The nurse is preparing to initiate an IV on a 6-year-old with a ...

[asan beg]

The nurse is preparing to initiate an IV on a 6-year-old with a chronic condition when the child points to a vein in the left arm and says, This is a good vein that nurses often find easy to hit. The nurse will:
 
  1. Assess the vein indicated and attempt to cannulate it if acceptable.
  2. Initiate the IV in the indicated vein.
  3. Tell the child the nurse can best choose the proper vein.
  4. Thank the child for the information but make an independent choice.

Question 2

The nurse is caring for a client with a neurosensory disorder, and directs care toward the most important priority of:
 
  1. Minimizing complications.
  2. Maintaining airway and supporting breathing.
  3. Encouraging maximum independence.
  4. Repositioning to prevent alterations in skin integrity.

[frogdreck123456]

Answer to Question 1

1
Rationale: The nurse must take responsibility for assessing the vein to determine its condition, but if it appears acceptable, the nurse should take the child's advice, because children with chronic conditions often learn to manage their illness with varying degrees of independence, and might be well accustomed with the process of starting an IV.

Answer to Question 2

2
Rationale: All of these focuses of care are important, but the greatest priority, according to the ABCs of nursing, is maintaining airway and supporting breathing. Damage to vital areas of the brain can result in reduced respiratory stimulation, so apnea is a very real possibility.