IV Insertion : Nursing Course


YOU CAN TAKE THE NURSING CLASS TEST RIGHT AWAY




OR REVIEW THE FOLLOWING NURSING CLASS KNOWLEDGE BLOCKS


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

documentation

Rationale: After an IV is inserted, the procedure must be documented on the patient's chart. Documentation should include the date and time of the venipuncture, type and gauge of the needle and catheter, and the location of the insertion site. The documentation should also include how many attempts were made to insert the IV, and the name and amount of IV solution infusing if applicable. Always document any adverse reactions if necessary, and how the patient tolerated the procedure.


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

lower extremities

Rationale: Foot ulcers are a major concern for diabetic patients due to vascular changes, decreased sensation and decreased blood flow that occurs with diabetes. An IV should never be inserted in the lower extremity of a diabetic patient, unless specifically ordered by the physician. An IV in the feet or legs can increase the risk of scarring in the veins, blood clots, and infiltrations that can lead to non-healing foot ulcers.


After 2 unsuccessful IV attempts, you should:

call another professional to start the IV

Rationale:

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

infiltration

Rationale:

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

smallest gauge that will accommodate the prescribed therapy

Rationale:

The first step in inserting an IV is:

obtain a physician's order

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:

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:

AND THEN TAKE THE CLASS TEST