IV IV Therapy in Special Populations 2

Question 1

Which IV access device is most commonly recommended for pediatric oncology patients requiring long-term IV therapy?

Accepted Answer

Implanted port (Port-a-Cath)

Answer

Peripheral short catheter

Answer

Midline catheter

Answer

Scalp vein needle

Question 2

Why is it important to monitor blood glucose levels closely in neonates receiving total parenteral nutrition (TPN) via IV?

Accepted Answer

Neonates have limited glycogen stores and immature glucose regulation, making both hypo- and hyperglycemia risks

Answer

Neonates have elevated glycogen stores that cause hyperglycemia

Answer

Glucose monitoring is only relevant in diabetic patients

Answer

IV dextrose concentrations are too low to affect neonatal glucose

Question 3

When caring for an immunocompromised oncology patient with a central venous catheter, which intervention is most critical?

Accepted Answer

Strict adherence to ANTT for every access and dressing change

Answer

Changing the catheter every 72 hours

Answer

Routine prophylactic antibiotic flushes per physician preference

Answer

Limiting site assessment to once daily

Question 4

An elderly patient with difficult venous access has a midline catheter inserted. Which medication class is contraindicated for midline administration?

Accepted Answer

Continuous vesicant infusions or parenteral nutrition

Answer

Normal saline flushes

Answer

Isotonic antibiotics

Answer

Pre-operative isotonic fluids

Question 5

Which consideration is most important when selecting an IV insertion site in a patient undergoing hemodialysis?

Accepted Answer

Avoid the arm with an AV fistula or graft to prevent thrombosis and preserve access

Answer

Use the arm with the arteriovenous (AV) fistula for easiest access

Answer

The dominant arm is always preferred for IV placement

Answer

Central lines are never appropriate for dialysis patients

Question 6

When calculating IV fluid requirements using the Holliday-Segar method for a 25 kg pediatric patient, what is the correct daily fluid maintenance rate?

Accepted Answer

1600 mL/day

Answer

1000 mL/day

Answer

1500 mL/day

Answer

2500 mL/day