IV IV Complications & Adverse Events

Question 1

A patient develops redness, warmth, and swelling along the vein 2 cm proximal to the IV site. Which complication is most likely?

Accepted Answer

Phlebitis

Answer

Phlebitis is characterized by redness, warmth, pain, and swelling along the course of the vein due to inflammation of the vessel wall.

Question 2

Which grading scale is most commonly used to assess the severity of phlebitis at a peripheral IV site?

Accepted Answer

Both A and B

Answer

Both the VIP (Visual Infusion Phlebitis) score and the Visual Infusion Phlebitis Scale are widely used tools to grade phlebitis from 0 (no signs) to 5 (advanced phlebitis).

Question 3

A nurse notices the IV infusion slowing and the area around the insertion site becoming cool, pale, and puffy. What is the most likely complication?

Accepted Answer

Infiltration

Answer

Infiltration occurs when IV fluid leaks into the surrounding tissue, causing coolness, pallor, and swelling at the site.

Question 4

What is the most immediate nursing action when extravasation of a vesicant medication is suspected?

Accepted Answer

Stop the infusion and leave the catheter in place to aspirate

Answer

The immediate action for suspected vesicant extravasation is to stop the infusion and leave the catheter in place to aspirate residual drug before removal.

Question 5

Which of the following is a classic sign of catheter-related bloodstream infection (CRBSI)?

Accepted Answer

Fever with no other identifiable source in a patient with a central line

Answer

CRBSI classically presents as fever (and sometimes rigors) with no other identifiable infection source in a patient with a central venous catheter.

(IV) Intravenous Therapy Certified Practice Test

(IV) Intravenous Therapy Certified Practice Test

IV IV Complications & Adverse Events