The nurse is assembling the equipment needed to begin caring for a patient with a gastrointestinal bleed who is hemodynamically unstable. What size of intravenous catheter would the nurse choose?
1. 22-gauge 2-inch angiocatheter
2. 18-gauge 1-inch angiocatheter
3. 22-gauge butterfly
4. 20-gauge 2-inch angiocatheter
2
Rationale 1: Smaller gauge, longer catheters will slow administration time of the fluid. The lumen of this IV access device do not allow for large and rapid amounts of fluid to be administered. If it is used, there is too much pressure and the vein may infiltrate.
Rationale 2: A large-bore IV catheter is needed to rapidly administer large volumes of intravenous fluids that hemodynamically unstable patients need.
Rationale 3: This size catheter would not be adequate to administer large volumes of intravenous fluids.
Rationale 4: The length of the catheter would not be adequate to administer large volumes of intravenous fluids.
You might also like to view...
A client has received some bad news about a prognosis from the physician. When the nurse comes in with medications, the client states in an angry tone, "You're late; I was just about to call the hospital administrator to complain
" The nurse is aware that the client received a disappointing prognosis and understands the behavior as displacement. The nurse is silent for a few moments to let the client collect some thoughts and control any feelings. Which response should the nurse make next? 1. "You are really angry at your physician; why don't you tell the physician how you feel." 2. "You must be really angry at me." 3. "I'm not late if I get this medication to you within thirty minutes of the scheduled time." 4. "I know you heard some bad news today. I wonder if that could be bothering you."
A community health nurse is overwhelmed with all that needs to be done in one day. Which task could most easily be postponed?
a. Reviewing the most recent hospital patient data collected by the local college of nursing b. Deciding which of several possible new clinic options would be most effective in better meeting the needs of the local community c. Evaluating the results of the most recent community-wide screening program before planning for the next community health program d. Giving testimony to the state legislature on a new health and safety bill
A wheelchair-bound client complains of the "hammock effect" each time he sits in the wheelchair. Which of the following devices should the nurse place in the wheelchair to prevent the hammock effect?
A) A buttock board B) An upholstered cushion C) A gel or foam cushion D) A plastic molded support
A woman has tested human immunodeficiency virus (HIV)–positive and has now discovered that she is pregnant. Which statement indicates that she understands the risks of this diagnosis?
a. "Even though my test is positive, my baby might not be affected." b. "I know I will need to have an abortion as soon as possible." c. "This pregnancy will probably decrease the chance that I will develop AIDS." d. "My baby is certain to have AIDS and die within the first year of life."