signup and view all the answers

    Which of the following details should be documented when initiating IV therapy?

    <p>All of the above</p> Signup and view all the answers

    What is a possible consequence of undiagnosed congenital venous abnormalities in relation to CVAD placement?

    <p>Increased risk of air or thrombotic emboli</p> Signup and view all the answers

    Which of the following factors can contribute to secondary intravascular malposition of a CVAD, specifically tip migration?

    <p>Positive pressure ventilation</p> Signup and view all the answers

    Why is proper documentation of IV therapy crucial?

    <p>All of the above</p> Signup and view all the answers

    What is the role of cardiac imaging studies in the context of CVAD placement?

    <p>All of the above</p> Signup and view all the answers

    What is the recommended frequency for changing a transparent semi-permeable (TSM) dressing on a CVAD site?

    <p>Every 7 days</p> Signup and view all the answers

    A white, shiny appearance at or above an IV insertion site could indicate which of the following?

    <p>Infiltration</p> Signup and view all the answers

    Which of the following conditions is characterized by edema, redness, pain, and irritation at an IV site?

    <p>Cellulitis</p> Signup and view all the answers

    When is a gauze dressing preferred over a TSM dressing?

    <p>When the patient is diaphoretic</p> Signup and view all the answers

    What is the primary purpose of the Chlorhexidine Gluconate (CHG) in the Tegaderm Transparent Dressing?

    <p>To prevent bacterial growth</p> Signup and view all the answers

    A blood return can be obtained from an IV site even if the fluid is leaking into the tissues. What is the reason for this?

    <p>The IV catheter may have punctured the posterior wall of the vein</p> Signup and view all the answers

    When is a gauze dressing not considered a gauze dressing, according to the provided text?

    <p>When it's used to secure a non-coring needle in an implanted port</p> Signup and view all the answers

    According to the provided text, what are the possible causes of cellulitis at an IV site?

    <p>Irritation from the catheter, extravasation of irritating medications, and lack of aseptic technique</p> Signup and view all the answers

    What is the maximum infusion pressure recommended for intravenous therapy to avoid damage to blood vessels?

    <p>25 psi</p> Signup and view all the answers

    Which technique is recommended for maintaining the patency of a catheter?

    <p>Pulsatile Flush Technique</p> Signup and view all the answers

    When should a needless connector be changed in intravenous therapy?

    <p>If there is blood or debris within it</p> Signup and view all the answers

    What type of device is a stopcock in intravenous therapy?

    <p>A valve that controls fluid flow</p> Signup and view all the answers

    What is the primary purpose of in-line filters in intravenous therapy?

    <p>To ensure the purity of the solution</p> Signup and view all the answers

    What is a crucial action to take when performing a positive pressure technique during flushing?

    <p>Clamp the line while flushing the last 0.5 mL</p> Signup and view all the answers

    How often should a needless connector be changed at a minimum?

    <p>No more frequently than every 96 hours</p> Signup and view all the answers

    What role does a port protector serve in intravenous therapy?

    <p>As a disinfectant prior to access</p> Signup and view all the answers

    Which of the following details should NOT be included when labeling a sample?

    <p>Hometown</p> Signup and view all the answers

    Why is it important to invert blood collection tubes immediately after filling?

    <p>To mix the blood with preservatives</p> Signup and view all the answers

    What is a recommended action to encourage hemostasis after drawing blood?

    <p>Keep the arm straight</p> Signup and view all the answers

    What should be done immediately after disposing of sharps?

    <p>Wash hands</p> Signup and view all the answers

    What is the consequence of not following the order of draw during blood collection?

    <p>Contamination of samples leading to false results</p> Signup and view all the answers

    What should be done with the tray after completing a blood draw?

    <p>Wipe it with a disinfectant wipe</p> Signup and view all the answers

    Which of these options describes a factor that represents a pre-analytical variable?

    <p>Incorrect labeling of the sample</p> Signup and view all the answers

    What is the purpose of placing a specimen in a leak-proof receptacle after collection?

    <p>To reduce contamination risks</p> Signup and view all the answers

    What does the term Catheter-Associated Bloodstream Infection (CABSI) encompass?

    <p>Bloodstream infections from both peripheral and central vascular access devices.</p> Signup and view all the answers

    Which criterion accurately confirms a catheter-related bloodstream infection (CR-BSI)?

    <p>Isolation of the same organism from a peripheral vein and catheter blood culture.</p> Signup and view all the answers

    Which of these could NOT be a source of a catheter-associated bloodstream infection (CABSI)?

    <p>Infection from a skin lesion not related to catheter use.</p> Signup and view all the answers

    What is the primary focus of CLABSI surveillance definitions?

    <p>Monitoring primary bloodstream infections related to a central line.</p> Signup and view all the answers

    What potentially affects the accuracy of CLABSI incidence reporting?

    <p>Identification of infections unrelated to the central line.</p> Signup and view all the answers

    What is the minimum requirement for an organism to confirm a positive catheter tip culture?

    <p>A growth of at least 15 colony forming units (CFUs).</p> Signup and view all the answers

    What preventative strategy is essential for maintaining catheter integrity?

    <p>Routine monitoring of catheter insertion sites.</p> Signup and view all the answers

    What differentiates a central line-associated bloodstream infection (CLABSI) from other bloodstream infections?

    <p>It must develop in conjunction with a central line within the past 48 hours.</p> Signup and view all the answers

    Study Notes

    IV Therapy and Phlebotomy

    • This document covers intravenous therapy and phlebotomy procedures.
    • It details the anatomy and physiology of vascular vessels, including veins, arteries and the layers of the vessel wall.
    • It outlines different types of intravenous fluids, including indications for their use.
    • It details different vascular access devices (VADs), including peripheral intravenous catheters (PIVs), midline catheters, central venous catheters (CVADs), non-tunneled and tunneled CVADs and implanted ports, and their uses and maintenance.
    • It covers the process of intravenous cannulation, including site selection, site preparation, cannula selection, and flushing procedures and indications.
    • It discusses intravenous therapy maintenance procedures including monitoring and assessment, dressing changes, and flushing techniques.
    • It details complications of vascular access devices, including phlebitis, infiltration, and extravasation.
    • It discusses the importance of proper documentation in intravenous therapy and includes examples of documentation required.
    • It also discusses guidelines for phlebotomy technique, including patient identification, and site selection.
    • It details procedures for blood collection, including handling and transport, and the types of add-on devices used in IV therapy.
    • It includes guidelines for infection prevention procedures and discusses the complications of blood collection, such as hematoma, nerve damage and pain, and infection.
    • It gives information about how to classify different types of central line related bloodstream infections.
    • It details the different types of vascular access devices (VADs) and the situations in which each might be used, along with their maintenance.
    • The document includes flow rate calculations for intravenous infusions.
    • There is a table of commonly used intravenous solutions, including normal saline (0.9% NaCl), Ringer's solution (Lactated Ringer's), and 5% dextrose in water (D5W), and descriptions of each.
    • The document provides details regarding the collection of blood culture specimens, including appropriate materials and devices.
    • A table describes types of catheters, their gauge, colour and indications.
    • Specific guidelines for patient preparation, including patient identification and site selection for venipuncture, are also included.
    • The document provides a detailed procedure for venipuncture.
    • It discusses pre-analytical variables, including the correct sequence for filling blood tubes.
    • It covers the importance of using the proper devices and materials, including a correct order of draw (for filling tubes), minimum fill levels, and recognizing hemolysis and possible causes.
    • It includes guidance for flushing and locking vascular access devices, including heparin lock solutions for vascular access devices (for example, peripherally inserted central catheters)

    Additional Information

    • The document is reviewed periodically and updated as needed.
    • The document references multiple sources and organizations related to the care of IV patients.

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    Related Documents

    IV Therapy Manual - Final 2023 PDF

    Description

    Test your knowledge on intravenous (IV) therapy and fluid replacement solutions. This quiz covers common IV solutions, indications for use, and procedures involved in blood transfusions and catheter placement. Perfect for nursing students and healthcare professionals.

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