Deck 27: Special Procedures

Question 1

The patient is receiving intravenous therapy and the insertion site looks red and swollen. The nursing assistant should

A) discontinue the IV.
B) turn the IV clamp to an off position.
C) notify the nurse immediately.
D) none of the above

Answer 1

C

Question 2

To remove a soiled gown from a patient with an IV, you should

A) remove the IV needle.
B) slip the gown over the IV bag and tube.
C) disconnect the IV bag and tubing.
D) have the nurse remove the IV needle.

Answer 2

B

Question 3

You are changing the gown of a patient who has an IV. You should

A) ask that a nurse change the patient's gown.
B) ask the RN to remove the IV.
C) remove the IV yourself, remembering to restart it after changing the gown.
D) think of the IV bag and tube as part of the patient's arm and do not disconnect it.

Answer 3

D

Question 4

You note an inflamed area on the patient's skin near where an IV catheter is inserted. You should

A) report this immediately to your supervisor.
B) wash the area with soap and water.
C) stop the IV and ring for help.
D) all of the above

Question 5

A postoperative patient is receiving an IV. Which of the following situations makes it necessary for you to call the head nurse?

A) bleeding around the catheter
B) pain around the catheter
C) skin swelling around the catheter
D) all of the above

Question 6

Antiembolism stockings or elastic bandages are used postoperatively to

A) reduce the flow of blood to the legs.
B) support the joints when the patient begins to walk.
C) support the leg veins.
D) support the neck.

Question 7

Elastic stockings must be removed and reapplied

A) at least once every eight hours.
B) whenever the patient asks.
C) at least once a day.
D) none of the above

Question 8

The purpose of antiembolism stockings is to

A) help prevent the formation of blood clots in the bloodstream.
B) compress the veins.
C) improve return of blood to the heart.
D) all of the above

Question 9

Binders are treatments used

A) to put pressure on body parts to make the patient more comfortable.
B) to give support to a weakened body part.
C) to hold dressings and bandages in place.
D) all of the above

Question 10

Wrinkles in a binder can

A) cause pressure ulcers.
B) cause reddened areas on the patient's skin.
C) cause the patient discomfort.
D) all of the above

Question 11

Inflammation and blood clots in a vein are known as

A) thrombophlebitis.
B) phlebitis.
C) infiltration.
D) none of the above

Question 12

Infiltration occurs when

A) the IV catheter comes out of the arm.
B) the IV catheter is properly placed in a vein.
C) the IV solution runs into tissue surrounding a vein.
D) none of the above

Question 13

All of the following can be administered by IV therapy EXCEPT:

A) medication
B) ointments
C) fluids
D) nourishment

Question 14

When applying elastic bandages, it is important to

A) prevent the spiral turn from overlapping.
B) keep the bandage smooth.
C) cover the fingers and toes exposed for observation.
D) all of the above

Question 15

Pressure ulcers can be caused by wrinkles in a binder or stocking.

Question 16

When the patient has an IV, you must adjust the clamps and flow rate to ensure patient safety.

Question 17

Binders are used to give support to a weakened body part.

Question 18

Binders are never used to hold dressings and bandages in place.

Question 19

Phlebitis is a surgical procedure.

Question 20

Antiembolism stockings should be applied when the patient is sitting in a chair.

Question 21

Binders applied inappropriately can be more painful than if NOT used at all.

Question 22

The straight abdominal binder, the double T binder and the breast binder are all commonly used on females.

Question 23

Antiembolism stockings come in one size-fits-all styles.

Question 24

Elastic bandages that are applied extremely tightly are a benefit to the patient's healing.

Question 25

When applying a patient binder or elastic stockings, it is important to maintain patient privacy.