A nurse is preparing to initiate IV antibiotic therapy for a newly admitted 12-month-old infant.
Which of the following actions should the nurse plan to take?
Cover the insertion site with an opaque dressing
Use a 24-gauge catheter to start the IV
Start the IV on the infant’s foot
Change the IV site every 3 days
The Correct Answer is B
Choice A rationale
Covering the insertion site with an opaque dressing is not typically recommended for infants. Transparent dressings are usually preferred because they allow for easy inspection of the site for signs of infection or complications.
Choice B rationale
Using a 24-gauge catheter to start the IV is the correct action. This size is appropriate for a 12-month-old infant and will cause the least amount of discomfort and trauma to the vein.
Choice C rationale
Starting the IV on the infant’s foot is not typically recommended. The hands and arms are usually preferred sites for IV insertion in infants.
Choice D rationale
Changing the IV site every 3 days is not typically necessary unless there are signs of complications such as infection or infiltration. Frequent site changes can cause unnecessary discomfort and trauma to the infant.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale
A creatinine level of 1.4 mg/dL is higher than the normal range and could indicate kidney damage, which is a known side effect of gentamicin. Therefore, the nurse should notify the healthcare provider.
Choice B rationale
A creatinine level of 0.3 mg/dL is within the normal range, so it would not typically be a cause for concern.
Choice C rationale
A BUN level of 12 is within the normal range, so it would not typically be a cause for concern.
Choice D rationale
A BUN level of 6 is within the normal range, so it would not typically be a cause for concern.
Correct Answer is A
Explanation
For a lumbar puncture, the child should be placed in the lateral position. This position allows for better access to the spinal canal, which is necessary for a lumbar puncture.
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