Which does the nurse implement for a peripheral IV site dressing change to prevent accidental dislodgement of the IV catheter?

1. Secures IV catheter until tape is in place
2. Places folded gauze under IV catheter hub
3. Wears clean gloves to remove old dressing
4. Cleanses in circular motion away from site


1
1. To prevent accidental catheter dislodgement, the nurse secures the IV catheter with the nondominant hand until the narrow strip of tape is in place during the IV dressing change. The nurse avoids applying traction or bending the catheter to maintain infec-tion control and the integrity of the catheter.
2. The nurse places a folded under the hub to prevent excessive skin pressure from the hub.
3. The nurse wears clean gloves to remove the old dressing to prevent self-contamination.
4. The nurse cleanses the insertion site using a circular motion away from the site to prevent recontamination.

Nursing

You might also like to view...

The nurse is examining the client's mouth, and discovers leukoplakia. In response to questioning from the nurse, the client reveals it has been there for more than a month. The nurse documents the condition and informs the doctor, anticipating:

1. An order to provide thorough mouth care. 2. A biopsy will be performed. 3. An antifungal medication order. 4. A dental consult.

Nursing

Which statement should the nurse emphasize when teaching a patient with neuropathy from diabetes?

1. "Set water heater at 120°F." 2. "Avoid hand and foot massages." 3. "Use a mirror to inspect feet daily." 4. "Increase medication for pain as necessary."

Nursing

A female patient is experiencing hemianopia after her diagnosis of a right stroke. How might the nurse assist the patient manage her potential sensory and perceptional difficulties?

A) Keep the lighting in the patient's room low. B) Place the patient's clock on the affected side. C) Approach the patient on the side the vision is impaired. D) Place the patient's extremities where she can see them.

Nursing

You are caring for a 72-year-old male patient who was recently admitted to the long-term care facility in which you work. Since admission he has become withdrawn and anxious. You know that anxiety in the elderly can be the result of what?

A) Loss of dependence B) Fear of being visited in the hospital C) Mental sharpness D) Economic concerns

Nursing