The nurse is preparing to insert a peripheral IV catheter into a patient who will require fluids and IV antibiotics. How should the nurse always start the process of insertion?
A) Leave one hand ungloved to assess the site.
B) Cleanse the skin with normal saline.
C) Ask the patient about allergies to latex or iodine.
D) Remove excessive hair from 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 preparing 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. Both hands should always be gloved when preparing for IV insertion, and latex-free gloves must be used or the patient must report not having latex allergies. The skin is not usually cleansed with normal saline prior to insertion. Removing excessive hair at the selected site is always secondary to allergy inquiry.
You might also like to view...
A client asks the nurse for help in learning to relax. The client claims to know about meditation and understands it is supposed to help a person relax but every time the client tries to meditate, the client is easily distracted
Considering the four major requirements that facilitate successful meditation practice, the nurse advises the client to: Standard Text: Select all that apply. 1. Focus on one word, object, or symbol to look at or think about if the client finds it helpful. 2. Find a position that will be comfortable to hold for a while. 3. Find a quiet place away from distractions. 4. Have a religious belief in order for meditation to be successful. 5. Pay attention to "how well the client is doing at meditating."
Which of the following statements concerning health promotion habits made by a young adult best reflects an understanding regarding the primary cause of death and injury among that age group?
1. "Eating a healthy, low-fat diet is very important to me." 2. "AIDS is nothing to mess with, so I always practice safe sex." 3. "Regardless of what my friends say, I always wear a seat belt." 4. "I enjoy mountain biking, but I always wear the right protection gear."
An older adult male pt calls the clinic because he has "not passed any urine all day long". what is the nurse's best response?
a. try drinking several large glasses of water and waiting a few more hours b. if you develop flank pain or fever, then you should probably come in c. You could have an obstruction, so you should come in to be checked out d. I am sorry, but I really can't comment about your problems over the phone
Clots can form within the heart
Indicate whether the statement is true or false