IV Therapy Assessment Two: Review IV Therapy Assessment Two: Review IV Therapy Assessment Two: Review

IV
IV Therapy
Therapy Assessment
Assessment Two:
Two: Review
Review
Name: _____________________________
Instructions
Complete this assessment review and submit your work when you are finished. The purpose of
this assessment is to provide the learner with a self-evaluation of what he/she has learned and
what he or she needs to study to be able to succeed in this course. There are 24 multiple choice
questions, 4 matching questions, and 10 True and False questions. You ought to be able to
successfully complete 29 out the 38 questions to achieve a satisfactory completion.
1. Hypotonic solutions ___________________________________________________.
2. _________________ performed the first blood transfusion using _______________.
3. The veins of the hand are the _____________________________.
4. Order: 2000 mL Lactated Ringers for 24 hours Drop factor 60 ggt/ mL Calculate flow
rate.
________________________________
5. List the signs of “third-spacing”:
a. ____________________________________
b. ____________________________________
c. ____________________________________
6. When dilating the vein, the tourniquet should be applied
___________________________________________________________________
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IV Therapy Assessment Two: Review

7. TPN should be tapered off over 24 hours for what types of patients?
______________________________________________________
8. Convert 7g to mg.
_______________________
9. A central line is ___________________________________________________.
10. The Cephalic and Basilic are the two main _________of the___________________.
11. List two reasons a provider would order fluid replacement therapy?
____________________________________________________________
12. In addition to flushing a central line with 3cc heparinized saline, what is the next
step?
_______________________________________________________
13. Order: 1500mL NS for 12 hours, Drop Factor 15ggt/min, Calculate flow rate.
_____________________________________
14. Order: Children’s Motrin syrup 50 mg p.o. 4 hr. prn Supply 25 mg per 5mL. Calculate
dose.
_____________________________________

15. List the uses of each portion of the administration system
a. ____________________________________________
b. ____________________________________________
c. ____________________________________________
d. ____________________________________________
16. Heparinized flush solutions are used to
______________________________________________________________
17. Examples of a Hypertonic solution include
________________________________________________________________
18. Veins should feel ____________________________________.
19. Flow rates are set in __________________________________.
20. TPN stands for ______________________________________.
21. Germ theory was discovered by ______________________________.

22. List the properties of a vesicant medication:
a. _____________________________________________
b. _____________________________________________
c. _____________________________________________
23. Where are arterial lines found and who maintains them?
_____________________________________________________________
15. A saline flush should be performed

a. Before medication is injected
b. To ensure patency of the line
c. Every 8-12 hours
d. All of the above
16. Match the blood additive to its function.
List of Blood Additives Your Answer List of Functions
a. Adenine ____________ Acts on osmotic stabilizer that reduces
b. Mannitol ____________ Acts as a food source
c. Phosphate ____________ Act as a pH buffer
d. Citrate ____________ Added to extend blood shelf life
e. Dextrose ____________ Prevents the binding of calcium

17. Match the following symptoms with their cause.
List of Symptoms Your Answer List of Causes
a. Speed Shock ____________ Systemic reaction that when medication is rapidly
b. Hypocalcaemia ____________ Presents with tachycardia
c. Phlebitis ____________ Most common complication
d. Site infection ____________ Redness, edema, and drainage at the site
e. Transfusion reaction ____________ Fever, allergic reactions, sharp lower back pain

18. Match the blood product with the patient who requires it.
List of Responses Answer Conditions
Given to sensitive patients who have not

a. Cryopercipitate _______ suffered significant blood loss but is still
anemic
b. Granulocytes Experiencing traumatic massive blood

_______ loss
due to a trauma
Anemic or surgery patients & those who

c. Packed Red Blood Cells _______ are in need of increased Oxygen capacity
d. Whole blood _______ Patient sensitive to HLA
e. Platelets _______ Used for thrombocytopenia
_______ Severe neutropenia & serious infection

f. Leucocyte-poor RBC unresponsive to antibiotic
Coagulation disorders specially those

g. Washed RBC _______ involving factors V, VII, & IX.
Coagulation disorders, involving factors

such as VIII, XIII, von Willebrand’s factor,
h. Albumin ______ and fibrinogen as well as Hemophilia A
Volume expansion due to the osmotic

i. Fresh frozen plasma _______ pressure it exerts
List of Responses Answer Conditions
Statement True or False
28. Amino Acids, when placed in a solution, are capable of dissolving and diffusing
through membranes. __________
29. Bruising can occur at any point during IV therapy. __________
30. Immediate drug action is considered both an advantage and disadvantage of IV

therapy.
__________
31. Heparin/saline lock should be flushed every 24 hours.

__________
32. Daily weight is the best measurement of fluid.

__________
33. The Revolutionary War is when experiments with sugar and protein solutions
emerged.
__________
34. The subclavian is the preferred insertion site for a central line. __________
35. All Stopcocks and injection ports should be changed every 48 hours.
__________
36. EMT’s are permitted to insert PICC lines. __________
37. A patient in a coma is an indication for parenteral nutritional therapy. __________

38. Table 1: List all the blood types that a patient can receive for successful transfusion therapy.
Patient’s Blood Type Recipient’s Blood Type (Transfused Blood)
Type A+
Type B+
Type AB+
Type O+
Type O-
Type A-
Type B-
Type AB-

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IV

1. Hypotonic solutions ___________________________________________________.

2. _________________ performed the first blood transfusion using _______________.

3. The veins of the hand are the _____________________________.

5. List the signs of “third-spacing”:

6. When dilating the vein, the tourniquet should be applied

IV Therapy Assessment Two: Review

9. A central line is ___________________________________________________.

IV Therapy Assessment Two: Review

16. Heparinized flush solutions are used to

17. Examples of a Hypertonic solution include

18. Veins should feel ____________________________________.

19. Flow rates are set in __________________________________.

20. TPN stands for ______________________________________.

21. Germ theory was discovered by ______________________________.

IV Therapy Assessment Two: Review

15. A saline flush should be performed

16. Match the blood additive to its function.

List of Blood Additives Your Answer List of Functions

a. Adenine ____________ Acts on osmotic stabilizer that reduces

b. Mannitol ____________ Acts as a food source

c. Phosphate ____________ Act as a pH buffer

d. Citrate ____________ Added to extend blood shelf life

e. Dextrose ____________ Prevents the binding of calcium

IV Therapy Assessment Two: Review

List of Symptoms Your Answer List of Causes

a. Speed Shock ____________ Systemic reaction that when medication is rapidly

b. Hypocalcaemia ____________ Presents with tachycardia

c. Phlebitis ____________ Most common complication

d. Site infection ____________ Redness, edema, and drainage at the site

IV Therapy Assessment Two: Review

List of Responses Answer Conditions

Given to sensitive patients who have not

b. Granulocytes Experiencing traumatic massive blood

Anemic or surgery patients & those who

d. Whole blood _______ Patient sensitive to HLA

e. Platelets _______ Used for thrombocytopenia

_______ Severe neutropenia & serious infection

Coagulation disorders specially those

Coagulation disorders, involving factors

Volume expansion due to the osmotic

IV Therapy Assessment Two: Review

List of Responses Answer Conditions

IV Therapy Assessment Two: Review

Statement True or False

29. Bruising can occur at any point during IV therapy. __________

30. Immediate drug action is considered both an advantage and disadvantage of IV

31. Heparin/saline lock should be flushed every 24 hours.

32. Daily weight is the best measurement of fluid.

36. EMT’s are permitted to insert PICC lines. __________

37. A patient in a coma is an indication for parenteral nutritional therapy. __________

IV Therapy Assessment Two: Review

Patient’s Blood Type Recipient’s Blood Type (Transfused Blood)

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2. ___ performed the first blood transfusion using _.