A nurse is assisting with supervising a newly licensed nurse replace a short-peripheral IV device for a client. Which of the following actions by the new nurse indicates an understanding of the procedure?
Leaves small air bubbles in the new infusion tubing.
Inserts the new device distal to the old IV site.
Wears clean gloves during the new IV insertion.
Shaves the hair on the client's skin before inserting the new IV.
The Correct Answer is C
A. Leaving small air bubbles in the new infusion tubing is incorrect. Air bubbles should be primed out of the tubing before use to prevent air embolism.
B. Inserting the new device distal to the old IV site is incorrect. The new IV site should be placed proximal to the old site to avoid complications from previous catheter use and ensure proper circulation.
C. Wearing clean gloves during the new IV insertion is correct. Clean gloves are appropriate when inserting a new short peripheral IV device. Sterile gloves are generally required for more invasive procedures, but when changing the device itself, clean gloves are sufficient.
D. Shaving the hair on the client's skin before inserting the new IV is incorrect. Shaving the skin is not recommended because it can cause small nicks that increase the risk of infection. Clipping the hair, if necessary, is the preferred method.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
B. Sucralfate should be taken on an empty stomach, at least 1 hour before meals or 2 hours after meals, to maximize its effectiveness. Food can interfere with its ability to coat the stomach lining.
A. Constipation is a common side effect of sucralfate, but it does not typically require discontinuation of the medication. Instead, clients are often advised to manage constipation with dietary fiber, fluids, and sometimes mild laxatives if necessary.
C. Antacids can interfere with sucralfate by altering its pH-dependent activation and should not be taken simultaneously. If antacids are necessary for symptom relief, they should be taken at least 30 minutes before or after sucralfate.
D. There is no specific instruction to remain upright after taking sucralfate
Correct Answer is D
Explanation
D. Muscle weakness is a hallmark sign of hypokalemia. Potassium is crucial for proper muscle contraction, and low levels can impair muscle function. This weakness can affect skeletal muscles (resulting in fatigue, cramps, or generalized weakness) as well as smooth muscles (contributing to constipation or other gastrointestinal symptoms).
A. Hypokalemia is not typically associated with hyperactive bowel sounds.
B. Cerebral edema is not typically associated with hypokalemia. Instead, cerebral edema can occur with conditions such as hyponatremia (low sodium levels) or other metabolic disturbances.
C. Hypokalemia is more commonly associated with hypotension (low blood pressure) rather than hypertension. Low potassium levels can affect vascular smooth muscle tone, potentially leading to vasodilation and hypotension.
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