A nurse is preparing to insert an IV catheter for an adult client.

Which of the following actions should the nurse take?

Choose the most proximal site on the extremity selected.

Apply a cool compress for several minutes before insertion of the IV catheter.

Place the tourniquet below the proposed insertion site.

Place the extremity in a dependent position.

Answer and Explanation

The Correct Answer is D

The nurse should place the extremity in a dependent position before inserting an IV catheter.
This helps to dilate the veins and make them more visible and easier to access.

Choice A is wrong because the nurse should choose a site that is distal to the most proximal site on the extremity selected.
This helps to preserve more proximal sites for future use if needed.
Choice B is wrong because applying a cool compress before insertion of an IV catheter can cause vasoconstriction and make it more difficult to access the vein.
Instead, a warm compress can be applied to help dilate the veins.
Choice C is wrong because the tourniquet should be placed above, not below, the proposed insertion site to help dilate the vein and make it easier to access.

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Correct Answer is A

Explanation

A. This is appropriate and necessary prior to the procedure. Bowel prep may include laxatives or enemas the evening before and possibly the morning of the procedure.

A. "I will wear an N95 respirator mask when caring for the client.". B. "I will place the client in a private room.". C. "I will remove my gown before my gloves after providing client care.". D. "I will tell the client's visitors to wear a mask when they are within 3 feet of the client.".

Correct Answer is B

Explanation

A client with MRSA infection should be placed in a private room to prevent the spread of infection.

Choice A is wrong because an N95 respirator mask is not necessary when caring for a client with an MRSA infection.
Choice C is wrong because the proper sequence for removing personal protective equipment is to remove gloves first, then the gown.
Choice D is wrong because visitors do not need to wear a mask when they are within 3 feet of the client with an MRSA infection.

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A nurse is preparing to insert an IV catheter for an adult client. Which of the following actions should the nurse take?

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A nurse is preparing to insert an IV catheter for an adult client.

Which of the following actions should the nurse take?