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 D

Explanation

A. Obese patients often have decreased lung function due to reduced chest wall compliance and increased abdominal pressure, which can impair respiratory mechanics. This leads to a higher risk of respiratory complications such as hypoventilation, atelectasis, and pneumonia post-surgery.

B. Obesity places additional strain on the cardiovascular system, increasing the risk of cardiovascular events like hypertension, heart attack, and stroke. This strain is compounded during surgery due to increased cardiac workload and potential fluid shifts.
C. Obesity impairs wound healing due to several factors, including decreased oxygenation to tissues, impaired immune function, and increased adipose tissue which can create a moist environment conducive to infection. This increases the risk of postoperative infections.
D. In fact, obesity is associated with an increased risk of blood clots (venous thromboembolism) due to reduced mobility, chronic inflammation, and altered coagulation factors. Obesity does not improve circulation; rather, it often exacerbates venous stasis and clot formation.

A. Abdominal distension B. Tingling on lower extremities C. Changes on EKG (U-wave) D. Muscle Weakness E. Peak T Wave on EKG

Correct Answer is ["B","C","D"]

Explanation

A. Abdominal distension is not typically associated with hypokalemia.
B. Often described as pins and needles, this is a common symptom of hypokalemia.
C. Specifically, the appearance of a U wave is a characteristic sign of hypokalemia.
D. Potassium is essential for muscle function, so low levels can lead to weakness.
E. Peak T wave on EKG is associated with hyperkalemia, not hypokalemia.

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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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Naxlex Comprehensive Predictor Exams

Which of the following factors is NOT associated with a higher risk of post-surgical complications in obese patients?

Correct Answer is D

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Correct Answer is ["B","C","D"]

Explanation

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