IV IV Site Care & Maintenance

Question 1

According to INS standards, how often should transparent semipermeable membrane (TSM) dressings be changed on peripheral IV sites?

Accepted Answer

Every 5–7 days or when integrity is compromised

Answer

Every 24 hours

Answer

Every 48 hours

Answer

Every 72 hours

Question 2

What is the maximum recommended dwell time for a peripheral IV catheter in adults per current INS guidelines?

Accepted Answer

No set time limit — replace only on clinical indication

Answer

48 hours

Answer

72 hours

Answer

96 hours

Question 3

Which antiseptic solution is preferred for skin antisepsis prior to peripheral IV insertion in adults?

Accepted Answer

Chlorhexidine gluconate >0.5% in alcohol

Answer

Povidone-iodine 10%

Answer

Isopropyl alcohol 70% alone

Answer

Normal saline

Question 4

A nurse assesses a peripheral IV site and notes the Phlebitis Scale score as 2. What finding corresponds to this score?

Accepted Answer

Pain at site with erythema and/or edema

Answer

No symptoms

Answer

Pain at site with erythema and streak formation

Answer

Palpable venous cord longer than 1 inch

Question 5

How frequently should hospitalized patients' peripheral IV sites be assessed for complications?

Accepted Answer

Once per shift with a minimum of every 8 hours

Answer

Every 8 hours

Answer

Every 4 hours

Answer

Every 12 hours

Question 6

When removing a peripheral IV catheter, what is the correct post-removal action to prevent hematoma formation?

Accepted Answer

Apply firm, direct pressure for at least 2–3 minutes

Answer

Apply a tourniquet proximal to the site

Answer

Massage the site to disperse any blood

Answer

Apply a warm compress immediately

Question 7

Which type of dressing is recommended for central venous access device (CVAD) sites in patients with diaphoresis or when TSM dressings will not adhere?

Accepted Answer

Standard gauze and tape dressing changed every 2 days

Answer

No dressing; leave site open to air

Answer

Hydrocolloid dressing changed weekly

Answer

Antimicrobial-impregnated gauze dressing