PIVC QUIZ

Type of Phlebitis EXCEPT

• Chemical Phlebitis

• Bacterial Phlebitis

• Post Insertion Phlebitis

• Mechanical Phlebitis

What is the first step in the insertion of a peripheral IV line?

• Get permission from the patient/family member.

• Educate the patient about the need for IV access.

• Obtain a physician's order.

This material are important during preparation IV Line procedure, EXCEPT?

• Glove

• IV Branula

• Saline

• Intrafix Giving set

What is the best choice of cannula size?

• The largest one you feel you can successfully insert in the patient

• The smallest one you can find.

• The smallest gauge to accommodate therapy.

• The largest gauge your facility has.

After applying the tourniquet, if the vein feels hard or rope-like, you should:

• Select another site

• Use it, it's the best choice for an IV

• Stretch it to prevent rolling

• Have the patient relax his/her fist

If a patient is expected to need multiple IVs or an extended hospitalization, it is best to choose which of the following sites for the first IV:

• Antecubital fossa

• Non-dominant hand

• Dominant forearm

• It doesn't matter where the first IV is placed

Which of the following veins should be avoided when initiating an IV?

• Lower extremities of a diabetic patient

• Veins in the affected arm of a woman with a mastectomy

• Veins in the arm of a dialysis AV fistula

• All of the above

While in the process of inserting an IV, which of the following is NOT acceptable:

• Enter the skin at a 30-40 degree angle

• Enter the skin directly over the vein

• A device may be reused as long as it is in the same site as the original attempt

• Enter the skin slightly adjacent to the vein and direct the needle into the side of the vein wall

How can you verify that you have entered the vein with the IV catheter?

• You learn through experience where the vein should be located

• You will be able to see the catheter through the skin

• You palpate with your non-dominant hand for the "pop" of the vein when the needle enters it

• You observe a flashback of blood

What step would you take if you have attempted IV access and are unsure of proper placement?

• Go ahead and begin IV infusion.

• Remove the catheter and try again.

• Attempt to flush the catheter.

• Pull the catheter back a few millimeters and check for blood return