A nurse is preparing to insert a peripheral IV catheter into a client's arm. Which of the following actions should the nurse take to help dilate the vein?

Instruct the client to flex their arm with the hand open.

Dangle the client's arm over the edge of the bed.

Apply a cool compress to the vein for 10 min.

Stroke the skin near the vein in an upward direction.

Answer and Explanation

The Correct Answer is B

Dangling the client's arm over the edge of the bed helps dilate the vein by increasing venous pressure due to gravity. Flexing the arm with the hand open does not affect venous dilation and may cause muscle tension that can impede insertion. Applying a cool compress constricts rather than dilates the vein by causing vasoconstriction. Stroking the skin near the vein may irritate or damage the vein and does not promote dilation.

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Correct Answer is D

Explanation

An ankle-foot orthotic (AFO) is a device that supports the ankle and foot in a neutral position and prevents plantar flexion contracture, which is a common complication of stroke. An abduction splint is used to prevent hip adduction contracture, which is not related to plantar flexion. A sequential compression device (SCD) is used to prevent deep vein thrombosis (DVT), which is not related to contracture prevention. A continuous passive motion machine (CPM) is used to promote joint mobility and healing after surgery, which is not indicated for this client.

A. The client moves the walker ahead 25.4 cm (10 in) with each step. B. The client picks up the walker with each step. C. The client stoops slightly forward when moving the walker. D. The client stands with her elbows slightly flexed while holding the walker.

Correct Answer is B

Explanation

A condom catheter is a urine collection device that fits like a condom over the penis and has a tube that goes to a collection bag strapped to the leg. To apply a condom catheter, the nurse should clean and dry the penis thoroughly, unroll the sheath over the penis, leaving 2.5 to 5 cm (1 to 2 in) of space between the end of the catheter and the tip ofthe penis, and gently squeeze the catheter around the penis shaft for 10 to 15 seconds to ensure adhesion.

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A nurse is preparing to insert a peripheral IV catheter into a client's arm. Which of the following actions should the nurse take to help dilate the vein?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Explanation

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Explanation

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