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

Answer and Explanation

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.

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Correct Answer is ["50"]

Explanation

Flowrate(gtt/min) = Volume /Time× Dropfactor(gtt/mL)

Rate= 400ml /8hr ×60min/hr×60 gtt/mL

=400ml /480 × 60 gtt/mL

=50 gtt/min

A. Hematocrit 45% (37% to 52%) B. Creatinine 0.9 mg/dL (0.5-1.2 mg/dL) C. BUN 25 mg/dL (10-20 mg/dL) D. Urine specific gravity 1.028 (1.005 to 1.030)

Correct Answer is C

Explanation

A. Hematocrit 45% (37% to 52%): This value is within the normal range for hematocrit. Dehydration may increase the hematocrit due to a relative increase in red blood cell concentration, but 45% is still within normal limits.

B. Creatinine 0.9 mg/dL (0.5-1.2 mg/dL): This value is within the normal range for creatinine, indicating normal kidney function.

C. BUN 25 mg/dL (10-20 mg/dL): An elevated BUN level is a sign of dehydration as it reflects increased protein breakdown and decreased renal perfusion. This value is above the normal range and should be reported to the provider.

D. Urine specific gravity 1.028 (1.005 to 1.030): This value is within the normal range and indicates that the kidneys are concentrating urine, which is typical in dehydration as the body tries to conserve water.

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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?

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Naxlex Comprehensive Predictor Exams

Correct Answer is ["50"]

Explanation

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Correct Answer is C

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