Author Question: When attempting venipuncture, if applying a tourniquet fails to raise an appropriate vein, the nurse ... (Read 27 times)

Frost2351 · **on:** Jul 24, 2018

When attempting venipuncture, if applying a tourniquet fails to raise an appropriate vein, the nurse may try which of the following:

a. instruct client to open and close a fist.
b. tap the vein lightly.
c. have the health care provider do the venipuncture.
d. apply an ice pack to the site of the appropriate vein.

Question 2

When caring for a client receiving peripheral intravenous fluid infusion in the acute care setting, the nurse is responsible for routinely:

a. assessing for the 7 rights of medication administration.
b. evaluating effectiveness of IV therapy.
c. providing instructions for central venous catheter care at home.
d. assessing for complications of infusion.

nmyers · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: A, B

Feedback
Correct a & b are two appropriate nursing actions.
Incorrect c & d are not appropriate. In most health care facilities, the health care provider does not perform venipuncture. Applying an ice pack will constrict the vessel, making it not only harder to see, but also too small in diameter to attempt a venipuncture.

Answer to Question 2

ANS: A, B, D

Feedback
Correct a, b, & d are necessary nursing interventions.
Incorrect c. These instructions are given only the clients being discharged with a central venous catheter. This client is receiving peripheral infusion.