IV Insertion : Nursing Course


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OR REVIEW THE FOLLOWING NURSING CLASS KNOWLEDGE BLOCKS


A collection of fluids in the tissue surrounding a venipuncture site is:

infiltration

Rationale: Infiltration is the leaking of IV fluid into the surrounding tissue, which is usually caused by the catheter becoming dislodged or by the needle penetrating through the vein. When an infiltration occurs, the fluid infusing to the IV will not flow well, the infusion site becomes cool and swollen, and the patient will usually complain of pain. If an infiltration occurs, the IV should be removed immediately. A warm compress can help stimulate circulation, and helps absorb the solution from the surrounding tissue.


After 2 unsuccessful IV attempts, you should:

call another professional to start the IV

Rationale: If the practitioner is unable to insert the IV after two attempts, another practitioner should evaluate the patient’s for venous access. Each medical facility has a protocol to follow as to the maximum amount of IV attempts allowed per practitioner, and what to do in the event that an IV is difficult to obtain.


After a IV is inserted and secured, the last step for the RN to complete is to:

documentation

Rationale:

The first step in inserting an IV is:

obtain a physician's order

Rationale:

The site of an IV in a hospitalized patient should be changed:

every 72 hours

Rationale:

When advancing the needle into the vein during an IV attempt, a key indication that you are in the vein is:

blood is seen in the flashback chamber

Rationale:

When applying a tourniquet for IV insertion, the tourniquet should be positioned:

6" above the insertion site

Rationale:

When choosing the size for an IV insertion, choose a cannula that is:

smallest gauge that will accommodate the prescribed therapy

Rationale:

When inserting an IV into a diabetic patient, avoid using the:

lower extremities

Rationale:

When inserting the needle into the skin when placing an IV, insert the needle at a:

15-20 degree angle

Rationale:

AND THEN TAKE THE CLASS TEST