A nurse is caring for a client who has a peripheral IV catheter and a prescription for IV fluid replacement. The nurse should cover the Insertion site with which of the following types of dressing?
Transparent membrane dressing
Hydrocolloid dressing
Sterile gauze bandage
Adhesive bandage
The Correct Answer is A
A. Transparent membrane dressing:
This is the correct answer. Transparent dressings are commonly used to cover peripheral IV catheter insertion sites. They provide a clear view of the site, allow for easy monitoring, and create a barrier against contamination while maintaining a moist environment.
B. Hydrocolloid dressing:
Hydrocolloid dressings are generally used for wounds with minimal exudate. They are not typically used for securing peripheral IV catheters.
C. Sterile gauze bandage:
Sterile gauze bandages may be used for specific types of wounds but are not the preferred choice for covering peripheral IV catheter sites. Gauze dressings may increase the risk of contamination and do not provide a clear view of the site.
D. Adhesive bandage:
Adhesive bandages (commonly known as band-aids) are not suitable for covering peripheral IV catheter sites. They are typically used for small wounds or cuts.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. Hypomagnesemia: While exercise can cause some magnesium loss through sweat, lithium is not specifically associated with magnesium imbalance. The primary concern in this scenario is related to sodium levels due to the impact of both exercise and lithium.
B. Hypokalemia: Exercise might also lead to potassium loss through sweat. However, potassium levels are not specifically affected by lithium in the same way as sodium levels. Hyponatremia is a more significant concern in this context.
C. Hyponatremia: Exercise-induced sodium loss compounded with lithium's potential to disrupt sodium balance increases the risk of hyponatremia. It's essential to monitor sodium levels in individuals on lithium who start new exercise programs.
D. Hypocalcemia: Exercise itself doesn't directly lead to significant calcium imbalances. Additionally, lithium is not associated with disturbances in calcium levels to the extent that it is with sodium levels.
Correct Answer is D
Explanation
A. Dominant antecubital basilic vein:
While the basilic vein in the antecubital area is a suitable site, the nondominant arm is generally preferred when possible to minimize interference with the client's activities.
B. Nondominant dorsal venous arch:
The dorsal venous arch, located on the back of the hand or wrist, is a common site for peripheral IV catheter placement. It is preferred over other sites like the antecubital area due to lower risks of complications such as phlebitis and infiltration. Additionally, using the nondominant hand reduces interference with daily activities.
C. Dominant distal dorsal vein:
The dorsal veins are generally not the first choice for peripheral IV catheter placement due to the potential for complications such as infiltration.
D. Nondominant forearm basilic vein:
Nondominant forearm basilic vein: The basilic vein in the nondominant forearm is often a suitable site for peripheral IV catheter placement. The nondominant arm is preferred when feasible to minimize disruption of activities for the client. However, its preferred to start the IV infusion distally to provide the option of proceeding up the extremity if the vein is ruptured or infiltration occurs; if infiltration occurs from the antecubital vein, the lower veins in the same arm usually should not be used for further puncture sites.
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