The nurse is preparing to start an IV on a newly admitted patient. Which action by the nurse places the patient at risk for infection?
The nurse applies a tourniquet to assess a vein.
The nurse dons gloves before starting the IV.
The nurse blows on the area cleansed with alcohol to dry it quickly
The nurse cleans the area with an alcohol pad
The Correct Answer is C
A. The nurse applies a tourniquet to assess a vein: Applying a tourniquet is standard practice and does not increase infection risk if proper technique is used.
B. The nurse dons gloves before starting the IV: Wearing gloves minimizes the risk of infection for both the patient and the nurse.
C. The nurse blows on the area cleansed with alcohol to dry it quickly: Blowing on the site introduces bacteria from the nurse's breath to the cleansed area, increasing the risk of infection.
D. The nurse cleans the area with an alcohol pad: Cleaning the site with alcohol reduces the risk of infection and is standard practice.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
A. Cullen's sign: Cullen's sign is a bluish discoloration around the umbilicus, indicating possible internal bleeding or a ruptured ectopic pregnancy. It is unrelated to hypocalcemia.
B. Chvostek's sign: Chvostek's sign is a spasm or twitching of the facial muscles when the facial nerve is tapped, which is a classic sign of hypocalcemia due to low calcium levels affecting neuromuscular function.
C. Brudzinski's sign: Brudzinski's sign involves involuntary flexion of the knees and hips when the neck is flexed, indicative of meningitis. It is unrelated to hypocalcemia.
D. Kernig's sign: Kernig's sign involves resistance to leg extension when the hip is flexed and is indicative of meningitis. It is not associated with hypocalcemia.
Correct Answer is ["100"]
Explanation
To calculate the IV flow rate, the following formula is used:
Flowrate(gtt/min) = Volume /Time× Dropfactor(gtt/mL)
Given:
- Volume = 100 mL
- Time = 60 minutes
- Drop factor = 60 gtt/mL
Flowrate(gtt/min)= 10060× 60
=1.67×60
=100gtt/min (rounded to the nearest whole number)
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