What is leakage of a nonvesicant IV solution or medication into surrounding tissue called?
5 Infiltration and Extravasation Online Quiz Questions
Use this free practice quiz with 20 questions to review 5 Infiltration and Extravasation, test your knowledge, and prepare for your next test or exam.
Findings of infiltration or extravasation may initially be .
Because facilities may use the terms infiltration and extravasation differently, identify the infusing agent and follow local policy.
- A
True
- B
False
Which set of factors best describes what can affect the potential harm from an infiltration or extravasation?
- A
The pump's alarm history alone
- B
The substance, amount, location, and duration of exposure
- C
The patient's age and the infusion's prescribed rate only
- D
Whether the IV is peripheral or central only
Which findings should prompt assessment for possible infiltration or extravasation? Select all that apply.
- A
New swelling around the IV site
- B
Burning, pain, or unusual tightness
- C
Coolness or blanching near the site
- D
Slowed infusion or leakage at the site
- E
No pump alarm
What is the term for a substance capable of causing tissue damage?
A warm compress is appropriate for every type of extravasation.
- A
True
- B
False
Which practices can help reduce risk or improve early detection of infiltration or extravasation? Select all that apply.
- A
Secure the catheter and dressing.
- B
Choose a site that can be observed and assessed.
- C
Assess the site and ask about discomfort during infusion, especially with high-risk medications.
- D
Rely on the pump alarm as the only monitoring method.
- E
Teach the patient to report pain, burning, swelling, or tightness promptly.
When responding to a suspected infiltration or extravasation, follow the agent-specific protocol and the .
A patient receiving a vesicant reports burning at the IV site. What is the best immediate action?
- A
Flush the catheter to check patency.
- B
Stop the infusion and follow the extravasation protocol.
- C
Remove the catheter immediately before checking the medication-specific protocol.
- D
Continue the infusion at a slower rate while assessing the site.
After stopping a suspected vesicant extravasation, why may the catheter be left in place briefly?
- A
It may allow aspiration of residual medication and, if indicated, delivery of a medication-specific antidote.
- B
It prevents swelling from increasing.
- C
It confirms that no medication entered the tissue.
- D
It allows the infusion to continue at a slower rate.
A nonvesicant fluid has infiltrated. Describe the appropriate response, including what should happen to the infusion and how catheter management, elevation, and compresses should be handled.
True or false: Because facilities may use “infiltration” and “extravasation” differently, identify the infusing agent and follow local policy when assessing a suspected event.
- A
True
- B
False
Whether present or absent, the alarm from what device cannot establish that an IV site is safe?
Which observation in a patient with a peripheral IV should prompt assessment for infiltration or extravasation?
- A
The site is unchanged, and the infusion is running normally.
- B
The site is newly swollen and cool, and the infusion is slowing.
- C
The patient is comfortable, and the site is dry and unchanged.
- D
The site is unchanged, with no leakage and a normal infusion.
After an extravasation, what exposure quantity should be documented if it can be estimated?
When selecting an IV site, which practice best supports early detection of a possible complication?
- A
Select a site that will be covered and difficult to inspect.
- B
Choose a site that can be observed and assessed.
- C
Rely on the pump alarm instead of checking the site.
- D
Avoid asking the patient about discomfort during infusion.
Which set includes the factors that affect potential harm from infiltration or extravasation?
- A
The patient's age, the dressing color, and the time of day.
- B
The infusion rate, the pump model, and the patient's preferred arm.
- C
The substance, amount, location, and duration of exposure.
- D
The catheter brand, the room temperature, and the patient's meal time.
A nonvesicant fluid has infiltrated. Which response is most appropriate?
- A
Stop the infusion, assess the area, and follow facility policy for catheter management and other care.
- B
Flush the site and restart the infusion through the same catheter.
- C
Apply heat or cold without checking the solution or protocol.
- D
Continue the infusion if the patient reports little pain.
After stopping a suspected vesicant extravasation, why might the catheter be left in place briefly?
- A
It may allow aspiration of residual medication and, if indicated, delivery of a medication-specific antidote.
- B
It prevents swelling from increasing.
- C
It confirms that no medication entered the tissue.
- D
It allows the infusion to continue at a slower rate.