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 C
Explanation
A. While important for overall patient assessment, it's not the most direct way to monitor for a wound infection.
B. Pain can indicate a wound infection, but it's not as specific as directly inspecting the wound.
C. This is the most direct way to assess for early signs of a wound infection. Redness, swelling, warmth, and drainage are classic signs of infection.
D. Important for overall patient care, but not specifically related to wound infection prevention.
Correct Answer is ["675"]
Explanation
1 kilogram is approximately 2.2 pounds.
The client weighs 198 pounds, which is equivalent to about 90 kilograms (198 lb / 2.2).
Next, multiply the client's weight in kilograms by the dosage prescribed, which is 15 mg/kg/day. This results in a total daily dosage of 1350 mg (90 kg * 15 mg/kg). Since the medication is to be administered every 12 hours, divide the total daily dosage by 2 to get the amount for each dose. Therefore, the nurse should administer 675 mg every 12 hours.
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