A nurse preparing to start an IV on a newly admitted patient teaches the patient about the procedure and begins to prepare the site. The nurse should always start by:
A) Leaving one hand ungloved to assess the site
B) Preparing the skin with an iodine solution
C) Asking the patient if he is allergic to latex or iodine
D) Removing excessive hair at the selected site
Ans: C
Feedback: Before preparing the skin, the nurse should ask the patient if he or she is allergic to latex or iodine, which are products commonly used in setting up for IV therapy. A local reaction could result in irritation to the IV site or, in the extreme, it could result in anaphylaxis, which can be life threatening. Option A is incorrect; both hands should always be gloved when preparing for IV insertion, and latex-free gloves must be used or the patient must report that he or she has no latex allergies. Option B is incorrect; preparing the skin with an iodine solution is dependent on the report of no allergies to iodine solutions. Iodine is the recommended solution for IV preparation as outlined in the policy and procedures manual. Option D is incorrect; removing excessive hair at the selected site is always secondary to allergy inquiry.
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