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A newly hired nurse is preparing to remove a client's IV catheter. Which of the following actions should the nurse take?

A.

Ask an assistive personnel (AP) to verbalize the steps for removing an IV catheter.

B.

Research how to remove an IV catheter from the internet.

C.

Find an article in a nursing journal that is less than 5 years old on how to remove IV catheters.

D.

Review the facility's policies and procedures manual about removing IV catheters.

Answer and Explanation

The Correct Answer is D

A. While an assistive personnel (AP) might assist with some tasks, they are not typically responsible for providing detailed procedural guidance on medical tasks. The nurse should seek guidance from established protocols and trained professionals.

B. While online resources can be helpful, they might not reflect the specific protocols or best practices of the facility. It's crucial to follow the facility’s policies and procedures to ensure consistency and compliance with organizational standards.

C. While reviewing current literature is beneficial for understanding best practices, the most immediate and relevant source of information is the facility's own policies and procedures. These documents will reflect the specific protocols that the facility requires.

D. Reviewing the facility's policies and procedures manual ensures that the nurse follows the specific guidelines and standards set by the institution. This approach aligns with organizational requirements and helps ensure that the procedure is performed correctly and safely within the context of the facility’s protocols.


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Related Questions

Correct Answer is ["125"]

Explanation

To determine the mL/hr rate for the IV pump, we need to calculate the infusion rate of the

potassium chloride solution. Given:

Potassium chloride concentration: 40 mEq in 500 mL Infusion rate: 10 mEq/hr

We can set up a proportion to find the mL/hr rate:

(40 mEq / 500 mL) = (10 mEq / x mL) Cross-multiplying the equation:

40 mEq * x mL = 500 mL * 10 mEq Simplifying:

40x = 5000

Dividing both sides by 40:

x = 5000 / 40

x ≈ 125

Therefore, the nurse should set the IV pump to deliver approximately 125 mL/hr.

Correct Answer is ["56"]

Explanation

To calculate the infusion rate in gtt/min, we need to know the total number of drops (gtt) needed

for the entire infusion and the time it takes to complete the infusion. Given:

  • Ringer's lactate: 500 mL
  • Infusion time: 3 hours
  • Drop factor: 20 gtt/mL

First, let's calculate the total number of drops needed for the entire infusion: Total drops = Volume (mL) × Drop factor (gtt/mL)

Total drops = 500 mL × 20 gtt/mL Total drops = 10,000 gtt

Next, we need to determine the infusion rate in gtt/min. Since the infusion time is given in hours, we need to convert it to minutes:

Infusion time (min) = Infusion time (hours) × 60 min/hour Infusion time (min) = 3 hours × 60 min/hour

Infusion time (min) = 180 min

Now, we can calculate the infusion rate in gtt/min:

Infusion rate (gtt/min) = Total drops / Infusion time (min) Infusion rate (gtt/min) = 10,000 gtt / 180 min

Infusion rate (gtt/min) ≈ 55.6 gtt/min (Rounded off- 56 gtt/min)

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