The word that means similar to infiltration but involves leakage of vesicant IV fluid medication into the tissue surrounding the IV insertion site is known as
- A. Infiltration
- B. Extravasation
- C. Embolism
- D. Thrombosis
Correct Answer: B
Rationale: Extravasation refers to the leakage of vesicant IV fluids, which can cause severe tissue damage, unlike infiltration, which involves non-vesicant fluids.
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Match each IV fluid with the appropriate term that accurately describes the solution's tonicity: D5W
- A. Isotonic
- B. Hypotonic
- C. Hypertonic
Correct Answer: B
Rationale: D5W is initially isotonic but becomes hypotonic as dextrose is metabolized, causing fluid to enter cells.
Name four of the most commonly used veins for IV initiation.
- A. Cephalic, basilic, median cubital, radial
- B. Cephalic, basilic, median cubital, dorsal hand veins
- C. Brachial, radial, ulnar, saphenous
- D. Femoral, jugular, subclavian, cephalic
Correct Answer: B
Rationale: Cephalic, basilic, median cubital, and dorsal hand veins are large, accessible, and commonly used for IV placement.
Which vascular access device(s) is(are) commonly used for scalp veins in newborns?
- A. Butterfly needle
- B. Intracath
- C. Central line
- D. PICC line
Correct Answer: A
Rationale: Butterfly needles are small and ideal for accessing delicate scalp veins in newborns.
Which solution is best when an individual needs only simple water replacement because of lack of fluid intake or loss of body water without loss of electrolytes, known as hypertonic dehydration?
- A. Isotonic solution
- B. Hypotonic solution
- C. Hypertonic solution
Correct Answer: B
Rationale: Hypotonic solutions provide water to rehydrate cells without adding excess electrolytes, suitable for hypertonic dehydration.
When you are administering hypotonic IV solutions, you know that the fluids are going to
- A. Cause shifting of body fluids into the intravascular space.
- B. Cause shifting of body fluids from the intracellular spaces into the interstitial spaces.
- C. Cause shifting of body fluids out of the intravascular space and into the interstitial spaces, and then eventually into the intracellular spaces, rehydrating the cells.
- D. Remain in their original fluid compartments.
Correct Answer: C
Rationale: Hypotonic solutions have lower osmolarity, causing fluid to move from the intravascular space into cells, aiding rehydration.
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