A nurse is caring for a client with an intravenous catheter. When administering medication by IV push through the port, the nurse pinches the tubing upstream from the port when instilling the medication
Which of the following reasons explains the nurse's action? A) Provides access to the inside of the tubing
B) Creates negative pressure in the syringe
C) Validates that the IV catheter is in the vein
D) Ensures that the medication reaches the client
D
Feedback:
Pinching the tubing when instilling it with the drug ensures that the tube does not get backfilled and that the drug gets administered to the client. Piercing the port with the needle provides access to the inside of the tubing. Negative pressure is created by pulling back the plunger of the syringe. Pinching the tubing when instilling it with the drug does not validate that the IV catheter is in the vein, but the presence of blood in the tubing does.
You might also like to view...
Nurse Q has 12 patients she is responsible for on the orthopedic floor this evening. She "gets a feeling" that she need to check on Mr. Zed in room 437 even though he was fine and sitting up in bed one hour ago when she made rounds
She discovered him on the floor after trying to reach the bathroom and calls for help. What type of thinking was Nurse Q responding to? a. clinical thinking c. reflective thinking b. critical thinking d. intuitive thinking
A male patient presents at the free clinic with complaints of impotency. Upon physical examination, the nurse practitioner notes the presence of hypogonadism. What diagnosis should the nurse suspect?
A) Prolactinoma B) Angioma C) Glioma D) Adrenocorticotropic hormone (ACTH)–producing adenoma
Tracy, a G1 TPAL 0000 woman, is in labor at 30 weeks gestation. She is very concerned about the health of her baby and her impending preterm birth
Tracy asks the perinatal nurse about her baby's possibilities for survival and what physiological development has occurred by this time. The nurse's best response is: A) It is best to wait for the obstetrician to come and talk with you so that he/she can provide you with exact numbers regarding your baby's survival rate. B) At 30 weeks, your baby's lungs are still developing and do not have the ability to sustain air exchange. C) At 30 weeks of age, your baby will be small and will need to be in the hospital for a long time but will survive. D) At 30 weeks, your baby has completed a great deal of growth and development. For example, the reflex in the eye that responds to light should be present by now.
The nurse in labor and delivery documents a fetus as being ROA. To what does this documentation refer for a fetus?
A) Fetal station B) Fetal attitude C) Fetal position D) Fetal size