A nurse is preparing to remove a peripheral IV for a preschooler. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Inspect the IV catheter tip

Apply firm pressure at the IV site.

Remove the IV catheter while keeping the catheter hub parallel to the insertion site.

Allow the preschooler to assist with removing the transparent dressing over the IV

Turn off the IV infusion pump and damp the y tubing

Answer and Explanation

The Correct Answer is E,D,C,B,A

E: The first step is to turn off the IV infusion pump and clamp the IV tubing to prevent air from entering the line and to stop the flow of medication or fluids.

D: Next, allowing the preschooler to assist with removing the transparent dressing can help in reducing anxiety and providing a sense of control, which is important for a child's emotional well-being during medical procedures.

B: Applying firm pressure at the IV site after the catheter is removed helps to prevent bleeding and ensures the closure of the venipuncture site.

C: Removing the IV catheter while keeping the catheter hub parallel to the insertion site minimizes discomfort and the risk of damaging the vein.

A: Finally, inspecting the IV catheter tip after removal is essential to ensure that the entire catheter has been removed and that no part has been left in the vein.

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Correct Answer is B

Explanation

A. An oral imaging device is not typically needed for the care of a client with bacterial meningitis. This device is used for examining the oral cavity and throat and is not specific to the care of meningitis.
B. Seizure pads should be placed in the client's room because bacterial meningitis can lead to seizures as a complication. Seizure pads are placed under the client during a seizure to protect them from injury due to falls or thrashing movements.
C. Sterile gloves may be necessary for certain procedures or when providing direct care to the client with bacterial meningitis, but they are not specific to the care of this condition. They should be readily available in the room for use as needed.
D. A tongue blade is not necessary for the care of a client with bacterial meningitis. Tongue blades are used for oral examination and to depress the tongue during certain medical procedures, but they are not specific to the care of meningitis.

A. "You can use an adhesive remover when changing the colostomy skin barrier." B. "You should scrub the skin around the colostomy when cleaning." C. "You will need a device to suction stool from the colostomy bag." D. "You should empty the colostomy bag when it is three-fourths full."

Correct Answer is A

Explanation

A. Using an adhesive remover can help safely and effectively remove the adhesive residue from the skin without causing irritation or damage.
B. Scrubbing the skin around the colostomy can cause skin irritation and increase the risk of skin breakdown. Gentle cleaning with warm water and mild soap is recommended.
C. Most colostomy bags do not require suctioning of stool, as they are designed to collect fecal matter without the need for suctioning.
D. It is generally recommended to empty the colostomy bag when it is about one-third to one- half full to prevent leakage and maintain skin integrity.

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A nurse is preparing to remove a peripheral IV for a preschooler. In which order should the nurse complete the following steps? (Move the steps into the box on the right, placing them in the order of performance. Use all the steps.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is preparing to admit a client who has bacterial meningitis. Which of the following items should the nurse place in the client's room?

Correct Answer is B

Explanation

A nurse is reinforcing teaching with a client about caring for a new colostomy. Which of the following statements should the nurse make?

Correct Answer is A

Explanation

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