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Original Question

1. What statement(s) is/are true about the insertion sites for peripheral IV Therapy? a) Approved sites for initiation of IV therapy by nurses are the upper limbs (hand top antecubital fossa) with the exception of trained nurses in CCU, NICU, OR, ED and Paediatrics b) Trained nurses from Paediatrics and NICU may use a scalp vein as an initiation site. c) Leg and foot veins are only used in extreme emergencies and only on a physician’s order and if nurse is qualified. d) All of the above. 2. What practice must be used to reduce IV infection rates? a) Cleanse insertion site in a back and forth motion with Chlorhexidine 2% and 70% Alcohol (swab). b) Change the IV bags every 24 hours and IV tubing every 96 hours c) Apply a sterile transparent dressing to the insertion site prior to anchoring the angiocatheter and IV tubing to the patient’s skin. d) Changing the IV sites every 96 hours. e) If the IV site cannot be changed due to the patient having no alternative sites, the dressing must be changed weekly f) All of the above. 3. To distend a vein you should not: a) Apply tourniquet 3 inches above the intended site b) Have the patient open and close fist several times c) Have patient raise arm above head for several minutes d) Apply warm compresses e) Use a blood pressure cuff as a tourniquet by inflating the cuff just below the diastolic pressure 4. Name one drug that requires an in-line filter? 5. The patient develops dyspnea and sounds congested. What complication(s) of IV Therapy may be occurring? a) Phlebitis b) Infiltration c) Pulmonary Edema d) Extravasation 6. The patient complains of pain at the IV site and noticeable streaking up the arm is noted. What complication of IV therapy may be occurring? (1 Mark) a) Phlebitis b) Infiltration c) Pulmonary edema d) Extravasation 7. Which of the following is true when disposing of used IV tubing/ bags/angiocatheters? a) Discard all IV equipment in the biomedical waste box on the nursing units. b) Spike from the IV tubing may only be disposed of in regular garbage if tubing is cut below the drip chamber leaving the spike tubing inside the IV bags. c) IV tubing containing blood or blood products should be disposed of in the biomedical waste box on the nursing units. d) Both (b) and (c)

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