IV IV Complications & Adverse Events 3

Question 1

Which dressing finding at a central line insertion site warrants immediate catheter removal?

Accepted Answer

Purulent drainage with surrounding erythema and induration

Answer

Slight moisture under the dressing

Answer

Intact transparent dressing with no drainage

Answer

Mild adhesive residue at dressing edges

Question 2

A patient's IV catheter becomes positional — fluids run only when the arm is in a specific angle. What is the most appropriate action?

Accepted Answer

Remove the catheter and insert a new one at a different site

Answer

Reposition and tape the arm to maintain flow

Answer

Flush with heparin and attempt to improve patency

Answer

Increase the infusion pressure

Question 3

Which complication is specifically associated with PICC line insertion and results from catheter tip malposition?

Accepted Answer

Cardiac arrhythmia from atrial or ventricular tip placement

Answer

Phlebitis at the antecubital fossa

Answer

Hematoma at the neck

Answer

Pneumothorax

Question 4

What is the primary risk associated with forcefully flushing a catheter that has resistance?

Accepted Answer

Catheter fracture or embolism

Answer

Phlebitis development

Answer

Speed shock

Answer

Air embolism

Question 5

Which of the following best describes 'speed shock' in IV therapy?

Accepted Answer

Systemic reaction from too-rapid delivery of a drug or solution into circulation

Answer

Circulatory overload from excessive IV volume

Answer

Anaphylaxis from an incompatible IV solution

Answer

Localized vein damage from high-concentration solutions

Question 6

Which action is most effective in preventing catheter-related bloodstream infections (CRBSI) during central line insertion?

Accepted Answer

Applying full barrier precautions including sterile drape, gown, gloves, mask, and cap

Answer

Using antimicrobial flush solutions only

Answer

Choosing the femoral vein for easier access

Answer

Flushing with normal saline before and after use