Peripheral IVs are typically not intended for which type of use?
Pediatric use
Rapid use
Long-term use
Small-dose use
The Correct Answer is C
A. Pediatric use: Peripheral IVs are commonly used in pediatric patients for short-term access to fluids, medications, and blood products. They provide reliable vascular access for small-volume or intermittent therapies.
B. Rapid use: Peripheral IVs are suitable for rapid administration of fluids or medications, such as bolus infusions, in urgent or emergent situations. They can deliver therapy quickly if the vein size and catheter gauge are appropriate.
C. Long-term use: Peripheral IVs are not intended for long-term therapy because repeated insertion can cause phlebitis, infiltration, or infection. Central venous access is preferred for prolonged administration of medications or total parenteral nutrition.
D. Small-dose use: Peripheral IVs are appropriate for administering small doses of medications intermittently. They allow easy access for titration or scheduled dosing in short-term therapy settings.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","C"]
Explanation
A. Blistering or ulceration near the insertion site: Vesicant extravasation causes tissue injury due to leakage of the drug into surrounding tissue. Local findings may include blistering, ulceration, swelling, erythema, and pain at or near the IV site. These changes reflect direct cellular damage and require immediate intervention.
B. Notifying the provider promptly: Extravasation of a vesicant is a medical urgency that requires provider notification for further management. Specific antidotes, imaging, or surgical consultation may be indicated depending on the drug involved. Timely communication helps limit tissue necrosis and long-term complications.
C. Stopping the infusion immediately: Immediate discontinuation of the infusion prevents further leakage of the vesicant into surrounding tissue. The IV catheter is typically left in place initially to allow aspiration of the drug or administration of an antidote if prescribed. This step is critical to reduce the extent of tissue injury.
D. Continuing infusion at a slower rate: Slowing the infusion allows continued exposure of tissue to the vesicant and increases the risk of severe injury. Vesicant extravasation requires cessation, not adjustment, of the infusion rate
E. Continue infusion with no action: Failure to intervene allows ongoing tissue damage and increases the risk of necrosis, infection, and loss of function. Vesicant extravasation requires immediate assessment and intervention. No-action approaches are inappropriate and dangerous.
Correct Answer is B
Explanation
A. QID: QID stands for “four times a day” and indicates a scheduled dosing frequency, not as-needed administration.
B. PRN: PRN is the standard abbreviation for “pro re nata,” meaning the medication should be taken only as needed for specific symptoms or situations. It allows flexibility based on patient condition or response.
C. BID: BID means “twice a day” and represents a regular, scheduled dosing interval rather than an as-needed basis.
D. AC: AC stands for “before meals” and refers to timing of medication administration relative to food intake, not frequency or need-based use.
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