If a second venipuncture site is needed, and the patient's other arm is not an option, the second should be located, Distal to the original site, Proximal to the original site, In the lower extremity, Alongside the original site, The purpose of catheter flushing with normal saline solution is to prevent, Maintain line patency., Reduce the risk of blockage., Prevent mixing of incompatible medication or fluids, All the above, There is an increased risk of nerve damage when a peripheral IV catheter is placed in the, Antecubital space, Forearm, Inner aspect of the wrist, Dorsal surface of the hand, Which of the following statements about among risk factors of phlebitis may be true?, Material, and length of the catheter; pH and osmolality of the infusate; and rate of the flow. Administered drugs, and duration of catheterization., Material, diameter, and length of the catheter; pH and osmolality of the infusate; and rate of flow, administered drugs, and duration of catheterization., Material, diameter, and length of the catheter; and rate of flow, administered drugs, and duration of catheterization., Material, diameter, and length of the catheter; pH and osmolality of the infusate; and rate of flow, and duration of catheterization, The most common source of bacteria responsible for IV infection comes from:, Airborne sources, The patient’s skin., The cannula, Healthcare worker’s hand, Which will you observe each time you check your patient's PIVC site?, Look for moisture and any oozing., Make sure the dressing is not loose., Any bleeding around or on the dressing, All of the above, Which of the following statements about the first symptom of phlebitis may be true?, Warmth at the insertion site, Erythema at the insertion site, Discomfort at the insertion site or along the cannulated vein, A palpable cord along the venous pathway, and low-grade fever, Nursing actions that are important in reducing microbial contamination at the catheter hub with infusion administration include:, Disinfection of the catheter hub and needleless connectors before each access vigorously, Inspection of solutions for unusual appearance prior to administration., Stabilization of the catheter to minimize in and out movement., The use of the multi pause flush syringes., What is the most important step when discontinuing IV therapy upon removal of PIVC catheter?, Ensure the patient isn’t bruised., Inspect the extremity for any signs of edema and apply a warm compress if swelling is noted., Inspect the condition of the catheter tip and notify the physician immediately if any damage is noted., Document the date, time and initials of the professional who removed the IV on the patient’s band-aid., The purpose of valves in veins is to:, Redirect blood flow to another vein, Shut off blood flow to stop bleeding., Prevent backflow of blood as it travels through the body., Help blood flow more forcefully through the body., The layer of the vein that contains smooth muscle, fibrous tissue, and nerve fibers for vasoconstriction and vasodilation is the, Tunica media, Tunica adventitia, Tunica intima, Intraosseous space, Which vein is suitable to cannulate for trauma patients?, Umbilical vessel, Median cubital vein, Metacarpal vein, Distal vein, The dorsal metacarpal veins may be a poor choice in which of the following patients:, Renal patient, Diabetic patient, Home care patient, Elderly patient, If a patient is expected to need multiple IVs or an extended hospitalization, it is best to choose which of the following sites for sites for the first IV:, Antecubital fossa, Dominant forearm, Non-dominant hand, It doesn’t matter where the first IV is placed, After 2 unsuccessful attempts at insertion of an PIVC, the best thing for a health care professional to do would be:, Call the doctor to tell him you can’t get the IV, Keep trying until you get the IV, Consult another professional to initiate insertion for PIVC, Hydrate the patient with oral fluids and try again in a few hours, After starting an IV on a patient, which of the following is necessary to document?, The gauge/size of the catheter use, The patient’s pain scale when you started the IV, The vein site selected for prescribed therapy, All the above, A vein should be flushed ________________ of the diameter of the catheter size, The same diameter, Twice the diameter, Three times the diameter, As large as possible, When choosing a vein to cannulate, avoid:, Joints, straight veins, areas of skin inflammation, Joints, distal veins, arms with an arteriovenous shunt, Joints, areas of skin inflammation veins below previous IV insertion sites arms with an arteriovenous shunt, Distal veins, straight veins, hand veins, The cannula should be inserted through the skin at an angle of __________, 5 – 10º, 15 – 35º, 45º, 90º, An example of a mechanical factor that could contribute to phlebitis development is, Failure to stabilize the IV catheter at the site., Failure to allow the antiseptic to dry before catheter insertion., Poor aseptic technique., Insertion of a small catheter., What is the difference of sterile and aseptic technique?, Sterile is free from pathogenic organism and aseptic technique is a practice is a practice that remove or kill microorganism from the hand or objects., Sterile is free from all microorganism, including bacterial spores and aseptic is a practice that prevent the transfer of microorganism by ensuring the asepsis of key-parts & key-sites., Sterile is free from pathogenic organism and aseptic is free from visible mark and stains, Sterile is free from all microorganism and aseptic is free from pathogenic organism, What is key site?, Open wounds and insertion sites for invasive medical devices, A critical site of the procedure equipment that come in contact with patient, Closed IV ports, All of the above, What is key-part?, Intravenous ports or access that area not actively in use, The critical parts of the procedure equipments come into contact with any liquid infuson, or any access connected to the patient via a medical device, Sterile syringe, All of the above, The needleless port must be disinfected with alcohol swab each and every time before initiation of a syringe / giving set / stopper, True, False, While in the process of inserting IV cannula, which of the following is NOT a proper practice?, Enter the skin at a 30-40 degree angle, Device may be reused as long as it is in the same site as the original attempt, Enter the skin directly over the vain, Stretch the skin slightly to stabilized the vain, A 50 years old lady Ms. Z complaint that her left hand feels discomfort. She showed you her hand as picture shown above and claimed the intravenous catheter had been removed by Nurse B. She is on 3 days antibiotic for her pharyngitis. What type of peripheral intravenous complication that Ms. Z is experiencing?, Phlebitis, Dislodged IV cannula, Infiltration, Cannula occlution, Which of the following veins should be avoided?, Lower extremities of a Diabetic patient, Previously used veins, Veins in a affected arms of a female patient with mastectomy, All of the above, After 2 unsuccessful attempts of intravenous insertion, a health care professional should first, Hydrate the patient orally and try again later a few hours, Try again and again till get a vein, Consult another professional to initiate an intravenous line insertion, Call the doctor immediately and inform that you unable to get a vein, What would be the indication that your IV insertion was not successful?, The inserted catheter unable to flush easily, The site swells when fluids are able to flushed through, The site begins to bruise, All of the above, what is the duration of cleaning a needleless port or an intravenous access with a alcohol swab before initiation of syringe/giving set/stoper?, 3 seconds, 10 seconds, 15 seconds, 5 seconds, While flushing an intravenous line, why is it important to clamp the connection tubing while flushing?, If take the syringe out first will increase the risk of intravenous site contamination as it is no longer a closed system, To create a positive pressure which prevents back flow into the cannula, and increase the patency of patients' cannula, If you do clamp the tubing first, air may be allowed to enter the tubing and the patient's life may be at risk for air embolism, Clamping the tubing prevents blood from coming out of the IV site, preventing the risk of exposure to blood for the professional., A patient is on continuous intravenous infusion. How frequent a healthcare profession perform peripheral intravenous site observation?, At least 4 hourly, Hourly to at least 2 hourly, Once per shift, When changing of IV bottle, It is NOT necessary to wear glove while inserting or removing an IV cannula since there is no risk of exposing to blood or body fluids., True, False.

PIV - POST TEST

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