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

INS standards recommend changing TSM dressings on peripheral IVs every 5–7 days or immediately when the dressing is soiled, loosened, or no longer intact.

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

Current INS standards recommend removing peripheral IV catheters based on clinical indication rather than a routine scheduled replacement interval.

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

Chlorhexidine gluconate (CHG) >0.5% combined with alcohol is the preferred antiseptic for IV insertion site preparation due to its broad-spectrum efficacy and residual activity.

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

A Phlebitis Scale score of 2 indicates pain at the site with erythema and/or edema, indicating early phlebitis requiring intervention.

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

INS standards recommend assessing peripheral IV sites at a minimum of every 8 hours, or per institutional policy that may require more frequent checks.

(IV) Intravenous Therapy Certified Practice Test

(IV) Intravenous Therapy Certified Practice Test

IV IV Site Care & Maintenance