The client has an intermittent infusion device inserted in the hand. Which prevention strategy should the nurse use related to IV access for the client?
1. Instruct client to protect IV site.
2. Apply new sterile dressing daily.
3. Change IV tubing at least daily.
4. Flush IV catheter every morning.
1
1. The most important prevention strategy for the nurse to implement is to instruct the client to protect the IV site by reducing trauma, keeping the IV in sight, and getting out of bed properly. Less manipulation or trauma to the IV site reduces intravenous irritation and maintains a better seal at the skin to prevent the entry of micro-organisms.
2. Daily sterile dressing changes are excessive and potentially increase the risk of in-fection and impaired skin integrity. Generally, the nurse changes the dressing every 3 days and when needed; however, the nurse follows agency policy.
3. The nurse changes the IV tubing according to agency policy to prevent infection; however, instructing the client to participate in the IV access care is a more compre-hensive prevention strategy.
4. Daily flushing of the IV access is inadequate to maintain patency. IV access de-vices require flushing at least three times a day with normal saline solution.
You might also like to view...
An elderly client is in the emergency department after suffering a fracture. The daughter is distraught and says "This will never heal in my mother; she's so old!" The most appropriate response by the nurse is
a. "Actually fractures in infants take the longest to heal." b. "Do you think your mother has a bone disease, like osteoporosis?" c. "Unless there are other problems, elderly bones heal as quickly as in adults." d. "You're right; fractures take longer to heal in the elderly."
While the nurse is visiting the community pool, an adult swimmer is pulled out of the pool, unconscious and cyanotic. What is the priority action of the nurse?
a. Begin chest compressions. b. Move from the pool area. c. Give two rescue breaths. d. Check for a carotid pulse.
An 86-year-old client is admitted to the nursing unit diagnosed with pneumonia. Which of the following would the nurse expect to find when assessing this client? (Select all that apply.)
1. Elevated temperature 2. Hemoptysis 3. Lethargy 4. Change in cognitive function 5. Respiration of 12
A low-dose dopamine infusion is to be started for a client diagnosed with hypovolemic shock. Which assessment finding indicates the drug is having the desired therapeutic effect?
1. Nausea 2. Increased urine output 3. Increased blood pressure 4. Ventricular tachycardia