The nurse feels resistance while trying to flush the IV line with a 3-ml syringe of normal saline solution before administering a medication by IV bolus. Which should the nurse implement next?
1. Use a 10-ml syringe to flush.
2. Aspirate IV for a blood return.
3. Check for causes of resistance.
4. Inject the IV medication slowly.
3
3. The nurse checks for causes of resistance such as clamped or kinked tubing. If the nurse concludes that the IV site is occluded, the nurse discontinues the IV and inserts another IV in another site.
1. Using a 10-ml syringe increases the potential pressure delivered by the flush. A 10-ml syringe potentially delivers enough pressure to rupture the IV catheter or dis-rupt a thrombus, so the nurse avoids trying to flush the IV using a larger syringe.
2. Blood return is a nonsensitive indicator of IV patency, so the nurse avoids basing follow-up nursing care on the blood return.
4. The nurse avoids injecting the medication to prevent complications.
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A) Take two aspirin on arising. B) Delay toothbrushing until noon. C) Delay breakfast until midmorning. D) Take a teaspoon of baking soda before breakfast.
The nurse knows that a patient may develop sensorineural hearing loss as a result of ototoxic drugs. Which patient would be at the highest risk for this type of hearing deficit?
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To increase the immunization rates among children in the community, a nurse manager considering holding immunization clinics on Saturdays one month before school begins. This is an example of
a. Assessing b. Planning c. Organizing d. Evaluating
The left Sims' position
A) is recommended for treatment of backache. B) facilitates giving an enema. C) makes it easier for the patient to breathe. D) is used for prevention of intestinal cramps.