IV Insertion : Nursing Course


YOU CAN TAKE THE NURSING CLASS TEST RIGHT AWAY




OR REVIEW THE FOLLOWING NURSING CLASS KNOWLEDGE BLOCKS


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

smallest gauge that will accommodate the prescribed therapy

Rationale: Prior to inserting an IV, proper assessment of the patient and their veins is required. The choice of cannula is determined by its intended use, where it is to be inserted and the needs of the patient. The smallest gauge that will accommodate the prescribed therapy for the patient should be used. This will allow flow of blood around the cannula, and minimize the risks of chemical irritation and phlebitis.


The first step in inserting an IV is:

obtain a physician's order

Rationale: The first step in the insertion of a peripheral IV line or saline or heparin lock is to obtain a physician’s order. IV therapy should only be initiated after this order is obtained, or when necessary in an emergency situation. After the order is obtained, you must verify the patient’s identity by at least two methods, then educate the patient regarding the procedure.


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

6" above the insertion site

Rationale:

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

15-20 degree angle

Rationale:

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

lower extremities

Rationale:

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

infiltration

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:

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

every 72 hours

Rationale:

After 2 unsuccessful IV attempts, you should:

call another professional to start the IV

Rationale:

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

documentation

Rationale:

AND THEN TAKE THE CLASS TEST