The client's IV. placed near the right antecubital space, is running very slowly but does not appear infiltrated and does not have evidence of phlebitis. Which measure should the nurse implement to attempt to improve the flow rate of the IV?
Alter the client's arm position
Place the IV on an infusion pump
Lower the height of the IV pole
Open the clamp as far as possible for one hour
The Correct Answer is A
A. Changing the client's arm position, such as raising or lowering it, could potentially improve flow by altering the gravitational pull on the IV solution. For example, raising the arm could increase flow due to increased pressure, while lowering it could decrease flow. However, this approach may not always be effective and should be done cautiously to avoid discomfort or compromising the integrity of the IV site.
B. Using an infusion pump can help regulate the flow rate of the IV solution more accurately compared to gravity alone. However, if the IV is running slowly due to factors unrelated to the infusion rate setting, such as a partial blockage or resistance in the IV line, using an infusion pump may not necessarily improve the flow rate.
C. Lowering the height of the IV pole can increase the gravitational force acting on the IV solution, potentially improving flow. This adjustment can help overcome minor obstructions in the IV line and facilitate better flow. However, it should be done cautiously to avoid excessive pressure on the IV site or causing discomfort to the client.
D. Opening the clamp fully for an extended period is not a recommended approach. It could lead to rapid infusion or an excessive flow rate, increasing the risk of complications such as fluid overload or vein irritation. Additionally, this action does not address the underlying reason for the slow flow rate and may not effectively resolve the issue.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B"]
Explanation
A. pH 7.29: A respiratory rate of 6 breaths per minute suggests hypoventilation, which can lead to respiratory acidosis due to retention of carbon dioxide (CO2). A decrease in pH (acidosis) is expected in this scenario.
B. PaCO2 54: In respiratory acidosis, PaCO2 levels are elevated due to inadequate ventilation, leading to CO2 retention. Therefore, an elevated PaCO2 level would be anticipated in this situation.
C. pH 7.51: A pH of 7.51 indicates alkalosis, which is not consistent with the expected respiratory acidosis in the context of opioid overdose and hypoventilation. Therefore, this choice is not anticipated.
D. PaO2 72: Oxygenation may be impaired in opioid overdose due to respiratory depression, but this PaO2 level is within the normal range. Hypoxemia is not typically a prominent feature of respiratory acidosis unless there are concurrent respiratory conditions or complications. Therefore, this choice is not anticipated.
E. PaCO2 31: A PaCO2 level of 31 indicates hypocapnia, which is not consistent with the expected respiratory acidosis in the context of opioid overdose and hypoventilation. Therefore, this choice is not anticipated.
Correct Answer is B
Explanation
B. One of the primary functions of an IV infusion pump is to precisely control the rate and volume of fluid delivery, thereby reducing the risk of accidental administration of large amounts of fluids. The pump allows for accurate programming of infusion rates and volume limits, enhancing safety and preventing fluid overload or other complications.
A. Using an IV infusion pump does not eliminate the need for assessing the IV site regularly. Regardless of the infusion method, it is essential to monitor the IV site frequently for signs of complications such as infiltration, phlebitis, or dislodgement. Therefore, this option is not the appropriate rationale for using an IV infusion pump.
C. IV infusion pumps are programmable devices that allow for precise control of the drip rate independent of the client's position. They ensure a consistent and controlled flow rate regardless of changes in the client's position, providing reliable delivery of fluids or medications.
D. While IV infusion pumps can deliver fluids at various rates, including rapid infusion rates when necessary, their primary purpose is not to administer fluids at a rapid rate. Rather, they are designed to deliver fluids or medications at controlled and programmed rates tailored to the client's needs, ensuring safety and accuracy.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today