A newly hired nurse is preparing to remove a client's IV catheter. Which of the following actions should the nurse take?
Ask an assistive personnel (AP) to verbalize the steps for removing an IV catheter.
Research how to remove an IV catheter from the internet.
Find an article in a nursing journal that is less than 5 years old on how to remove IV catheters.
Review the facility's policies and procedures manual about removing IV catheters.
The Correct Answer is D
A. While an assistive personnel (AP) might assist with some tasks, they are not typically responsible for providing detailed procedural guidance on medical tasks. The nurse should seek guidance from established protocols and trained professionals.
B. While online resources can be helpful, they might not reflect the specific protocols or best practices of the facility. It's crucial to follow the facility’s policies and procedures to ensure consistency and compliance with organizational standards.
C. While reviewing current literature is beneficial for understanding best practices, the most immediate and relevant source of information is the facility's own policies and procedures. These documents will reflect the specific protocols that the facility requires.
D. Reviewing the facility's policies and procedures manual ensures that the nurse follows the specific guidelines and standards set by the institution. This approach aligns with organizational requirements and helps ensure that the procedure is performed correctly and safely within the context of the facility’s protocols.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Hypokalemia refers to low levels of potassium in the blood. Potassium is an essential electrolyte that plays a crucial role in nerve and muscle cell functioning. When potassium levels are low, it can lead to muscle weakness or even muscle cramps.
Hypertension (high blood pressure) is not commonly associated with hypokalemia. In fact, hypokalemia can sometimes cause low blood pressure (hypotension).
Hyperactive bowel sounds are more commonly associated with conditions such as diarrhea, gastroenteritis, or bowel obstruction. While diarrhea can contribute to electrolyte imbalances, it is not a specific manifestation of hypokalemia.
Cerebral edema refers to swelling in the brain and is not typically associated with hypokalemia. Hypokalemia is more likely to affect muscle and nerve function rather than cerebral edema.
Correct Answer is ["125"]
Explanation
To determine the mL/hr rate for the IV pump, we need to calculate the infusion rate of the
potassium chloride solution. Given:
Potassium chloride concentration: 40 mEq in 500 mL Infusion rate: 10 mEq/hr
We can set up a proportion to find the mL/hr rate:
(40 mEq / 500 mL) = (10 mEq / x mL) Cross-multiplying the equation:
40 mEq * x mL = 500 mL * 10 mEq Simplifying:
40x = 5000
Dividing both sides by 40:
x = 5000 / 40
x ≈ 125
Therefore, the nurse should set the IV pump to deliver approximately 125 mL/hr.
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