During new employee orientation, a nurse is explaining how to prevent IV infections. Which of the following statements by an orientee indicates understanding of the preventive strategies?

"As long as I am working with the same client, I can use the same IV catheter for my second insertion attempt."

“I will replace any IV catheter when I suspect contamination during insertion."

“I will leave the IV catheter in place after the client completes the course of IV antibiotics."

“If my client needs to use the rest room, it would be safer to disconnect their IV infusion as long as I clean the injection port thoroughly with an antiseptic swab."

Answer and Explanation

The Correct Answer is B

A.   Using the same IV catheter for a second insertion attempt is not advisable. Once an IV catheter has been inserted, it should not be reused or reinserted in the same or a different site. If the initial insertion fails or if the catheter needs to be repositioned, a new sterile catheter should be used.
B.   If there is any suspicion of contamination during the insertion of an IV catheter, it is important to replace the catheter to prevent infection. This is crucial for maintaining sterility and reducing the risk of introducing pathogens into the patient’s bloodstream.
C.   The IV catheter should be removed once the course of IV antibiotics or any other IV therapy is completed, unless there is a specific medical reason to keep it in place. Leaving the catheter in place unnecessarily increases the risk of infection and other complications.
D.   Disconnecting the IV infusion for a client to use the restroom is not typically recommended as a standard practice. Disconnecting can introduce risks of infection and requires thorough cleaning and handling. Instead, a safer practice is to secure the IV line and allow the client to use the restroom while keeping the infusion running, or use a specialized catheter with a secure, closed system.

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Correct Answer is B

Explanation

A. Deep breathing exercises should be performed regularly, regardless of the level of pain. The exercises are crucial for preventing lung complications, and pain management should be addressed so that the client can perform these exercises effectively.
B. This statement reflects a proper understanding of the importance of regular deep breathing exercises. Performing these exercises every hour while awake helps to keep the alveoli open and reduces the risk of atelectasis and pneumonia. Consistent practice is essential for maximizing lung expansion and preventing complications.
C. Coughing exercises should be performed regularly, not just when experiencing shortness of breath. Coughing helps to clear secretions from the airways and prevent their accumulation, which can lead to respiratory infections and other complications.
D. Avoiding deep breathing exercises is not advisable. While there may be some discomfort, deep breathing is essential for lung health post-operatively. The exercises help prevent complications such as atelectasis.

A. Use a nonrebreather mask to deliver low-flow oxygen B. A nonrebreather mask should fit snugly over a client's face. C. The reservoir bag on a nonrebreather mask should collapse with D. A nonrebreather mask dries a client's mucous membranes

Correct Answer is B

Explanation

A. A nonrebreather mask is used to deliver high-flow oxygen, not low-flow. It provides the highest concentration of oxygen compared to other types of masks, which is crucial for patients with severe hypoxemia. The high-flow oxygen helps in achieving a higher concentration of oxygen in the blood.
B. It is essential that a nonrebreather mask fits snugly over the client's face to ensure that the patient receives the maximum amount of oxygen and to prevent room air from mixing with the oxygen being delivered. A proper seal is necessary to achieve the desired level of oxygenation and to avoid oxygen leakage.
C. The reservoir bag on a nonrebreather mask should not collapse with each breath. Ideally, the bag should remain partially inflated even during inspiration. If the bag collapses completely, it indicates that the patient is not receiving enough oxygen, and the mask may not be functioning correctly.
D. A nonrebreather mask itself does not cause drying of the mucous membranes. However, high-flow oxygen can sometimes lead to dryness of the mucous membranes if not managed properly. Humidification may be required to prevent dryness, but this is not a direct effect of the mask itself.

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During new employee orientation, a nurse is explaining how to prevent IV infections. Which of the following statements by an orientee indicates understanding of the preventive strategies?

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Correct Answer is B

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