A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?

Place the tourniquet above the proposed insertion site.

Place the extremity in a dependent position.

Choose the most proximal site on the extremity selected.

Apply a cool compress for several minutes before insertion of the IV catheter.

Answer and Explanation

The Correct Answer is A

Choice A reason:
When preparing to insert an IV catheter, placing the tourniquet above the proposed insertion site helps facilitate venous distension and makes it easier to locate a suitable vein for the catheter insertion. This technique helps to improve visibility and access to the vein.
Choice B reason:
Placing the extremity in a dependent position (lower than the heart) can increase venous pressure and make it more difficult to insert the catheter.
Choice C reason:
Choosing the most proximal site on the extremity is not always necessary or appropriate. Veins distal to the proposed insertion site should be considered first, as they tend to be smaller and less accessible.
Choice D reason:
Applying a cool compress is not typically done before IV catheter insertion. It might cause vasoconstriction and make it more difficult to access a suitable vein.

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Correct Answer is A

Explanation

Choice A reason:
Delirium is a sudden and acute change in mental status characterized by confusion, disorientation, altered consciousness, and other cognitive disturbances. It has an abrupt onset and is often related to an underlying medical condition, medication, or other factors such as infections or metabolic imbalances.
Choice B reason:
Delirium can indeed affect a client's sleep cycle. It often disrupts sleep patterns and can lead to sleep disturbances
Choice C reason:
Delirium does not have a slow progression. It is typically characterized by a rapid and fluctuating course, and it can develop over hours to days.
Choice D reason:
Delirium does affect a client's perception of their environment. Clients with delirium may experience hallucinations, paranoia, and other alterations in perception. They may be unable to accurately interpret or interact with their surroundings.

A. Temperature: 39.3° C B. Heart rate: 113/min C. Respiratory rate: 24/min D. 2-day history of urinary frequency, burning on urination, and lower back and suprapubic pain E. Appearance: cloudy F. Colour: cloudy G. Odour: foul H. Specific gravity: 1.035 I. Leukocyte esterase: positive J. Nitrites: present

Correct Answer is ["A","B","C","D","E","F","G","H","I","J"]

No explanation

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A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?

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Naxlex Comprehensive Predictor Exams

A charge nurse in a long-term care facility is preparing an educational program about delirium for newly hired nurses. Which of the following statements should the nurse plan to include?

Correct Answer is A

Explanation

Correct Answer is ["A","B","C","D","E","F","G","H","I","J"]

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