Author Question: The nurse working in the Emergency Department is preparing to initiate an IV on a client who lost ... (Read 39 times)

charchew · **on:** Jul 22, 2018

The nurse working in the Emergency Department is preparing to initiate an IV on a client who lost several liters of blood in a trauma.

The nurse anticipates that the client will be receiving many liters of fluid and blood over the next 24 hours and will require IV access for at least a week. The client is a previously healthy 20-year-old male. What size and type of infusion device will the nurse use for this IV? 1. 16-gauge scalp needle (butterfly)
2. 22-gauge scalp needle (butterfly)
3. 14-gauge over-the-needle catheter
4. 18-gauge over-the-needle catheter

Question 2

The nurse anticipates certain psychosocial responses to pain from clients. The factors affecting a person's perceptions and reactions to pain include: Standard Text: Select all that apply.

1. Cultural background can affect pain threshold.
2. Cultural background can affect the level of pain that an individual is willing to tolerate.
3. Children are often undertreated for pain.
4. Education related to pain can affect the perceived quality of life for both clients and their caregivers.
5. Previous pain experiences influence a client's expectations for relief.

essyface1 · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

4
Rationale: The client who is anticipated to need blood and large volumes of fluids requires a large-bore over-the-needle catheter. 14-gauges would be too large for insertion into a peripheral vein, so the best choice is an 18-gauge. Scalp needles would not be chosen for large quantities of fluid and blood.

Answer to Question 2

2,3,4,5
Rationale: There appears to be little variation in pain threshold.