76-100 IV homework Flashcards
Prior to cannulating an ej vein is is most important to:
A) cleanse the puncture site
B) palpate for the carotid pulse
C) turn the pt head to the side
D) occlude the vein distal to the puncture site
B
If you discover that an IV is not flowing sufficiently you should:
A) check the height of the bag
B) reapply the constricting band
C) discontinue the IV solution
D) pull back on the IV catheter
A
Edema at the IV catheter site and continued IV flow after occlusion of the vein above the insertion site are signs of:
A) phlebitis
B) infection
C) infiltration
D) thrombophlebitis
C
Thrombophlebitis is MOST commonly caused by:
A) abuse of IV drugs
B) long term IV therapy
C) lapses in aseptic technique
D) any type of hypotonic solution
A
When determining wether an occluded IV line should be reestablished you should:
A) attempt to improve the IV flow rate by applying a pressure infuser device around the IV bag
B) infuse 10ml of normal saline through the injection port to attempt to disrupt the occlusion
C) lower the IV bag below the level of the pt heart and observe for blood return in the IV tubing
D) apply manual pressure to the IV bag while observing for a sudden increase in the IV flow rate
B
Vein irritation during IV therapy is usually caused by:
A) the formation of a thrombus
B) an infusion rate that is too rapid
C) contaminates in the IV solution
D) IV solutions that are not warmed
B
Pain, tenderness and blood rapidly pooling around the IV site are MOST indicative of:
A) hematoma
B) phlebitis
C) vein occlusion
D) thrombophlebitis
A
Which of the following condition or situations is associated with the highest risk of vein rupture during IV cannulation:
A) diabetes
B) hypertension
C) ibuprofen use
D) atherosclerosis
A
Damage to nerves, tendons or ligaments would most likely occur during venipuncture if:
A) the pt as diabetes
B) the pt moves suddenly
C) the selected IV site is near a joint
D) a small vein in the hand is cannulated
C
To avoid inadvertently cannulating an artery you should:
A) routinely cannulate veins on the anterior aspect of the arm
B) refrain from attempting to cannulate an ej vein
C) recall the most pt veins and arteries are transposisioned
D) always check for a pulse in any vessel you intend to cannulate
D
The most prominent clinical indicator of a pyrogenic reaction is
A) fever
B) nausea
C) headache
C) vascular collapse
A
Pyrogenic reactions can be largely avoided by:
A) determining if the pt has any allergies
B) inspecting the IV solution carefully before use
C) premeditating the pt with 1 gram of acetaminophen
D) keeping the piercing spike sterile after it is exposed
B
The most common cause of circulatory overload in the prehospital setting is:
A) overestimating the pt baseline hydration level and giving too much fluid
B) failure to readjust the drip rate after flushing the IV line immediately after insertion
C) not using volutrol admin set when administering IV fluids to the elderly
D) administering excessive crystalloid solutions to pts with hypovolemic shck
B
Signs and symptoms of circulatory overload include:
A) diarrhea
B) headache
C) hypertension
D) collapsed jugular veins
C
During IV therapy the presence of shortness of breath unequal breath sounds and cyanosis despite administration of high flow O2 should make you most suspicious for:
A) an air embolus
B) circulatory overload
C) acute pulmonary edema
D) spontaneous pneumothorax
A
