A nurse is preparing to remove a peripheral IV for a preschooler. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Inspect the IV catheter tip

Apply firm pressure at the IV site.

Remove the IV catheter while keeping the catheter hub parallel to the insertion site.

Allow the preschooler to assist with removing the transparent dressing over the IV

Turn off the IV infusion pump and damp the y tubing

Answer and Explanation

The Correct Answer is E,D,C,B,A

E: The first step is to turn off the IV infusion pump and clamp the IV tubing to prevent air from entering the line and to stop the flow of medication or fluids.

D: Next, allowing the preschooler to assist with removing the transparent dressing can help in reducing anxiety and providing a sense of control, which is important for a child's emotional well-being during medical procedures.

B: Applying firm pressure at the IV site after the catheter is removed helps to prevent bleeding and ensures the closure of the venipuncture site.

C: Removing the IV catheter while keeping the catheter hub parallel to the insertion site minimizes discomfort and the risk of damaging the vein.

A: Finally, inspecting the IV catheter tip after removal is essential to ensure that the entire catheter has been removed and that no part has been left in the vein.

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Correct Answer is C

Explanation

A. General anesthesia is not typically used for thoracentesis, which is a minimally invasive procedure performed under local anesthesia.
B. While it's important for the client to remain still during the procedure, lying flat for 6 hours following thoracentesis is unnecessary and may increase the risk of complications such as discomfort or respiratory compromise.
C. Having a chest x-ray following the procedure is essential to assess for any complications such as pneumothorax or hemothorax, and to ensure proper lung re-expansion.
D. During thoracentesis, the client is typically instructed to remain still and breathe normally.
Deep breathing through the nose is not specifically indicated during the procedure.

A. Methadone B. Meperidine C. Hydromorphone D. Fentanyl

Correct Answer is A

Explanation

A. Correct. Methadone is commonly used to manage opioid withdrawal symptoms in newborns due to its long half-life and ability to stabilize opioid receptors, thereby reducing withdrawal symptoms.
B. Incorrect. Meperidine is not typically used for opioid withdrawal in newborns and is associated with a higher risk of toxicity and withdrawal symptoms.
C. Incorrect. Hydromorphone is not typically used for opioid withdrawal in newborns and may not be suitable due to its potency and potential side effects.
D. Incorrect. Fentanyl is not typically used for opioid withdrawal in newborns and is more commonly used for pain management in the perioperative or critical care settings.

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A nurse is preparing to remove a peripheral IV for a preschooler. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

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