Nursing Management IV Therapy Quiz

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Questions and Answers

What is an appropriate intervention if signs of phlebitis are noted at the IV site?

Increase the flow rate to improve circulation at the site

Continue IV therapy and monitor the site closely

Remove the IV line and notify the healthcare provider (correct)

Apply a warm compress and leave the IV in place

How often should the IV site be changed to minimize the risk of infection and phlebitis?

Every 72-96 hours (correct)

Every 24 hours

Every week

Every 48-72 hours

When preparing to administer IV therapy, which step is crucial before starting?

Obtain a routine blood glucose level

Ensure the patient is lying flat

Check the expiration date of the IV bag

Compare the IV bag with the physician's order (correct)

What should a nurse monitor for if a patient is receiving intravenous therapy for an extended period?

Signs of fluid overload Signup and view all the answers

If an IV bag runs out, what should the nurse do until a new bag is available?

Use 10% dextrose to prevent hypoglycemia Signup and view all the answers

Which test is used to assess the depth of tumor penetration in colorectal cancer?

CT, PET, or MRI Signup and view all the answers

In patients with inflammatory bowel disease, which electrolyte imbalance is likely due to diarrhea?

Decreased sodium Signup and view all the answers

At what age should colorectal cancer screening typically begin?

45 years Signup and view all the answers

Which test can be used to identify obstructions in the bile ducts for cholelithiasis?

ERCP Signup and view all the answers

What type of testing is performed to assess chronic hepatitis infections?

RNA testing Signup and view all the answers

Which laboratory marker could potentially provide false positives for certain types of cancers?

Carcinoembryonic antigen (CEA) Signup and view all the answers

What is the primary nursing intervention for phlebitis?

Stop the infusion and relocate the IV site Signup and view all the answers

Which imaging technique is NOT typically used for diagnosing acute pancreatitis?

Fibroscan Signup and view all the answers

What is a common laboratory finding in patients with cholecystitis?

Increased AST and ALT Signup and view all the answers

Which symptom is NOT associated with fluid overload?

Severe dehydration Signup and view all the answers

What complication is characterized by the leakage of vesicant fluids into subcutaneous tissue?

Extravasation Signup and view all the answers

What condition is indicated by jugular venous distention (JVD)?

Right-sided heart failure Signup and view all the answers

How can you assess for pitting edema in the lower extremities?

Depress the skin over the tibia or medial malleolus Signup and view all the answers

What assessment finding is most indicative of an air embolism?

Sudden onset hypotension Signup and view all the answers

Which nursing intervention is crucial to prevent local infection at an IV site?

Rotate the IV site regularly Signup and view all the answers

What scale is used to evaluate the strength of a pulse during palpation?

0 to 4 scale Signup and view all the answers

What is a common sign of refeeding syndrome in patients receiving TPN?

Electrolyte imbalance Signup and view all the answers

What term describes a vibration felt over an artery due to turbulent blood flow?

Thrill Signup and view all the answers

Which nursing action should be taken immediately if infiltration is suspected at an IV site?

Elevate the affected limb Signup and view all the answers

How should the capillary refill test be performed?

Squeeze a nail bed and release it Signup and view all the answers

What does a bruit indicate when auscultating an artery?

Narrowing or bulging of the artery Signup and view all the answers

What symptom would most likely indicate a severe allergic response to TPN?

Development of a rash Signup and view all the answers

What is the primary purpose of comparing the characteristics of arteries in both extremities?

To assess for symmetry in blood flow Signup and view all the answers

What clinical finding is most often associated with hyperglycemia?

Increased thirst and urination Signup and view all the answers

What is a significant risk factor for fluid overload during IV therapy?

Rapid infusion of large volumes Signup and view all the answers

What is the normal expected return time for color in the nail bed during the capillary refill test?

Less than 2 seconds Signup and view all the answers

What type of information should be gathered about a patient's medication history?

Current and past use of medications Signup and view all the answers

Which of the following is NOT considered a major cardiovascular risk factor?

Regular aerobic exercise Signup and view all the answers

What should patients with heart problems avoid during bowel movements?

Straining (Valsalva maneuver) Signup and view all the answers

What is a common symptom that may indicate a cardiovascular problem during exercise?

Chest pain Signup and view all the answers

Which pattern involves assessing a patient's nutritional status related to cardiovascular health?

Nutritional-metabolic pattern Signup and view all the answers

Which assessment is crucial when evaluating a patient's elimination pattern?

Presence of swelling in lower extremities Signup and view all the answers

What is a recommended treatment approach for bursitis?

Rest with immobilization and apply ice Signup and view all the answers

How might acute cardiovascular events affect a patient emotionally?

They may lead to concerns about body image Signup and view all the answers

What type of exercise is considered most beneficial for cardiovascular health?

Aerobic exercise Signup and view all the answers

Which statement is true concerning fractures?

Keep the cast dry and report increasing pain Signup and view all the answers

What is a sign of compartment syndrome?

Loss of sensation and pulselessness in late stages Signup and view all the answers

Which dietary recommendation is necessary for managing gout?

Reduce alcohol consumption and limit purine intake Signup and view all the answers

What is the advised daily calcium intake for women aged 51 or older?

1200 mg Signup and view all the answers

Which therapy is NOT considered complementary for osteoarthritis?

Standard pharmaceutical treatments Signup and view all the answers

In the management of Systemic Lupus Erythematosus (SLE), which symptom is monitored?

Signs of bleeding Signup and view all the answers

What is true regarding the use of calcium carbonate?

It is best taken with meals to enhance absorption Signup and view all the answers

Study Notes

Nursing Management for Patients Receiving IV Therapies

Assess the IV site each time it's accessed, checking for signs of phlebitis (inflammation). Remove the IV if warmth, tenderness, or a palpable cord is present.
Flush saline locks every shift or as needed.
Perform hand hygiene before and after each procedure.
Verify that the IV bag matches the order.
Change IV sites every 72-96 hours to reduce infection risk.
Change IV tubing every 96 hours.
Use appropriate needle connectors and tubing.
If the IV bag runs out prematurely, use 10% dextrose to prevent a drop in blood sugar.
Educate patients about proper IV care and the importance of recognizing signs of complications.

Patient Teaching for IV Therapy

Refrigerate IV solutions for 30 minutes before use, and they are good for 24 hours at room temperature.
Follow proper aseptic procedures to reduce infection risk.
Teach the patient to check for any tubing obstructions.
Teach the patient to report any perceived kinks or obstructions in the IV tubing.
Inspect frequently the IV solution for color changes, leaks, and particulate matter.
Clarify any issues about clarity of infused solutions, or clumps of fat emulsions that need to be reported to the pharmacy.
Increase the flow rate slowly to avoid refeeding syndrome.
Monitor blood glucose every 4-6 hours.

IV Complications

Phlebitis: Inflammation of the inner vein. Signs include redness, pain, swelling, warmth.
Infiltration: Leakage of IV fluids into the surrounding tissue. Signs include swelling, coolness, and leaking near the IV site.
Extravasation: Leakage of vesicant fluids (e.g., chemo drugs) into the tissue. Signs may include blistering.
Fluid overload: Too much IV fluid infused. Signs can involve swelling, confusion, shortness of breath (dyspnea) and increased blood pressure.

Local Infections

Local Infection: Caused by poor aseptic techniques or prolonged use of the same IV site. Signs include redness, swelling, fever, and warmth.
Nursing Interventions: Change the IV catheter site and immediately report if signs of infection appear.
Fluid Overload: Excessive fluid infused. Signs involve puffiness (edema), confusion, shortness of breath, and elevated blood pressure.

Air Embolism

Air in the vein: Caused by improper priming, or air introduced into the tubing. Signs include sudden onset, hypotension, tachycardia, and shortness of breath.
Nursing Interventions: Position the patient on their left side, immediately notify the medical team, assess the patient frequently, and monitor vital signs to spot any complications.

Other Complications (PN, TPN)

Infection/sepsis: Signs include fever, chills, and reduced blood pressure; requires prompt medical intervention or hospitalization.
Hyperglycemia: High blood glucose. Signs involve frequent urination, excessive thirst, and possibly other symptoms depending on the cause.
Hypoglycemia: Low blood glucose. Signs involve clammy skin, dizziness, confusion, fatigue, weakness, shakiness, and possibly other symptoms depending on the underlying cause.
Refeeding syndrome: Serious complications in undernourished patients, who start receiving fluids or nutrition too quickly,.

Additional Information in the Text

Subjective data collection during patient assessment
History of present illness
Focus on cardiovascular and vascular disorders, including patient's descriptions of their symptoms, and past medical history from patient interview.
Assessment of various body systems: health history, medications, surgeries, health management lifestyle, nutritional-metabolic status, elimination (bowel/bladder) patterns, activity-exercise, sleep-rest, cognitive-perceptual, self-perception–self-image, role-relationship, sexuality-reproductive, and coping-stress tolerance.
Review of pertinent health history to identify risk factors and current health status.

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Description

Test your knowledge on nursing management practices for patients receiving IV therapies. This quiz covers essential protocols such as assessing IV sites, maintaining aseptic technique, and patient education for IV care. Ensure you understand how to minimize complications and effectively manage IV therapy.