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concept of nursing 2
maintenance of IV therapy 4
| Question | Answer |
|---|---|
| Identify the situations in which a peripheral intravneous (IV) line dressing requires changing. | -The patient's IV dressing got wet during bathing. -There is blood underneath the transparent dressing from movement of the catheter. |
| A nursing instructor is assisting a student nurse to change the peripheral IV dressing on a patient. Which action, if made by the nursing student, indicates further teaching is necessary? | -After completing the dressing change, the student nurse documents in the patient's chart the presence of swelling, coolness, blanching, and complaints of pain at the insertion site. |
| -- | -The student nurse cleans the site with a povidone-iodine swab in a concentric circle and immediately applies a new dressing to protect against infection. |
| -- | - The student nurse applies sterile gloves and removes the old dressing, being careful to avoid dislodging the catheter. |
| Which of the following indicate that the infusion needs to be temporarily discontinued, the catheter removed, and the IV relocated? | - Insertion site is pale, cool to touch, and extremity edematous. -Small amount of purulent drainage is at insertion site; redness is noted. |
| What is the rationale for avoiding taping over the connection of the tubing to the hub? | - Access to the catheter hub is needed when changing tubing. |
| The nurse checks the identity of the patient, performs hand hygiene, and applies clean gloves. The nurse removes the old dressing, cleans the site with CHG solution in a back-and-forth motion, and allows the site to dry. | -- |
| The nurse applies a new manufactured catheter stabilization device, applies a transparent dressing, secures the tubing with tape, and labels the dressing with date and time of dressing change. | -- |
| The nurse discards used equipment and performs hand hygiene. The student nurse observing the nurse change the peripheral IV dressing correctly identifies actions the nurse should have performed. | -- |
| The student nurse is correct in identifying which two actions? | - How the dressing was labeled. -To stabilize the catheter when removing the old dressing. |
Created by:
Lightnning54
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