When discontinuing a peripheral IV access, the nurse should do which of the following?
Withdraw the catheter before stopping the infusion.
Wear sterile gloves and a mask.
Apply pressure to the site for a minimum of 30 seconds.
Withdraw the catheter quickly.
The Correct Answer is D
Rationale:
A. The infusion should be stopped before withdrawing the catheter to prevent blood leakage.
B. Sterile gloves and a mask are not required; clean gloves are sufficient for IV removal.
C. Pressure should be applied for 2–3 minutes (longer if the patient is on anticoagulants), not just 30 seconds, to prevent bleeding or hematoma formation.
D. The catheter should be withdrawn quickly and smoothly to minimize discomfort and trauma to the vein.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Rationale:
A. 10–15 seconds; 3 passes is incorrect because 10–15 seconds refers to suctioning duration, not the rest period.
B. Waiting 1–3 minutes between passes allows the patient to reoxygenate and recover. No more than 3 suction passes are recommended to minimize hypoxia and mucosal trauma.
C. 10–15 seconds; 2 passes is incorrect because 10–15 seconds refers to suction time, and limiting to 2 passes is not standard practice.
D. 1–3 minutes; 2 passes is incorrect because up to 3 passes are safe when adequate oxygenation is provided.
Correct Answer is A
Explanation
Rationale:
A. A gastric aspirate pH of 7 is not consistent with normal gastric acidity (which is usually 1–4). A neutral pH may indicate that the NG tube is in the lungs or intestines. The nurse should anticipate a chest x-ray to verify placement before using the tube.
B. A pH of 7 is not expected for gastric contents and should not be accepted as normal.
C. Pulling back on the tube does not ensure correct placement and may still leave the tube malpositioned.
D. Advancing the tube without confirmation increases the risk of misplacement and potential complications.
Whether you are a student looking to ace your exams or a practicing nurse seeking to enhance your expertise , our nursing education contents will empower you with the confidence and competence to make a difference in the lives of patients and become a respected leader in the healthcare field.
Visit Naxlex, invest in your future and unlock endless possibilities with our unparalleled nursing education contents today
Report Wrong Answer on the Current Question
Do you disagree with the answer? If yes, what is your expected answer? Explain.
Kindly be descriptive with the issue you are facing.