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NUR 337 Midterm Exam With Complete Solutions
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NUR 337 Midterm Exam With Complete Solutions
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NUR 337 Midterm Exam With CompleteSolutions
Should cyou cshave cor cclip chair cof can cIV csite cbefore cstarting can cIV? c- ccorrect
canswers✔✔Clip! cShaving cthe chair cmay ccause ctiny cabrasions cwhich ccould cincrease
cthe crisk cfor cinfection.
Which canatomical cpart cshould cbe cavoided cin cthe celderly cwhen cstarting can cIV? c-
ccorrect canswers✔✔The cdorsal cpart cof cthe chand cbecause cthe cveins care
csusceptible cto cdamage cand cthe chand ccan cbe cbumped ceasily.
What cmay cbe cused cinstead cof ca ctourniquet cwith cthe celderly? c- ccorrect
canswers✔✔Blood cpressure ccuff
An cadult cpatient cdeveloped ca ccomplication cwith chis cIV cand cit chad cto cbe cremoved,
cyet ccontinued cIV cfluids cwere cneeded. cWhich csite cwould cbe cmost cappropriate cfor
cthe cnurse cto cchoose?
c
a. cProximal cto cthe cprevious cIV csite.
b. cDistal cto cthe cprevious cIV csite.
c. cIn cthe cantecubital cfossa.
d. cIn cthe cfoot. c- ccorrect canswers✔✔A c(The cmost cappropriate csite cwould cbe
cproximal cto cthe cprevious csite cor cin cthe copposite cextremity cif cpossible. cThe cfoot cin
can cadult cshould cbe cavoided. cHaving cthe cIV ccatheter clocated cin cthe cantecubital
cfossa cwould climit cthe cpatient's cmovement.)
List cthe csteps ctaken cto cinset ca cperipheral cintravenous cdevice. c- ccorrect
canswers✔✔1. cVerify corder con cpatient cchart, cunit cstanding corders/protocol. cReview
cfacility cpolicy.
2. cAssemble cequipment cincluding cthe cselection cof cthe cappropriate cgauge ccatheter c
3. cProvide cfor cprivacy. cPerform chand chygiene. c
4. cIntroduce cself cto cpatient/client. cIdentify cpatient/client cwith c2 cidentifiers c& cMRN.
cExplain cpurpose cand cprocedure cto cthe cpatient/client. cRaise cbed cto ca ccomfortable
cworking cheight. c
5. cOrganize cand cprepare cequipment cincluding cpriming cthe cextension cset cwith
csaline. cEnsure csterility cof cequipment. cPlace cnearby cin cthe csterile cpackage. c
6. cAdhere cto cprinciples cof casepsis cand cutilize cstandard cprecautions.
7. cInspect cpotential cinsertion csites cto cselect cvein. cBe caware cof cyour cparticular cpt.
c(their cage, cwhere cthey chave chad cprevious csuccessful cIV's cinserted, ccardiovascular
cdiseases cor cother ccomplicating cdiseases cthat cmay caffect cIV cinsertion).
, 8. cApply ctourniquet c2-6 cinches cabove cthe cselected csite cto cocclude cvenous cflow.
cLeave con cno cmore cthan cone cminute. cMay cremove cand cthen creapply cafter
ccleansing cthe cinsertion csite. cPrevent cvenospasm.
9. cDon cclean cgloves, capply ctape cto cglove cfor clater cuse, cand ccleanse cinsertion csite
cwith cantimicrobial cbarrier caccording cto cmanufacturer's cguidelines cfor chow cto cand
camount cof ctime cto ccleanse. cRefrain cfrom ctouching cthe ccleansed csite. cAllow cto cair
cdry caccording cto cagent cused. c(A cfacility cmay cstock c10% cpovidone-iodine cor c70 c%
calcohol, cor c2% caqueous cchlorhexedine cgluconate c(Chloraprep), cIf cchlorhexidine
ccleanse carea cwith crepeated cback-and-forth cstrokes cof cthe capplicator cfor c30 csecond
cand clet cdry cfor capproximately c2 cminutes.) cChlorhexidine creduces cthe cskin csurface
cbacteria. cAllowing cit cto cdry ccompletely cpromotes cmaximum cbactericidal
ceffectiveness.
10. cAnchor cvein cby cstretching cpatient's cskin cdistal cto cthe csite cwith cthumb cor
cforefinger cfar cenough caway c(1-2 cinches) cfrom cthe csite cso cthat cthe
At cwhat cangle cshould can cIV ccatheter cpuncture cthe cskin cand cvein cduring cinsertion
cin ca cmiddle-aged cadult?
a. c10- cto c30-degree cangle
b. c45-degree cangle
c. c90-degree cangle
d. c5- cto c10-degree cangle c- ccorrect canswers✔✔A c(The cskin cand cvein cshould cbe
cpunctured cwith cthe ccatheter cheld cat ca c10- cto c30-degree cangle. cThe cangle cof
cinsertion cmay cbe cdecreased cwhen cinserting cthe ccatheter cinto can celderly cpatient cto
cavoid crolling cthe cvein cor cpuncturing cthrough cthe cvein. cSuperficial cveins crequire ca
csmaller cangle, cand cdeeper cveins crequire ca cgreater cangle. cA c45-degree cangle cmay
cbe cused cfor cadministering ca csubcutaneous cinjection. cA c90-degree cangle cmay cbe
cused cto cadminister can cintramuscular cinjection.)
When cshould cthe ctourniquet cbe creleased ca csecond ctime cduring cthe cprocedure cfor
cinsertion cof ca cperipheral cintravenous cdevice?
c
a. cAfter cthe ccatheter cis csecured cwith ctape cor ca ctransparent cdressing
b. cImmediately cafter cthe ccatheter cpunctures cthe cskin
c. cImmediately cafter cobserving ca c"flashback" cof cblood cin cthe ccatheter
d. cAfter ca c"flashback" cof cblood cis cobserved cand cthe ccatheter chas cbeen cadvanced
coff cthe cstylet c- ccorrect canswers✔✔D c(The ctourniquet cis creleased cafter ca
c"flashback" cof cblood cis cobserved cin cthe ccatheter's cflashback cchamber cand cthe
ccatheter chas cbeen cadvanced coff cthe cstylet cuntil cthe ccatheter chub crests cat cthe
cvenipuncture csite. cReleasing cthe ctourniquet crestores cblood cflow cto cthe carm. cIf cthe
ctourniquet cis creleased ctoo csoon, cthe cvein cwill ccollapse, cmaking cinsertion cmore
cdifficult.)
The cnurse cis cpreparing can cIV cinfusion cprior cto cinitiating can cIV. cThe cnurse cremoves
cthe cprotective csheath ccovering cthe ctubing cinsertion cspike cand caccidentally ctouches
cthe cspike. cWhat cis cthe cnurse's cbest caction cat cthis ctime?
c
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