IV meds and line care basics quiz.
1
How often should IV solutions be replaced even if the total volume has not infused?
2
You’re infusing D5W-0.45% NaCl at 75 mL/hr and the pump alarms. What is your first action?
3
What does the SAS acronym stand for?
4
An IV site with swelling, discomfort, and redness indicates which complication?
5
When are in-line IV filters used?
6
What tubing is required for IV meds in rigid glass containers?
7
What must the nurse check before administering an IV solution?
8
An IV site with swelling, discomfort, decreased rate, and cool skin indicates which complication?
9
Raising IV solution height above the patient demonstrates which infusion type?
10
When is a non-tunneled CVC used?
11
When is an implanted Port-a-Cath used?
12
When is a tunneled CVC used?
13
Which infusion method uses mechanical pressure and special tubing?
14
What is a 16-gauge needle primarily used for?
15
What is an 18-gauge needle commonly used for?
16
What is a 20-gauge needle used for?
17
What is a 22-gauge IV used for?
18
What is a 24-gauge IV used for?
19
What are the most common sites for IV placement?
20
How often should IV tubing be changed?
21
How much saline is usually used to flush a peripheral IV?
22
What are crystalloid solutions?
23
A patient on 0.45% NaCl shows SOB, crackles, JVD, HTN, tachycardia, weight gain. What is happening?
24
When should an IV site be changed?
25
What does SASH stand for and when is it used?
26
When must a saline or IV lock be flushed?
Feedback
Solutions should be replaced at least every 24 hours to reduce risk of contamination.
First check the line for kinks or obstruction before other actions.
SAS = Flush with saline, Administer medication, Flush with saline.
Phlebitis is inflammation of a vein; treat per protocol and stop infusion.
Filters trap air, particulates, bacteria; used with PN, high infection risk, neonates, central lines.
Vented tubing allows venting when using rigid glass containers.
Verify order, integrity, expiration, leaks, and labeling before administration.
Infiltration is leakage into surrounding tissue; stop and re-site.
Gravity-driven flow relies on height difference to control rate.
Non-tunneled CVCs are for short-term access.
Port-a-Cath provides durable long-term access for ongoing therapy.
Tunneled CVCs accommodate prolonged treatment courses.
Infusion pumps provide controlled, mechanical delivery.
16G is large, used for rapid access in trauma.
18G is versatile for many cases including contrast and bloods.
20G enables faster flow for fluids and procedures.
22G suits standard IV therapy.
24G is fine for small or pediatric venous access.
Hands and forearms are readily accessible veins.
Tubing change intervals depend on solution and setting.
Small-volume flushes maintain patency; follow protocol.
Crystalloids include isotonic, hypotonic, and hypertonic solutions.
Symptoms indicate excess fluid; adjust rate and monitor.
Change per protocol or if problems like infiltration occur.
SASH = saline, medication, saline, heparin flush for locks.
Flush after use or per protocol to maintain patency.
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