The charge nurse observes a new nurse preparing to insert an intravenous (IV) catheter. The new nurse has gathered supplies, including intravenous catheters, an intravenous insertion kit, and a 4x4 sterile gauze dressing to cover and secure the insertion site. Which action should the charge nurse take?
Plan to observe the secured IV site after the insertion procedure.
Remind the nurse to tape the gauze dressing securely in place.
Confirm that the nurse has gathered the necessary supplies.
Instruct the nurse to use a transparent dressing over the site.
The Correct Answer is D
A. Plan to observe the secured IV site after the insertion procedure.
This is a proactive step, but it does not address the immediate need to correct the new nurse’s choice of dressing.
B. Remind the nurse to tape the gauze dressing securely in place.
While securing the dressing is important, it is not the best practice to use a gauze dressing for IV sites as it obscures the view of the insertion site.
C. Confirm that the nurse has gathered the necessary supplies.
Confirming supplies is important, but this does not address the incorrect dressing choice.
D. Instruct the nurse to use a transparent dressing over the site.
This is the correct answer because a transparent dressing allows for continuous visual inspection of the IV site for signs of infection or infiltration, which is crucial for patient safety.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["1.8"]
Explanation
Steps to solve:
- Convert the client's weight from pounds to kilograms:
- Weight (kg) = Weight (pounds) / 2.20462
- Weight (kg) = 132 pounds / 2.20462 ≈ 59.87 kg (round to nearest tenth for medication calculation)
- Calculate the total dantrolene dosage based on the prescribed dosage per kilogram:
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- Dosage (mg) = Weight (kg) x Dosage per kg
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- Dosage (mg) = 59.87 kg x 1.5 mg/kg
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- Dosage (mg) ≈ 89.8 (round to nearest tenth)
- Determine the concentration of dantrolene after reconstitution:
- Concentration = 50 mg/mL (given on the vial label)
- Calculate the volume of the solution to administer:
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- Volume (mL) = Dosage (mg) / Concentration (mg/mL)
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- Volume (mL) = 89.8 mg / 50 mg/mL
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- Volume (mL) ≈ 1.79 mL (round to one decimal place)= 1.8mL
Correct Answer is ["A","C","F","G"]
Explanation
A. Humidifier bottle
Rationale: A humidifier bottle is often used with oxygen therapy to add moisture to the oxygen, preventing dryness of the nasal passages and throat. It is important for patient comfort, especially when oxygen is administered at higher flow rates for prolonged periods.
B. Lamb's wool
Rationale: Lamb's wool is not needed for starting oxygen therapy. It is typically used to provide padding and comfort in other situations, such as preventing pressure sores, but it has no role in the administration of oxygen.
C. Flowmeter
Rationale: A flowmeter is necessary to regulate the flow rate of oxygen. It ensures that the client receives the prescribed amount of oxygen (3 L/minute in this case), making it an essential component for administering oxygen therapy.
D. Tape
Rationale: Tape is not required for administering oxygen via a nasal cannula. It might be used to secure tubing in other contexts, but it is not specifically needed for starting oxygen therapy. The nasal cannula usually stays in place without the need for tape.
E. Suction cannister
Rationale: A suction canister is used in suctioning procedures to collect secretions and is not needed for starting oxygen therapy. It is relevant for managing airway secretions but unrelated to the administration of oxygen.
F. Nasal cannula
Rationale: A nasal cannula is the device through which oxygen is delivered to the client. It is specifically mentioned in the order and is essential for administering the oxygen.
G. Sterile water
Rationale: Sterile water is used to fill the humidifier bottle to provide humidified oxygen. This helps to prevent the drying effects of oxygen therapy on the mucous membranes, enhancing patient comfort.
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