A nurse is preparing to insert a peripheral IV catheter for an older adult client. Which action should the nurse plan to take?

Insert the catheter at a 45-degree angle.

Position the client’s arm in a dependent position.

Remove excess hair from the insertion site.

Initiate IV therapy in the veins of the hand.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Inserting the catheter at a 45-degree angle is not recommended for an older adult client with fragile skin. A lower angle of insertion is usually more appropriate.

Choice B rationale

Positioning the client’s arm in a dependent position can help engorge the veins, making it easier to insert the IV catheter.

Choice C rationale

Removing excess hair from the insertion site is not the first action the nurse should take. While it’s important to have a clean and clear insertion site, positioning the client’s arm correctly is a more immediate concern.

Choice D rationale

Initiating IV therapy in the veins of the hand is not the first action the nurse should take. While the veins of the hand can be used for IV insertion, positioning the client’s arm correctly is a more immediate concern.

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Correct Answer is C

Explanation

Choice A rationale

A cup of soup is typically 240 mL, so 2 cups would be 480 mL, which is more than 120 mL1.

Choice B rationale

A quart is a unit of volume equal to 946 mL, which is significantly more than 120 mL1.

Choice C rationale

8 oz of ice chips is approximately equivalent to 120 mL2. This is because when ice melts, it reduces in volume by about half, so 8 oz of ice chips would melt to about 4 oz of water, which is approximately 120 mL2.

Choice D rationale

6 oz is approximately 177 mL, which is more than 120 mL2.

A. Gently press on the tragus of the patient’s ear. B. Pack a small piece of cotton deep into the patient’s ear canal. C. Move the patient’s auricle down and back towards their head. D. Tilt the patient’s head backward for 5 minutes.

Correct Answer is A

Explanation

Choice A rationale

Pressing gently on the tragus of the ear after administering the medication can help the medication to reach the inner ear.

Choice B rationale

Packing a small piece of cotton deep into the patient’s ear canal is not recommended as it can cause damage to the ear.

Choice C rationale

Moving the patient’s auricle down and back towards their head is not necessary when administering otic medication.

Choice D rationale

Tilting the patient’s head backward for 5 minutes is not required when administering otic medication.

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A nurse is preparing to insert a peripheral IV catheter for an older adult client. Which action should the nurse plan to take?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is documenting a client’s fluid intake over the past 8 hours. Which of the following items should be recorded as 120 mL of fluid in the client’s intake and output record?

Correct Answer is C

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A nurse is administering an otic medication to an older adult patient.Which of the following actions should the nurse take to ensure the medication reaches the inner ear?

Correct Answer is A

Explanation

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