A nurse is caring for a client who requires a peripheral IV insertion. When choosing the site, which of the following is an appropriate action for the nurse to take?
Choose a vein that is soft on palpation.
Select a vein in the client's dominant arm.
Select a site distal to previous venipuncture attempts.
Choose the most proximal vein in the extremity.
The Correct Answer is C
A. Choosing a vein that is soft on palpation may indicate it's not suitable for IV insertion. A vein with a slight bounce or resilience is preferable.
B. Selecting a vein in the client's dominant arm is not a primary consideration. Both arms are
usually suitable, and the choice depends on factors such as accessibility and patient preference.
C. Selecting a site distal to previous venipuncture attempts reduces the risk of complications such as infiltration or infection and allows for optimal vein preservation.
D. Choosing the most proximal vein in the extremity is not typically recommended for peripheral IV insertion. Veins more distal to the body are often preferred for initial attempts, with
consideration for vein integrity and accessibility.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Wrapping the finger in a warm cloth helps improve blood flow and can facilitate the blood sample collection.
B. Rubbing the fingertip with an alcohol pad cleans the site before the puncture.
C. Puncturing the side of the fingertip is less painful and avoids the pain receptors.
D. The nurse should intervene if the client elevates the finger above the level of the heart. Holding the finger below the level of the heart in a dependent position will help increase blood flow to the area and ensure an adequate specimen for collection.
Correct Answer is ["20"]
Explanation
To calculate the amount of carbamazepine oral suspension needed for each dose, divide the total daily dose by the concentration of the suspension and then by the number of doses per day.
- 800 mg / 20 mg/mL / 2 = 20 mL
The nurse should administer 20 mL of carbamazepine oral suspension with each dose.
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