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Details

IV Therapy Final
IV Therapy Unit 1-4, 5
54
Nursing
Not Applicable
12/07/2011

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Cards

Term
The purpose of the Venous Access and Intravenous Infusion Treatment Modalities is to prepare?
Definition
LPNs to perform limited IV fluid treatment therapy.
Term
The Venous Access and Intravenous Infusion Treatment Modalities is in accordance with the guidelines enacted by the:
Definition
Missouri Rule CSR 200.6010
Term
What is the regulatory agency of the Venous Access and Intravenous Infusion Treatment Modalities?
Definition
Missouri State Board of Nursing
Term
During the provision of IV fluid therapy procedures, universal precautions are federally mandated by which organization?
Definition
Occupational Safety and Health Administration (OSHA)
Term
IV therapy activities that may be delegated to an IV therapy-certified LPN include:
Definition
initiating peripheral access, converting an IV cannula to a "locked" cannula, and monitering blood transfusions.
Term
What is an INCORRECT statement regarding a health care facility's policy governing the provision of IV therapy?
Definition
Based on need, may endorse initiation of blood transfusions by only IV therapy-certified LPNs.
Term
Legally, a private wrong, by act or omission, that can result in a civil action by the harmed person or that person's legal heirs is termed:
Definition
tort
Term
Failure of a professional person to act in a reasonable and prudent manner with resultant damage to a person or that person's property is legally termed:
Definition
negligance
Term
Which of the following indicates that "every person is liable for his or her own tortious conduct"?
Definition
Rule of Personal Liability
Term
Coercion of a rational adult patient in order to establish an intravenous site could result in the nurse being charged with:
Definition
assault and battery
Term
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
Term
Failure of an IV therapy-certified LPN to employ universal precautions when performing venipuncture is considered a:
Definition
negligent action
Term
What is the threefold purpose of documenting the nursing care provided?
Definition
1) Creating a legal record of care provided
2) Communicating patient status
3) Obtaining reimbursement for services.
Term
What form of documentation is composed of a story format?
Definition
Narrative
Term
Which of the following charting formats tends to lead to greater opportunities for subjective rather than objective entries?
Definition
Narrative
Term
The essential components of an Unusual Occurance or Variance Report, also known as an Incident Report, include:
Definition
Factual description of event
Physician notification
outcome
Term
The highly sensitive and vascular layer of skin is:
Definition
dermis
Term
What is a statement applicable to arteries?
Definition
Compromised circulation to the tissue area it supplies resultant of the injury.
Term
Structural components common to both veins and arteries include which of the following?
Definition
Tunica intima, tunica media, and tunica adventitia.
Term
What forms of stimulation CANNOT generate vasoconstriction and subsequent spasm?
Definition
Infusion of an infusate that has been warmed by a controlled warming device.
Term
What is the function of the heart?
Definition
pump blood into arterial system.
Term
Which of the following IV therapy-related factors can cause variations in heart function in respiratory rates?
Definition
fluid and electrolyte imbalances.
Term
What IV therapy related factors are likely to cause variations in respiratory functions?
Definition
fluid and electrolyte imbalances, pH change, and emboli.
Term
What is the function of the pulmonary system?
Definition
Exchange of gases between organism and environment.
Term
Which of the following IV therapy related factors would cause a change in respiratory rate?
Definition
Electrolyte imblance, emboli, and medication
Term
Blood is formed where?
Definition
Red bone marrow and lymphatic tissue
Term
What two factors can alter normal blood clotting?
Definition
certain disease processes and medications
Term
Functions of water in te body include which of the following?
Definition
providing for ionization of electrolytes, regulating body temperature, and acting as a solvent for a variety of substances.
Term
Which body fluid compartment contains the smallest volume of fluid at any given time?
Definition
transcellular
Term
Which body fluid compartment contains 40% of body weight?
Definition
Intacellular
Term
What is a correct statement regarding osmotic pressure?
Definition
is proportional to total number of particles in the fluid.
Term
The nursing objective in fluid and electrolyte imbalances is to know the imortance of:
Definition
evaluating a patient's fluid and electrolyte status in order to recognize disturbance and initiate appropriate intervention.
Term
How many calories are contained in 1 L of dextrose 5% of water?
Definition
170
Term
When excessively infused, which of the follwing parenteral fluids can cause dilutional hyponatremia in persons predisposed to water retention?
Definition
0.45% sodium chloride
Term
What is the indication for use of amino acid administration?
Definition
Source of protein to maintain positive nitrogen balance in TPN therapy.
Term
A true statement about nutritional lipid emulsions is that they:
Definition
provide a concentrated source of calories and prevent essential fatty acid deficiency.
Term
Which of the following are local complications associated with IV therapy?
Definition
phlebitis, infiltration, extravasation
Term
Engorged neck veins, hypertension, severe dyspnea, and moist rales are indicators of:
Definition
circulatory overload
Term
Fever, chills, general malaise, headahce, nausea, and vomiting, vascular collapse, and shock are signs and symptoms of what condition?
Definition
septicemia
Term
Pleuritic pain or discomfort, tachycardia, dyspnea, hemoptysis, and cyanosis are signs of what condition?
Definition
pulmonary embolism
Term
What is a statement is applicable to a catheter embolism?
Definition
patient may be asymptomatic
Term
What type of contamination can result from compromised integrity of the venipuncture site dressing?
Definition
extrinsic
Term
What IV therapy procedure is accompanied by a high risk for blood contact?
Definition
peripheral venipuncture
Term
What factors should be considered when selecting a peripheral vascular access device?
Definition
ordered therapy, patient's clinical status, and patient's age
Term
The drip chamber of the administration set should be filled with fluid to at least which of the listed capacities?
Definition
1/3
Term
What precaution should be observed when inserting a winged-infusion set?
Definition
prime the air from set before insertion
Term
What action is considered appropriate when stabilizing an IV cannula?
Definition
It should not interfere with future site assessment.
Term
What could occur if sterile water were used to flush an intermittent infusion device?
Definition
hemolysis
Term
What drop factors are available in macrodrip administration sets?
Definition
10, 15, 20 gtt/mL
Term
What factors affect the infusion flow rate?
Definition
phlebitis, height of container, and viscosity of the fluid
Term
When can an umbilical catheter be used?
Definition
birth to 4 days
Term
What products are transfused during exchange blood transfusions?
Definition
fresh red blood cells and plasma
Term
What statement is applicable to arteries?
Definition
compromised circulation to the tissue area it supplies resultant of the injury.
Term
9
Definition
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