A patient is reporting pain at the insertion site of his IV catheter. Rationale 2. Once intravenous (IV) therapy is initiated, it is important to secure the IV catheter to keep it from becoming dislodged or moving around in the vein and causing trauma. A physician’s order is required to stop a continuous infusion. After passing the written portion of this test, hands-on training and experience with IV insertion are recommended to provide high-quality patient care. ldevine0010. a. Isotonic fluids are used to reduce extracellular volume b. bexmano. Start studying Module 10: INTRAVENOUS FLUID ADMINISTRATION- Lesson 4: Discontinuing Peripheral IV Access. The goals of IV therapy include all of the following except. ATI 5. 8. Intravenous (IV) Therapy: Guidelines for Care Table 2. » Dressing the Infusion Site. The performance of any intravenous therapy activity disallowed by Missouri Rule 4 CSR 200.6010 by an IV therapy-certified LPN can result in the LPN being charged with: Definition malpractice. Encourage active range of motion. Document the degree of phlebitis and nursing interventions per agency policy and procedure. If you are uncertain about a solution, consult an intravenous therapy drug guide or a pharmacist before initiating the infusion. 2. ... OTHER QUIZLET SETS. This test is designed to test your knowledge of IV insertion and safety issues associated with IV therapy. This is a sample of the 50 question final exam for IV Therapy and Blood Withdrawal Certification. Because the names of IV solutions are often abbreviated or shortened, it is important to become familiar with the names of the different solutions. PLAY. Start studying Intravenous Therapy. Used for ventricular rate control in patients with chronic atrial fibrillation; however, not considered first-line therapy, in part because of its slow onset of action. IV Therapy. Thrombophlebitis (clotting in the vein) can occur and cause swelling and discomfort. IV Insertion Safety Issues: Quiz! Each time you inspect the site, check the solution, tubing, and flow rate as well. In an assessment of a patient who has been receiving IV fluids for the last 6 hours, the nurse finds that the pulse is now bounding, the blood pressure is more than 15 mm Hg higher than the last reading, and there is pedal edema. STUDY. Learn. Test. The nurse observes a red line extending outward from the insertion site. Intravenous (IV) fluid administration and peripheral IV catheters (PIVs) may be discontinued for a number of reasons. Intravenous therapy or IV therapy is the giving of liquid substances directly into a vein. Report to licensed nurse Lecture/discussion Laboratory demonstration and return demonstration of procedures for the following: a. assembling equipment needed to discontinue IV b. discontinuing IV c. dressing site An air embolism is a potential complication of IV therapy and can enter a patient’s blood system through cut tubing, unprimed IV tubing, access ports, and drip chambers with too little fluid (Perry et al., 2014). Signs and symptoms. Intravenous therapy is an effective and fast-acting way to administer The most common reason for discontinuing IV fluids is that the patient has returned to normal body fluid volume (euvolemia) and is able to maintain adequate oral fluid intake or is being discharged from the hospital. The word intravenous simply means “within a vein”, but is most commonly used to refer to IV therapy. Stop the infusion and discontinue the IV. Put on exam gloves. A. document the findings B. discontinue the infusion C. place a warm compress over the site D. restart the IV line at a different site Chapter 18: Intravenous Therapy MULTIPLE CHOICE 1. Post: Maintianing the patency of IV access; discontinuing IT therapy Client Education Understand the procedure. 8.6 Converting an IV Infusion to a Saline Lock and Removal of a Peripheral IV A peripheral IV may be converted to a saline lock when a prescribed continuous IV therapy is switched to intermittent IV or a saline lock for future use. IV Essentials: Intravenous Therapy Quiz! Fluid overload is possible, causing swelling of … Intravenous therapy is treatment that infuses intravenous solutions, medications, blood, or blood products directly into a vein (Perry, Potter, & Ostendorf, 2014). Nursing Interventions Stop the infusion and remove the catheter. gastric residual volumes the PN is caring for a client who had a total laryngectomy, left radical neck … IV Tubing and IV Fluids: Guidelines for Changing and Special Instructions 4 12 V. Peripheral Intravenous (IV) Catheter (Short length & Midline): Policy, insertion and removal, IV … 3. Procedure 5. Before you remove an intravenous catheter, however, be sure to double-check the order to make sure that the IV infusion is to be discontinued. You must achieve an 80% in order to pass this exam. This therapy can help people with weakened immune systems or other diseases fight off infections. Discontinuing a peripheral IV 1. Flashcards. Apply knowlege of venous anatomy and physiology in selecting appropriate vein sites. IV tubing is primed to prevent air from entering the circulatory system. •Describe the nursing care of a patient that has a Restore acid- base balance. Lie in a comfortable position. The safe management of IV equipment and procedures related to IV therapy is an essential skill for safe patient care. Infiltration can be caused by improper placement or dislodgment of the catheter. Digoxin may be used in combinati… C. The nurse should restart the infusion, if possible, in the other extremity. IV. Flashcards | Quizlet 4/23 1700 A client has a prescription to discontinue intravenous therapy when the liter that is infusing at 150 mL per hour is...1200 the PN notes that there are 750 ml of solution remaining.At what time should the nurse expect to discontinue the intravenous therapy? A. Start studying Discontinuing IV therapy. References Make selection below: Initiating intravenous therapy Clarify unclear orders and refuse to follow orders that are not within the scope of nursing practice. Patient movement can cause the catheter to slip out or through the blood vessel lumen. Discontinue (DC) and IV. » Troubleshooting Intravenous Infusions. Equipment 4. This test is designed to test your knowledge of IV insertion and safety issues associated with IV therapy. Questions and Answers. Discontinuing a peripheral intravenous line. If an infusion device is not available, use a piggyback setup to infuse the secondary bag of fluid or medication. Before inserting the catheter, inject 0.1 to 0.2 mL intradermally, just enough to produce a wheal, using a 25- to 26-gauge ⅝-inch needle. fluid or medications leak into the surrounding tissue. Isuprel - FDA prescribing information, side effects and uses State-by-State Guide Editor’s note: The following is a brief synopsis of LPN scope of practice conditions regarding IV therapy in the following states. Difficulty. Remove Excerpt. Standards of care for IV therapy. Standards of care for IV therapy. Site dressing 6. Match. Upgrade and get a lot more done! Removing question excerpt is a premium feature. Infusion therapy is a common treatment in the hospital setting, and vital for patient recovery. Apply warm, moist heat. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Start studying Discontinuing Intravenous Therapy. TrIVia - ProProfs Quiz. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Created by. Remove the tape and dressing without dislodging the catheter. Patients receiving intravenous (IV) therapy require frequent assessment of the IV site. IV Fluids Infiltration. What is true about IV administration? •Demonstrate the procedure for IV insertion, conversion to a saline lock, •administration of IV fluids, discontinuation of the IV •Identify possible complications of intravenous therapy and nursing interventions to treat each. Site description 7. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Maintain or replace body stores of water, electrolytes, vitamins, protiens, fats, and calories in paitents who can not maintain adequate intake by mouth. Pharmacology 2016 B. Take the Review Test: » Administering Intravenous Fluid Therapy Review Test. USTESTBANK.COM Perry: Clinical Nursing Skills & Techniques, 8 th Edition Chapter 28: Intravenous and Vascular Access Therapy Test Bank MULTIPLE CHOICE 1. Play as. Intravenous therapy (IV) is a therapy that delivers liquid substances directly into a vein (intra- + ven- + -ous). Quiz Flashcard. Place a moist warm compress over the area of phlebitis. Most of the information was taken from the HRSA document: “Supply, Demand and Use of Licensed Practical Nurses.” Please be aware that some of this information may have been updated, so check […] The nurse is preparing to hang an intravenous (IV) bag of D 5 NS with 20 mEq of potassium chloride (KCl) at 100 mL/hour. Discontinue the IV line*** The client has classic signs of phlebitis, an inflammation of the vein. Initiating IV therapy can be uncomfortable and anxiety-provoking for the patient. TrIVia. Infiltration occurs when I.V. β-Blockers and nondihydropyridine calcium-channel blocking agents (e.g., diltiazem, verapamil) are preferred for this use. For which of the following reasons is it important to verify and document the integrity and condition of the IV catheter? NOTE: If replacing catheter, discontinue IV, select new IV site proximal to old IV site (if using same limb), and start new IV. ... A nurse is discontinuing an IV infusion. What is the most important step when discontinuing IV therapy? 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. "Common mistakes when discontinuing a peripheral IV include not acquiring appropriate supplies, neglecting to stop fluid administration prior to the procedure, and failure to monitor the insertion site for complications following the catheter removal." You've just watched JoVE's discontinuation of IV fluids and peripheral IV site. The nurse evaluates these signs as associated with: 1. infiltration of the IV site. The common reasons to discontinue IV fluids are: the patient's fluid volume has returned to baseline; the patient is being discharged from the facility; the IV catheter needs to be replaced; or the IV site has become unfavorable due to infection, infiltration, extravasation, or phlebitis. Write. To help make the procedure more tolerable, numb the IV insertion site with a local anesthetic, such as lidocaine 1%. 4. Phlebitis is indicated by pain, increased skin temperature, and erythema along the path of the vein. Intravenous fluids require IV tubing, with associated pain on insertion. Apply a warm or cold compress depending on the solution infusing. The nurse should discontinue the IV at the phlebitis site and then apply warm moist compresses to the area to speed resolution of the inflammation. Learn vocabulary, terms, and more with flashcards, games, and other study tools. After passing the written portion of this test, hands-on training and experience with IV insertion are recommended in order to provide high-quality patient care. Learn vocabulary, terms, and more with flashcards, games, and other study tools. Start a new IV if continued therapy is necessary. Spell. Swelling, discomfort, burning, and/or tightness A. It can be intermittent or continuous; continuous administration is called an intravenous drip. With a piggyback setup, you’ll hang the smaller bag of fluid, the secondary infusion, higher than the larger bag of fluid, the primary infusion. Policy Statements for All types of IV Therapy 2 2 2 2 Table 1. Sequential Easy First Hard First. Clamp the IV tubing. Place a sterile gauze pad over the injection site Nurse’s instructions 3. 8.9 Summary. Perform patient care handwash. Localized infection or cellulitis (a more serious infection of the skin that can spread) can occur. Discontinuing a peripheral intravenous (IV) line is a relatively quick and simple procedure. ATI IV Therapy Quiz 1. A nurse is discontinuing an IV infusion. Which of the following actions should the nurse take first? » Performing Venipuncture. Gravity. Elevate the extremity. The IV line must be discontinued immediately to reduce the risk of thrombophlebitis and embolism. In this section of the NCLEX-RN examination, you will be expected to demonstrate your knowledge and skills of parenteral and Start studying Discontinuing Intravenous Therapy Skills. B. It is commonly treated by discontinuing the IV line and applying a moist, warm compress over the area. Select a Skill: The physician is usually notified when there is a : 3+ phlebitis. 1. collect assessment data before beginning IV therapy. 60 terms. » Discontinuing Intravenous Therapy. Select a Skill: » Preparing an Infusion Site. •Define key terms related to intravenous therapy.
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