During new employee orientation, a nurse is explaining how to prevent IV infections. Which of the following statements by an orientee indicates understanding of the preventive strategies?
"As long as I am working with the same client, I can use the same IV catheter for my second insertion attempt."
“I will replace any IV catheter when I suspect contamination during insertion."
“I will leave the IV catheter in place after the client completes the course of IV antibiotics."
“If my client needs to use the rest room, it would be safer to disconnect their IV infusion as long as I clean the injection port thoroughly with an antiseptic swab."
The Correct Answer is B
A. Using the same IV catheter for a second insertion attempt is not advisable. Once an IV catheter has been inserted, it should not be reused or reinserted in the same or a different site. If the initial insertion fails or if the catheter needs to be repositioned, a new sterile catheter should be used.
B. If there is any suspicion of contamination during the insertion of an IV catheter, it is important to replace the catheter to prevent infection. This is crucial for maintaining sterility and reducing the risk of introducing pathogens into the patient’s bloodstream.
C. The IV catheter should be removed once the course of IV antibiotics or any other IV therapy is completed, unless there is a specific medical reason to keep it in place. Leaving the catheter in place unnecessarily increases the risk of infection and other complications.
D. Disconnecting the IV infusion for a client to use the restroom is not typically recommended as a standard practice. Disconnecting can introduce risks of infection and requires thorough cleaning and handling. Instead, a safer practice is to secure the IV line and allow the client to use the restroom while keeping the infusion running, or use a specialized catheter with a secure, closed system.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. Lymphocytes are a type of white blood cell that plays a crucial role in the immune system, specifically in the response to infections and in immune regulation. They do not have a role in the transport of oxygen in the blood.
B. Neutrophils are another type of white blood cell that is essential for fighting bacterial infections. They are part of the body's immune response but do not transport oxygen.
C. Platelets are small cell fragments that are crucial for blood clotting and wound repair. They do not have a role in oxygen transport.
D. Hemoglobin is the primary molecule responsible for transporting oxygen in the blood. It is a protein found in red blood cells (erythrocytes) that binds to oxygen in the lungs and releases it in tissues throughout the body. Hemoglobin carries the majority of oxygen in the bloodstream and is essential for effective oxygen transport and delivery.
Correct Answer is A
Explanation
A. Decreased renal function is a common age-related change that can significantly increase postoperative complications, such as fluid and electrolyte imbalances, and medication toxicity.
B. Seasonal allergies are not specifically related to postoperative risks and can affect people of all ages.
C. Family history of cancer is a general health risk factor, not specifically postoperative.
D. Hypertension is a common chronic condition that can affect people of all ages and while it can increase postoperative risks, it's not specific to older adults.
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