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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Assist the client with a bowel cleansing. The rationale for this answer is that an IVP is a diagnostic test that uses an intravenous contrast agent and x-rays to visualize the urinary tract structures and function. A bowel cleansing is necessary before the procedure to eliminate fecal matter that may obscure the images or interfere with contrast excretion.
Correct Answer is D
Explanation
The nurse should identify that discussing the client's transfer to a long-term care facility with a nurse from another unit is a violation of HIPAA because it is not related to the client's care or treatment. The nurse should only share information with health care team members who are directly involved in the client's care or have a legitimate need to know.
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