Nokea
If set up correctly, through which of the following could you directly administer an intermittent infusion of medication?
- A. Secondary IVPB administration set
- B. PRN lock
- C. Primary IV administration set
- D. Y-set blood tubing
Correct Answer: A
Rationale: A secondary IVPB administration set is designed for intermittent infusions, such as piggyback medications.
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The minimum length of time that is safe for administration of IV push medication is:
- A. 1 hour
- B. 30 seconds
- C. 5 minutes
- D. the amount of time designated by the medication manufacturer
- E. 1 minute per 1 milligram
Correct Answer: D
Rationale: The safe administration time for IV push medications is specified by the manufacturer to prevent complications like speed shock.
Which veins are used during PICC placement?
- A. Basilic vein
- B. Jugular vein
- C. Carotid vein
- D. Brachial vein
- E. Cephalic vein
Correct Answer: A,D,E
Rationale: PICC lines are placed in peripheral veins like the basilic, brachial, or cephalic veins, advancing to the superior vena cava.
What are the signs and symptoms of phlebitis?
- A. Site cool to touch
- B. Edema at the site
- C. Erythema at the site
- D. Blanching or pallor of skin around site
- E. Vein feels like a hard cord when palpated
- F. Solution leakage at site
Correct Answer: B,C,E
Rationale: Phlebitis is characterized by inflammation, causing edema, erythema, and a hard, cord-like vein at the site.
Which veins are used during central line placement?
- A. Brachial vein
- B. Cephalic vein
- C. Jugular vein
- D. Femoral vein
- E. Subclavian vein
- F. Basilic vein
Correct Answer: C,D,E
Rationale: Central lines are placed in larger veins like the jugular, femoral, or subclavian veins for central venous access.
Hypovolemia refers to a condition resulting from:
- A. dehydration caused by loss of intracellular and extracellular fluids
- B. water losses that are greater than electrolyte losses
- C. excessive loss of equal proportions of extracellular fluid and electrolytes
- D. excessive loss of electrolytes in greater proportions than the loss of fluids
Correct Answer: C
Rationale: Hypovolemia is the excessive loss of both extracellular fluid and electrolytes in equal proportions, reducing blood volume.