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CHAPTER 5: PREPARATION & PATIENT COMMUNICATIONREVIEW QUESTIONS When selecting an appropriate vein for IV infusion, which of the following factors should you consider?Veins are deep and largeNeedle is placed near a jointProximal end of the vein is used firstVein location allows for mobility Which of the following is the best action after your first attempt to start an IV and you do not see a flash of blood in the chamber?Ask the patient to make a fist while you check for blood return in the cannulaDocument the results Reattempt to start the IV in another siteReuse the cannula and attempt to start at another location When administering IV therapy to a geriatric patient, which of the following actions should you take?Use a varicose veinAvoid using the dorsal vein because of limited subcutaneous tissueUse multiple tourniquets to distend the vein adequatelyAvoid the use of tape Which of the following factors should you consider when you select an IV site?Avoid areas that have a round appearance Avoid areas where the vein crosses over jointsGenerally use large, protruding veinsAvoid veins that appear firm when palpatedWhich of the following actions should you take in order to become proficient in venipuncture techniques?Practice on an anatomical training arm Pass a certification classInitiate many IVs on real patientsObserve an IV team nurse in action Which of the following statements do you need to remember in order to avoid inadvertently puncturing an artery?Arteries are frequently damaged during venipunctureArteries and veins are found close together in the antecubital fossaArteries pulsate Veins are deep, arteries are superficial Which of the following actions should you taken when you initiate peripheral IV access?Start with the patient’s dominant hand Avoid rotating from one extremity to the other Start with the most proximal site availableAvoid routine use of veins in or above the antecubital fossaWhich of the following actions should you take if your initial insertion is not successful?Remove the cannula tip from the skin and reposition itRemove the cannula, properly discard it, and insert a new one at another siteReinsert the stylet into the catheter and try againReuse the catheter for a second venipunctureYour study group is preparing for the IV course final exam. You are discussing venipuncture site preparation. Which of the following statements demonstrates and understanding of the theory?“The area must be shaved to remove excess hair from the site.”“Clean the area with 70% isopropyl alcohol or other approved antiseptic.”“A back-and-forth motion should be used to clean the area.”“Blot excess antimicrobial solution at the insertion site.”Number the steps of IV cannulation in their proper order (1 to 17)______ release the tourniquet______ tape the IV tubing to the skin______ select the insertion site______ put on gloves______ select the equipment ______ insert the cannulation device ______ prepare the patient______ dilate and palpate the vein ______ prepare the solution set______ review the order for IV access______ withdrawal the needle______ document the procedure______ select the cannulation device______ connect the fluid-filled tubing to the hub______ advance the cannulation device______ apply a clear sterile dressing______ prepare the site ______ anesthetic cream______ cannulation ______ MAR______ flash______ IV flow sheet______ infiltration______ phlebitis______ skin turgor______ valves______ palpateElastic properties of the skin, reflecting the body’s fluid statusStructures within the vein to keep blood flowing toward the heart against the force of gravity Electronic or written record the documents the amount and type of IV fluidMedication administration record Irritation of the vein caused by mechanical, chemical, or bacterial injury The act of inserting a venous access device into a vein for intravenous therapyTo examine by touch; to feelThe appearance of blood in a venous access device A solid medication used to reduce pain during venipuncture proceduresThe leakage of intravenous drugs from the vein into the surrounding tissueA winged needle is preferred for the transfusion of bloodTrue FalseIf you are using an over-the-needle catheter to start an IV on a pediatric patient, gauges of 20 to 26 are the best choices for insertionsTrueFalseArteries pulsate on palpation TrueFalseArteries are commonly used for intravenous therapyTrueFalse Veins contain valves and carry blood away from the heart True False ................
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