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 A
Explanation
A. Identify the client using two identifiers:
This is the correct answer. Before administering any medication, especially controlled substances, it is crucial to positively identify the client using two identifiers (e.g., name, date of birth, or medical record number). This helps prevent medication errors.
B. Remove the medication from the medication dispensing cabinet:
While removing the medication from the dispensing cabinet is part of the administration process, it should occur after confirming the client's identity to ensure the right medication is being given to the right person.
C. Compare the amount of medication available to the inventory record:
Checking the medication inventory is an important step in overall medication management, but it is not the first action when planning to administer a controlled substance.
D. Document the administration of the medication:
Documentation is an essential part of the medication administration process, but it should occur after the medication has been given, not as the first action.
Correct Answer is D
Explanation
A. Withhold the medication: An INR of 2.5 is generally within the therapeutic range for many conditions, including atrial fibrillation. Withholding the medication might lead to a decreased INR, potentially increasing the risk of clotting.
B. Decrease the dose of the medication: If the INR is above the therapeutic range (usually 2.0-3.0 for atrial fibrillation), the provider might consider decreasing the dose. However, an INR of 2.5 is within the typical therapeutic range, so a decrease in dose might not be warranted.
C. Increase the dose of the medication: An INR of 2.5 is generally within the therapeutic range for many conditions. Increasing the dose in this situation could elevate the INR further, potentially leading to an increased risk of bleeding.
D. Administer the current dose of the medication: Since the INR is within the therapeutic range, the nurse should expect the provider to maintain the current dose of warfarin. Adjustments to the dose might be considered if the INR deviates significantly from the target range.
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