The nurse is preparing to replace a bag of IV fluids for a client ...

[rayancarla1]

The nurse is preparing to replace a bag of IV fluids for a client receiving fluid therapy. When as-sessing the client, the nurse notes that the IV solution is not dripping. Which of the following should the nurse do to assess the patency of the site?
 
  1. Lower IV container below level of IV site for presence of blood return.
  2. Use a large-volume syringe to apply negative pressure to achieve a blood return.
  3. Carefully adjust the roller clamp to see an increase in flow rate.
  4. Massage the client's arm proximal to where the catheter is inserted.

Question 2

A client has been hospitalized following a myocardial infarction. The client has an IV line run-ning with multiple drips.
 
  The nurse assesses the client's medical record to determine the last time the IV tubing was changed, because the nurse knows that the Centers for Disease Control and Prevention (CDC) recommends that IV tubing be changed:
  1. Every shift
  2. Daily
  3. Every 48 hours
  4. Every 72 hours

[deja]

Answer to Question 1

ANS: 3
The catheter may be lodged against the vein wall; allowing additional pressure from the bag of fluid to flow into the vein may float the catheter into the vein, allowing the instillation of fluids. Using a large-volume syringe could cause the vein to collapse, and massaging the client's arm could dislodge a clot, causing an embolus.

Answer to Question 2

ANS: 4
CDC and INS recommend tubing change no more often than 72-hour intervals or whenever tub-ing has been compromised. The more frequently a closed sterile system is opened, the more op-portunities there are for microorganisms to be introduced into the system.