When performing an IV insertion on an adult, which actions will the nurse take? (Select all that apply)

Check for contraindications to the extremity.

Start proximally and move distally on the arm.

Choose a vein with minimal curvature.

Choose the dominant arm.

Avoid areas of flexion.

Answer and Explanation

Correct Answer : A,C,E

Choice A reason: Checking contraindications (e.g., mastectomy, lymphedema, or fistula) prevents complications like infection or swelling. Using an inappropriate extremity risks impaired lymphatic or vascular function, compromising patient safety during IV therapy.
Choice B reason: Starting distally and moving proximally is standard to preserve proximal veins for future use. Starting proximally may limit future access sites, increasing the risk of complications if distal veins are compromised.
Choice C reason: A vein with minimal curvature reduces the risk of catheter kinking or vessel trauma. Straight veins allow smoother catheter advancement, ensuring stable IV access and minimizing infiltration or dislodgement risks.
Choice D reason: Choosing the dominant arm is not standard, as it may limit patient mobility. The non-dominant arm is preferred unless contraindicated, to enhance comfort and reduce disruption during daily activities.
Choice E reason: Avoiding areas of flexion (e.g., elbow) prevents catheter dislodgement or kinking due to movement. Stable sites like the forearm ensure reliable IV access, reducing infiltration and improving therapy effectiveness.

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Correct Answer is D

Explanation

Choice A reason: Transparent dressings are designed to secure IV catheters, not cause dislodgement. They adhere firmly, reducing movement and maintaining catheter stability, which prevents complications like infiltration or accidental removal during therapy.
Choice B reason: Permeability to air does not prevent air embolus, which occurs from air entering the bloodstream via the catheter. Transparent dressings are semi-occlusive, allowing some air exchange but primarily preventing moisture and bacterial entry.
Choice C reason: Not all transparent dressings are hypoallergenic; some patients may have adhesive sensitivities. While many are designed to minimize reactions, their primary function is to protect the site and allow visualization, not guarantee hypoallergenicity.
Choice D reason: Transparent dressings are impermeable to moisture, preventing bacterial entry and infection while allowing visualization of the IV site. This enables nurses to monitor for signs of infiltration, infection, or dislodgement without removing the dressing.

A. Cleanse the preferred site with alcohol and let it dry completely before insertion. B. Ask everyone in the room to wear a surgical mask during the procedure. C. Plan to complete a sterile dressing change on the device every day. D. Use minimal client draping and barrier precautions, as blood loss is minimal.

Correct Answer is ["A","C"]

Explanation

Choice A reason: Cleansing with alcohol and allowing it to dry kills surface bacteria, reducing infection risk. Drying prevents residual alcohol from irritating skin or diluting the antiseptic effect, ensuring a sterile insertion site.
Choice B reason: Surgical masks are not routinely required for peripheral IV insertion, as the risk of airborne contamination is low. Standard sterile technique, including site cleansing and gloves, is sufficient to prevent bloodstream infections.
Choice C reason: Daily sterile dressing changes maintain a clean insertion site, preventing bacterial colonization. Transparent dressings allow monitoring while protecting against contamination, reducing the risk of catheter-related bloodstream infections in prolonged IV therapy.
Choice D reason: Minimal draping increases infection risk, as it fails to maintain a sterile field. Full barrier precautions, including drapes and gloves, are essential to prevent bacterial entry into the bloodstream during catheter insertion.

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When performing an IV insertion on an adult, which actions will the nurse take? (Select all that apply)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The most common dressing used to cover an IV site is a transparent dressing. This dressing:

Correct Answer is D

Explanation

Which interventions should the nurse include to prevent a catheter-related bloodstream infection? (Select all that apply)

Correct Answer is ["A","C"]

Explanation

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