A nurse is preparing to insert an IV catheter for an adult client.
Which of the following actions should the nurse take?
Choose the most proximal site on the extremity selected.
Apply a cool compress for several minutes before insertion of the IV catheter.
Place the tourniquet below the proposed insertion site.
Place the extremity in a dependent position.
The Correct Answer is D
The nurse should place the extremity in a dependent position before inserting an IV catheter.
This helps to dilate the veins and make them more visible and easier to access.
Choice A is wrong because the nurse should choose a site that is distal to the most proximal site on the extremity selected.
This helps to preserve more proximal sites for future use if needed.
Choice B is wrong because applying a cool compress before insertion of an IV catheter can cause vasoconstriction and make it more difficult to access the vein.
Instead, a warm compress can be applied to help dilate the veins.
Choice C is wrong because the tourniquet should be placed above, not below, the proposed insertion site to help dilate the vein and make it easier to access.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
To calculate the dose of gentamicin to administer to a client who weighs 220 Ib, first convert the client’s weight from pounds to kilograms.
220 Ib is equivalent to 100 kg (220 Ib /.2 Ib/kg = 100 kg).
Then, multiply the client’s weight in kilograms by the dose of gentamicin per kilogram: 100 kg * 2 mg/kg = 200 mg.
Therefore, the nurse should administer 200 mg of gentamicin.
Choice B is wrong because 180 mg is not the correct dose.
Choice C is wrong because 400 mg is not the correct dose.
Choice D is wrong because 440 mg is not the correct dose.
Correct Answer is A
Explanation
This statement indicates that the nurse should properly position the fracture bedpan to facilitate its use.
The shallow end of the fracture bedpan should be placed under the client’s buttocks to provide support and comfort.
Choice B is wrong because hyperextending the client’s back can cause discomfort and may not facilitate the use of the fracture bedpan.
Choice C is wrong because it is not necessary for the client to try to defecate for 20 minutes while on the fracture bedpan.
Choice D is wrong because keeping the bed flat may not provide the most comfortable position for the client while using the fracture bedpan.
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