Which does the nurse implement to prepare for IV insertion?
1. Slaps and massages selected vein
2. Selects proximal site on extremity
3. Shaves the hair in the insertion site
4. Ties tourniquet above selected site
4
4. The nurse applies a tourniquet to the client's arm to engorge the vein selected for IV insertion to facilitate catheter insertion because a larger vein is easier to enter, without transecting the vein, than a small vessel.
1. The nurse avoids tapping and massaging the vein before IV insertion because these increase the risks of hematoma formation and vasoconstriction.
2. The nurse selects the most distal sit on the extremity suitable for IV therapy.
3. The nurse clips hair around the potential IV insertion site because shaving increases the risks of impaired skin integrity and infection from microabrasions.
You might also like to view...
A nurse is cleaning the room of a client with tuberculosis. Which of the following items can the nurse dispose of as biodegradable trash?
A) Urine B) Soiled linen C) Plastic bedpans D) Specimen containers
The intervention appropriate for an antisocial client with a nursing diagnosis of ineffective coping
related to manipulation of others is to a. refer requests and questions related to care to the primary nurse. b. provide negative reinforcement for acting-out behavior. c. ignore, rather than confront, inappropriate behavior. d. encourage the client to discuss feelings of fear and inferiority.
What did Dr. Loretta Ford and Dr. Henry Silver at the University of Colorado develop first?
1. Clinical specialist role 2. Graduate program in nursing 3. Nurse practitioner role 4. Group practice
At birth, an infant weighed 8 pounds 4 ounces. Three days later, the newborn is being discharged. The parents note that the baby now weighs 7 pounds 15 ounces. The nurse explains that the change in the newborn's weight is:
1. Excessive. 2. Within normal limits. 3. Less than expected. 4. Unusual.