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 C
Explanation
. "Bradycardia is an early indicator of a pneumothorax.": Tachycardia, not bradycardia, is an early sign of pneumothorax.
B. "Administer a bronchodilator to the child after chest percussion therapy.": Bronchodilators are typically administered before chest physiotherapy to open airways and enhance mucus clearance.
C. "Engage the child in daily aerobic exercise.": Exercise promotes lung function, airway clearance, and overall physical health in children with cystic fibrosis.
D. "A pigeon-shaped chest might become evident as the disease progresses.": This is incorrect; barrel chest deformities, not pigeon chest, are associated with cystic fibrosis.
Correct Answer is A
Explanation
A. Cardiac dysrhythmias: Hypokalemia impairs cardiac muscle function, potentially leading to arrhythmias such as ventricular tachycardia or premature ventricular contractions.
B. Hypoglycemia: Potassium does not directly cause hypoglycemia; its imbalance more commonly affects cardiac and neuromuscular function.
C. Hyperreflexia: Hypokalemia usually causes muscle weakness and diminished reflexes (hyporeflexia), not hyperreflexia.
D. Increased appetite: Hypokalemia does not typically affect appetite.
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