A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12- month-old infant.
Which of the following actions should the nurse plan to take?
Use a 24-gauge catheter to start the IV.
Cover the insertion site with an opaque dressing.
Start the IV in the infant's foot.
Change the IV site every 3 days.
The Correct Answer is A
A 24-gauge catheter is the smallest-gauge catheter and is appropriate for administering IV fluids and medications to an infant.
Choice B is wrong because an opaque dressing would prevent the nurse from visualizing the insertion site.
Choice C is wrong because starting an IV in an infant’s foot can be painful and difficult to secure.
Choice D is wrong because IV sites should be changed every 72-96 hours or according to facility policy.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
“What do you do when your infant is fussy?” This question allows the parent to discuss their coping mechanisms and gives the nurse an opportunity to provide guidance and support.
Choice A is not a therapeutic question because it suggests a course of action rather than exploring the parent’s feelings and experiences.
Choice C and D are not therapeutic questions because they are closed-ended and do not encourage the parent to discuss their coping mechanisms.
Correct Answer is D
Explanation
The nurse should prepare the toddler for nasotracheal intubation first because the toddler is experiencing severe dyspnea and drooling, which are signs of airway obstruction.
Nasotracheal intubation will help to secure the toddler’s airway and improve their breathing.
Choice A is wrong because administering an antibiotic is not the priority intervention for a toddler with airway obstruction.
Choice B is wrong because obtaining a blood culture is not the priority intervention for a toddler with airway obstruction.
Choice C is wrong because inserting an IV catheter is not the priority intervention for a toddler with airway obstruction.
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