Author Question: The nurse initiating IV therapy is preparing a solution to which potassium chloride has been added. ... (Read 88 times)

corkyiscool3328 · **on:** Jun 25, 2018

The nurse initiating IV therapy is preparing a solution to which potassium chloride has been added. After adding the medication, which action by the nurse regarding the IV label is appropriate?

1. Writing the time the IV solution needs to be changed
2. Placing it upside-down on the container
3. Putting it around the IV tubing
4. Documenting the size of the angiocatheter inserted to obtain IV access

Question 2

The nurse is performing venipuncture to initiate IV therapy. The venipuncture site is chosen based on which indicators? Select all that apply.

1. Using the client's dominant arm, whenever possible
2. Choosing a relatively straight vein
3. Avoiding sclerotic veins
4. Looking for a site sufficiently distal to joints
5. Choosing a vein that is visible in addition to palpable

sultana.d · **Reply #1 on:** Jun 25, 2018

Answer to Question 1

Correct Answer: 2

The label should be applied upside-down so it can be read when the IV bag is hung upside-down from the IV pole. The time the solution needs to be changed would be indicated with a time label to indicate when the solution was hung. A label indicating when the IV tubing needs to be changed would be applied around the tubing, not the medication label. The size of the angiocatheter should be documented, but it would not be written on the medication label.

Answer to Question 2

Correct Answer: 2,3,4

The nurse should choose a vein that is straight and not sclerotic. Sclerotic veins make it difficult to obtain and maintain IV therapy. Straight veins provide space for the catheter to be inserted easily. The site should be sufficiently distal to the wrist or elbow joint to avoid bending or kinking of the IV catheter. It is best, when possible, to use the client's nondominant arm, because movement might be somewhat limited, so the client should be allowed to use the dominant arm. Some clients, especially dark-skinned people, might not have easily visible veins, so the veins should be palpable even if not visible.