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
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Incorrect. While limiting sodium intake is important for overall health, it is not typically emphasized specifically during pregnancy unless there are specific medical indications.
B. Incorrect. While fiber is important for digestive health, the focus during pregnancy is usually on ensuring an adequate intake of nutrients like iron, calcium, and folate.
C. Incorrect. While staying hydrated is important during pregnancy, there is no specific recommendation for a set number of glasses of fluids per day. Fluid needs can vary depending on factors such as activity level, climate, and individual health status.
D. Correct. Adequate calcium intake is crucial during pregnancy for the development of the baby's bones and teeth. The recommended daily intake of calcium for adolescents during pregnancy is 1,300 milligrams.
Correct Answer is A
Explanation
A. This is the correct answer. Flushing the tubing with water after medication administration ensures that the medication reaches the stomach and prevents any residue from remaining in the tubing.
B. Clamping the tubing is not typically necessary after medication administration and may impede the flow of subsequent medications or enteral feedings.
C. While checking the patency of the tubing is important before medication administration, it is not specifically performed after administering the medication.
D. Aspirating the tubing after medication administration is not necessary and may disrupt the delivery of the medication into the stomach.
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