TRUE/FALSE 1. A bolus is when a
TRUE/FALSE 1. A bolus is when a small volume of IV medicine or fluid is administered directly to the IV access port. 2. A burette provides additional safety from IV fluids being administered rapidly as it only allows 1 to 2 hours’ worth of IV fluid to be administered at a time. 3. An IV piggyback is a useful way of administering intermittent IV drugs; however, it increases the risk of infection due to frequent connection and disconnect to the primary IV line. 4. To deliver IV drugs and fluids, it is just as safe to use a gravity line as it is to use a volumetric pump. 5. A syringe pump and syringe driver can be used interchangeably. 6. Fluid infiltration has long-term and potentially severe effects. 7. A volumetric pump can be used for NG or PEG feeds as well as IV therapy. 8. A PCA pump can only be used by a patient who is not unconscious or cognitively impaired. 9. A PCA pump is able to provide analgesia to a patient safely due to its ability to include a lockout period where the patient cannot receive a dose of a drug. 10. Syringe drivers typically deliver fluids over 12- or 24-hour periods. 11. When using a piggyback/tandem system, it is important to ensure that the medication diluent is compatible with the primary fluid being administered. 12. Applying warmth to a limb to manage inflammation and infection can be used in every case of phlebitis. 13. The 5 moments of hand hygiene are of utmost importance when caring for patients PIVC. FILL-IN-THE-BLANKS 1. A dislodged or poorly stabilised cannula can cause __________ phlebitis. 2. Poor hand hygiene or aseptic techniques by a healthcare provider can cause ____________ acquired infections. 3. A non-vesicant solution entering the tissues rather than the veins is called ____________. 4. Complaints of pain, stinging and blister formation at an IV cannula site would indicate _____________. 5. A syringe driver is mainly used in __________ care to deliver IV or subcutaneous medications. 6. Phlebitis is a form of ____________. 7. The standardised process used in Australian hospitals to reduce the rate of healthcare associated infections is _______ _________ _________. MULTIPLE CHOICE 1. Chemical phlebitis is caused by: a. poor aseptic technique when the cannula was inserted. b. movement or poor stabilisation of the cannula. c. a reaction to the cleansing solution. d. infection which occurs 24-48 hours post infusion. 2. Which of the following is the most common bolus administered to a patient? a. 10 mL of Hartmann’s solution b. 10 mL of 5% glucose c. 10 mL of 0.9% sodium chloride d. 10 mL of 20mmol of potassium 3. Visual observation for complications should occur at least once every how many hours? a. 2 b. 4 c. 6 d. 8 4. Which of the following is a vesicant solution? a. Amiodarone b. Phenytoin c. Normal saline d. Ondansetron 5. A 10 mL syringe produces a pressure of: 6. A cannula which is still in situ but not in use should be flushed at least once every: a. 5 psi. b. 10 psi. c. 15 psi. d. 20 psi. a. 6 hours. b. 12 hours. c. 18 hours. d. 24 hours. 7. When needing to access a PIVC device, the bung should be cleaned with an alcohol swab of at least what per cent alcohol? a. 60% b. 70% c. 80% d. 90% SHORT ANSWER 1. Define the term ‘vesicant’. 2. What is an extra luminal infection? 3. What are interventions for managing infiltration?
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