When administering an IV solution, the nurse ensures that the solution is placed at least 18 to 24 in. above the site of the infusion. For which of the following reasons should the nurse maintain this position for the IV solution?

Question

A) To ensure that the IV tubing remains free of entanglements
B) To match the pressure within the client's vein
C) To infuse the solution into the client's vein slowly
D) To overcome the pressure within the client's vein

Answer 1

D
Feedback:
To overcome the pressure within the client's vein, which is higher than atmospheric pressure, the solution is elevated at least 18 to 24 in. (45 to 60 cm) above the site of the infusion. The height of the solution affects the rate of flow: the higher the solution, the faster the solution infuses, and vice versa. Keeping the solution at a height does not ensure that the IV tubing remains free of entanglements or help to match the pressure in the client's vein.