40 Questions
What is the purpose of identifying the patient before administering an IV solution?
To ensure the right patient receives the intervention and prevent errors
What is the significance of comparing the IV container label with the MAR/CMAR?
To ensure the correct IV solution will be administered
What is the purpose of maintaining aseptic technique when opening sterile packages and IV solutions?
To prevent contamination and infection
Why is it important to ask the patient about allergies to medications or tape before administering an IV solution?
To identify possible allergies to IV solution additives or tape
What is the purpose of completing a time strip for the infusion and applying it to the IV container?
To allow for quick visual reference by the nurse to monitor infusion accuracy
What is the primary purpose of verifying the medical order and facility policy when converting to an intermittent access?
To ensure correct intervention for the correct patient and to facilitate accomplishment of the procedure.
What is the rationale for performing hand hygiene and putting on personal protective equipment (PPE) during the conversion process?
To prevent the spread of microorganisms and to comply with transmission precautions.
What is the importance of assessing the IV site before converting to an intermittent access?
To identify potential complications such as infiltration, phlebitis, or infection, which necessitate discontinuation of the IV infusion at that site.
What is the purpose of asking the patient about allergies to tape and skin antiseptics during the conversion process?
To identify possible allergies that may exist related to tape or antiseptics.
Why is it important to close curtains around the bed and close the door to the room, if possible, during the conversion process?
To ensure the patient's privacy and to facilitate explanation and cooperation.
What is the primary purpose of identifying the patient before initiating a peripheral venous access IV infusion?
Ensuring the right patient receives the intervention and preventing errors
What is the rationale behind applying a local anesthetic to a few potential insertion sites during peripheral venous access?
To decrease the degree of pain felt at the insertion site
Why is it essential to ask the patient about allergies to medications, tape, or skin antiseptics before initiating a peripheral venous access IV infusion?
To prevent possible allergic reactions and tissue damage
What is the primary purpose of closing curtains around the bed and closing the door to the room during peripheral venous access?
To ensure the patient's privacy
Why is it necessary to explain the procedure and rationale to the patient before initiating a peripheral venous access IV infusion?
To relieve anxiety and facilitate cooperation
What is the primary goal of properly removing PPE and performing hand hygiene in relation to venous access site care?
To reduce the risk of infection transmission and contamination of other items.
What is the expected outcome of effective venous access site care, and what indicators confirm this outcome?
The patient remains free of signs and symptoms of infection, phlebitis, or infiltration, and the access site dressing is clean, dry, and intact.
What essential information should be documented during venous access site care, and why is it important?
The location of the venous access, condition of the site, presence or absence of signs of erythema, redness, swelling, or drainage, and clinical criteria for site complications.
What is the significance of including the patient's subjective comments and reactions to the procedure in documentation?
It allows for a comprehensive understanding of the patient's experience and provides valuable insight for future care.
What is the purpose of providing patient teaching and education during venous access site care, and what specific topics should be covered?
To empower patients to take an active role in their care and to inform them of potential complications, such as pain or swelling, and the importance of reporting these to the nurse.
What is the primary purpose of identifying the patient before initiating the dressing change process, and how does it prevent errors in patient care?
The primary purpose of identifying the patient is to ensure the right patient receives the intervention; this helps prevent errors in patient care by ensuring the correct patient is receiving the correct treatment.
What are the circumstances under which the access site dressing should be changed immediately, and why is it necessary to do so?
The access site dressing should be changed immediately if it is damp, loosened, or soiled; this is necessary to prevent infection and promote a sterile environment.
What is the purpose of asking the patient about allergies to tape and skin antiseptics during the dressing change process, and what are the potential consequences of not doing so?
The purpose of asking the patient about allergies is to identify potential allergic reactions; failing to do so can result in adverse reactions, skin irritation, or other complications.
What is the significance of having equipment available during the dressing change process, and how does it impact the efficiency of care?
Having equipment available saves time and facilitates the accomplishment of the procedure; it enables healthcare professionals to provide efficient and effective care.
What is the purpose of temporarily stopping the infusion during the dressing change process, and what are the potential consequences of not doing so?
Temporarily stopping the infusion prevents the infusion of fluids or medications during the dressing change, which can lead to complications or contamination; failing to do so can result in infection, allergic reactions, or other adverse events.
What is the primary concern for storing blood products, and what is the time frame for administering them after release from the blood bank?
The primary concern for storing blood products is maintaining a carefully controlled temperature of 4°C. The time frame for administering them is within 30 minutes of release from the blood bank.
What is the purpose of scanning bar codes on blood products, and what is the benefit of this practice in ensuring patient safety?
The purpose of scanning bar codes on blood products is to identify, track, and assign data to transfusions. This practice provides an additional safety measure to ensure accurate administration of blood products.
What are the critical pieces of information that two nurses must validate and compare with each other, the medical record, patient identification band, and the label of the blood product before administering a transfusion?
The critical pieces of information include the medical order for transfusion, informed consent, patient identification number, patient name, blood group and type, expiration date, and inspection of the blood product for clots.
What is the consequence of not administering blood products within the recommended time frame, and what is the impact on the quality of the products?
If blood products are not administered within 30 minutes of release from the blood bank, they may deteriorate, and their quality may be compromised. After 35 days, red blood cells begin to deteriorate.
What is the importance of inspecting the blood product for clots before administration, and what should the nurse do if clots are present?
Inspecting the blood product for clots is crucial to ensure that the patient does not receive a contaminated product. If clots are present, the nurse should return the blood product to the blood bank.
What is the primary purpose of using a skin protectant during a peripheral venous access dressing change?
to aid in adhesion of the dressing and decrease the risk for skin trauma when the dressing is removed
Why is it essential to label the dressing with the date, time of change, and initials during a peripheral venous access dressing change?
to ensure communication about venous access site dressing change
What is the purpose of looping the tubing near the entry site and anchoring it with tape during a peripheral venous access dressing change?
to prevent the weight of the tubing from pulling it out of the vein
Why is it important to use nonallergenic tape during a peripheral venous access dressing change?
to reduce the risk of tearing fragile skin
What is the primary purpose of removing additional personal protective equipment (PPE) and performing hand hygiene after a peripheral venous access dressing change?
to reduce the risk of infection transmission and contamination of other items
What is the benefit of using a transparent dressing during a peripheral venous access dressing change?
it allows for easy visualization of the site
Why is it important to ensure the patient's comfort during a peripheral venous access dressing change?
to promote patient comfort and safety
What is the purpose of stabilizing the access device during a peripheral venous access dressing change?
to preserve the integrity of the access device and prevent catheter migration and loss of access
Why is it essential to check that the IV flow is accurate and the system is patent after a peripheral venous access dressing change?
to ensure that the IV infusion is functioning correctly
What is the benefit of referring to Skill 15-3 during a peripheral venous access dressing change?
it provides additional guidance on completing the task
Test your knowledge on the essential steps to take before performing a medical procedure, including identifying the patient, ensuring privacy, and explaining the process to the patient. Learn how to prepare for a safe and effective intervention.
Make Your Own Quizzes and Flashcards
Convert your notes into interactive study material.
Get started for free
