Author Question: A recommended guideline for changing of the IV tubing is: A. Every 24 hours B. If a puncture is ... (Read 48 times)

saraeharris · **on:** Jul 23, 2018

A recommended guideline for changing of the IV tubing is:

A. Every 24 hours
B. If a puncture is suspected
C. When a decreased flow rate is noted
D. Every time a new IV bag or bottle is prepared

Question 2

An appropriate technique for the nurse to implement when changing the IV solution is to:

A. Hang the same solution as the one that was infusing
B. Always change the tubing when a new bag or bottle of solution is prepared
C. Allow the current infusion to empty into the upper part of the tubing
D. Have the correct solution prepared and labeled 30 minutes to 1 hour in advance

aloop · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

B
B. Puncture of infusion tubing requires immediate change.
A. The Intravenous Nurses Society (INS) (2000 ) recommends 72-hour intervals for continuous tubing changes, adding that 48-hour tubing changes may be considered if the rate of catheter-related infection and phlebitis in an institution exceeds 5.
C. Decreased or absent flow of IV fluid is indicated by decreased rate. Assess IV infusion system for patency. Recalibrate drip rate on new tubing. Assess IV site for infiltration.
D. The INS also states that tubing used for intermittent infusion through an injection/access port should be changed every 24 hours because both ends of this tubing are manipulated more frequently than tubing used for continuous infusion.

Answer to Question 2

D
D. Have next solution prepared and available at least 1 hour before needed. Check that solution is correct and properly labeled. Check solution expiration date. Observe for precipitate, discoloration, and leakage
A. Check that solution is correct from physician orders.
B. Tubing is changed according to agency policy, usually every 72 hours unless a central IV line.
C. Stop infusion before the IV bag is empty.