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 A

Explanation

The nurse should explain the need to have another adult drive the client home following surgery, as this is a safety measure to prevent complications such as bleeding, infection, or injury due to impaired cognition or mobility after anesthesia or sedation. The nurse should ask the client to shower once with an antiseptic soap on either the night before or morning of surgery, not 3 times the day before surgery, as this can reduce the risk of surgical site infection. The nurse should inform the client that they cannot wear makeup during surgery, as this can interfere with the monitoring of skin color and oxygen saturation. The nurse should instruct the client to stop drinking clear liquids at least 2 hours before surgery, not 1 hour before surgery, as this can reduce the risk of aspiration and gastric distension.

A. Administer acetaminophen to the client. B. Complete an incident report C. Document the occurrence in the client's medical record. D. Send the visitor to the risk management office.

Correct Answer is B

Explanation

A nursing incident report is a document that provides detailed information and account of the chain of events leading up to and following an unforeseen circumstance in a healthcare setting or facility especially in the nursing side. An incident report is used to communicate important safety information to hospital administrators and keep them updated on aspects of patient care for risk management, quality assurance, educational, and legal purposes. An incident report should be completed within 24 hours by whomever witnessed the incident or was notified first. In this case, the nurse should complete an incident report because the visitor's fall is an unforeseen circumstance that threatens patient safety and could have legal implications.

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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

A nurse is providing preoperative teaching to a client over the phone in preparation for outpatient surgery. Which of the following information should the nurse include in the teaching?

Correct Answer is A

Explanation

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Correct Answer is B

Explanation

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