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."

Answer and Explanation

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.

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Correct Answer is C

Explanation

A. The correct actions to take include staying with the client for the first 15-30 minutes after starting the transfusion, not just the first 10 minutes, to monitor for any adverse reactions.
B. It is also crucial to use 0.9% sodium chloride solution, not 5% dextrose in water, to flush the transfusion tubing.
C. It is a standard practice to have two nurses check the blood unit label to verify the correct blood type and compatibility before administration.
D. The transfusion should not be rushed over 1 hour; instead, it should be administered over a period of 2-4 hours, depending on the patient's condition and the volume of PRBCs to be transfused.

A. Obesity only affects the risk of surgical complications in certain surgical procedures. B. Obesity has no impact on surgical risk. C. Obesity decreases the risk of surgical complications. D. Obesity increases the risk of surgical complications.

Correct Answer is D

Explanation

A. Obesity does not selectively affect only certain types of surgical procedures; rather, it generally increases the risk of complications across a wide range of surgical interventions. This includes both elective and emergency surgeries.
B. Obesity significantly impacts surgical risk. It is associated with a higher likelihood of complications such as wound infections, delayed wound healing, respiratory problems, and cardiovascular issues. The presence of excess body fat affects multiple physiological systems and can complicate both the surgical procedure and recovery.
C. Obesity does not decrease the risk of surgical complications; rather, it increases it. The excess body fat associated with obesity can lead to problems such as impaired wound healing, increased risk of infection, cardiovascular strain, and respiratory issues, which all contribute to a higher risk of complications during and after surgery.
D. This statement accurately reflects the relationship between obesity and surgical risk. Obesity is associated with an increased risk of a variety of surgical complications.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is planning to administer a unit of PRBCS for a client. Which of the following actions should the nurse plan to take?

Correct Answer is C

Explanation

Which of the following statements accurately reflects the relationship between obesity and surgical risk?

Correct Answer is D

Explanation

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