Venipuncture- Clinical Skills Exam 1
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MC site for venipuncture
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AF fossa
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Cubital fossa
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Popliteal fossa
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Dorsal vein :)
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Venipuncture- Clinical Skills Exam 1 assesses key competencies in performing venipuncture, focusing on anatomical landmarks like the cubital fossa, and identifying major veins. Essential for medical and nursing students to master clinical procedural skills.
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- 2.
Which is not one of the most common vessels for venipuncture
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Basilic
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Median cubital
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Ethmoid
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Cephalic
Correct Answer
A. EthmoidExplanation
The question is asking for the vessel that is not commonly used for venipuncture. Venipuncture is the process of puncturing a vein to draw blood or administer medication. The basilic, median cubital, and cephalic veins are commonly used for venipuncture. However, the ethmoid is not a vessel that is typically used for this procedure. The ethmoid is actually a bone located in the skull, not a vein. Therefore, it is not one of the most common vessels for venipuncture.Rate this question:
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- 3.
The injection site for an IV should be changed every ____ days
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1
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4
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5
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7
Correct Answer
A. 4Explanation
The injection site for an IV should be changed every 4 days. This is because frequent site rotation helps prevent complications such as infection, infiltration, and phlebitis. By changing the site every 4 days, the risk of these complications is minimized, ensuring the safety and effectiveness of the IV therapy.Rate this question:
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- 4.
What do you need to assess your patient after venipuncture, before leaving them?
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CBC
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Lightheadedness
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Systemic reaction
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ABCs
Correct Answer
A. LightheadednessExplanation
After venipuncture, it is important to assess the patient for lightheadedness before leaving them. This is because the process of venipuncture can cause a drop in blood pressure, leading to lightheadedness or dizziness. By assessing for lightheadedness, healthcare professionals can ensure the patient's safety and provide any necessary interventions or support to prevent falls or other complications. Assessing for lightheadedness is a crucial step in the post-venipuncture care of a patient.Rate this question:
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- 5.
Which common venipuncture vessel is close to the brachial artery and poorly anchored
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Basilic
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Cephalic
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Median cubital
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Answer option 4
Correct Answer
A. BasilicExplanation
think B for basilic and Big and brachialRate this question:
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- 6.
Appropriate size IV cath for 1) Children 2) Adults
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1) 24g 2) 16/18g
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1) 16/18g 2) 24g
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1) 18g 2) 16g
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1) 16g 2) 18g
Correct Answer
A. 1) 24g 2) 16/18gExplanation
The appropriate size IV catheter for children is 24g, while for adults it is 16/18g. This means that for children, a smaller gauge size (24g) is needed compared to adults, who require a larger gauge size (16/18g). The gauge size refers to the diameter of the catheter, with a smaller number indicating a larger diameter. Therefore, the answer choice of 1) 24g for children and 2) 16/18g for adults is correct.Rate this question:
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- 7.
Which is NOT a "Right" Of "Rights of medication administration"?
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Patient
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Time
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Site
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Drug
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Dose
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Delivery
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Route
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Documentation
Correct Answer
A. DeliveryExplanation
I have PTSD from DDR-- acronymRate this question:
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- 8.
Most prominent veins in the Triangular hollow area of ant arm
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Cephalic + dorsal
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Basilic + dorsal
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Basilic + cephalic
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Basilic + median
Correct Answer
A. Basilic + cephalicExplanation
The most prominent veins in the triangular hollow area of an ant arm are the basilic and cephalic veins. These veins are easily visible and stand out in this area.Rate this question:
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- 9.
Which is not a contraindiacation to an IV catheter?
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Significant
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Cellulitis
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IV distal to phlebitis
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Nutritional deficiency
Correct Answer
A. Nutritional deficiencyExplanation
Not sure--- ppt said "nutritional components " is an indication so I'm assuming if you're deficient in X nutrient that is an indication for IV nutrition supplementationRate this question:
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- 10.
Procedure for IV cath below. Pick out which step is incorrect. 1) Apply traction to vein 2) hold at 15-20 deg and insert into vein 3) when flash is seen, advance cath another 2-3 mm at 15-20 deg 4)retract needle /remove needle assembly 5)hold pressure proximally to insertion site and insert line 6) dress site with tape and tegaderm
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1
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3
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5
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6
Correct Answer
A. 3Explanation
When flash is seen hold needle HORIZONTAL (NEARLY) TO SKIN AND ADVANCERate this question:
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- 11.
How long should you observe patient after injection
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24h
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1h
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5 min
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15min
Correct Answer
A. 15minExplanation
After administering an injection, it is important to observe the patient for a certain period to monitor for any immediate adverse reactions or complications. The correct answer of 15 minutes suggests that this is the minimum recommended time for observation. During this time, any immediate side effects or allergic reactions can be identified and promptly addressed. This short observation period allows healthcare professionals to ensure the patient's safety and well-being before they leave the facility.Rate this question:
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- 12.
For venipuncture vacutainers, always hold the needle/barrel steady with your dominant hand to change tubes
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True
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False
Correct Answer
A. FalseExplanation
hold with non dominant hand, use dominant hand for tubesRate this question:
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- 13.
The risk of local infection from an IV catheter is increased if it's left in longer than _______
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72-96 hr
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48-72 hr
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24-48 hr
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96-120 hr
Correct Answer
A. 72-96 hrExplanation
The risk of local infection from an IV catheter is increased if it is left in longer than 72-96 hours. This is because the longer the catheter remains in place, the higher the chances of bacteria entering the insertion site and causing an infection. It is important to remove the catheter within the recommended time frame to minimize the risk of complications.Rate this question:
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- 14.
What is an indication for using a Lower extremity for IV caths? According to ppt.
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Children
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Elderly
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Mastectomy- unilateral
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Collapsed vein
Correct Answer
A. ChildrenExplanation
The correct answer for this question is children. This is because children often have smaller veins and may require the use of a lower extremity for IV caths.Rate this question:
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- 15.
Which injection type is aspiration uncessessary
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IM
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SC
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Intradermal
Correct Answer
A. IMExplanation
Aspiration is unnecessary for the IM injection type. Aspiration refers to the process of pulling back on the syringe plunger after inserting the needle to check if blood is drawn into the syringe. This is done to ensure that the needle has not accidentally punctured a blood vessel. However, in the case of IM injections, the needle is inserted into the muscle, away from major blood vessels. Therefore, the risk of accidentally puncturing a blood vessel is low, making aspiration unnecessary for IM injections.Rate this question:
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- 16.
Contents of Cubital Fossa from Medial--> Lateral R- Really- Radial N- Need- Nerve B- Booze- Biceps T- To--- Tendon B- Be---- Brachial A-At-------Artery M---My-----Median N----Nicest--nerve
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True
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False
Correct Answer
A. FalseExplanation
Lateral to medialRate this question:
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- 17.
Which vessel is not commonly used in lower extremity IV catheters?
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Lesser saphenous
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Greater saphenous
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Medial Marginal
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Lateral Marginal
Correct Answer
A. Lateral MarginalExplanation
The lateral marginal vessel is not commonly used in lower extremity IV catheters. This is because it is a smaller vessel located on the outer side of the leg, making it more difficult to access and potentially increasing the risk of complications during catheter insertion. The other options, including the lesser saphenous, greater saphenous, and medial marginal vessels, are more commonly used in lower extremity IV catheters due to their larger size and easier accessibility.Rate this question:
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- 18.
What medicine is given for IV contrast extravasation
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Hyaluronidase
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Diphenhydramine
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Hydrocortisone
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Vancomycin
Correct Answer
A. HyaluronidaseExplanation
Hyaluronidase is given for IV contrast extravasation. This medication helps to break down hyaluronic acid, which is a substance that can cause tissue damage and inflammation when it leaks out of the blood vessels during extravasation. By administering hyaluronidase, it can help to disperse the contrast dye and prevent further damage to the surrounding tissues.Rate this question:
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- 19.
After removing the needle for venipuncture, how long do you apply pressure for?
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1-2 min
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3-4 min
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5 min
Correct Answer
A. 3-4 minExplanation
After removing the needle for venipuncture, it is recommended to apply pressure for 3-4 minutes. This is important to ensure that bleeding is controlled and a hematoma does not form at the puncture site. Applying pressure for this duration allows the blood vessels to seal properly and prevents excessive bleeding. Applying pressure for a shorter duration may not be sufficient to achieve hemostasis, while applying pressure for a longer duration may cause unnecessary discomfort to the patient. Therefore, 3-4 minutes is the appropriate time to apply pressure after removing the needle for venipuncture.Rate this question:
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Current Version
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Mar 22, 2023Quiz Edited by
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Oct 07, 2013Quiz Created by
Megandisher
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