Author Question: The nurse is selecting a site to begin an intravenous infusion on a 2-year-old child. The ... (Read 42 times)

cartlidgeashley · **on:** Jun 28, 2018

The nurse is selecting a site to begin an intravenous infusion on a 2-year-old child. The superficial veins on his hand and arm are not readily visible. What intervention should increase the visibility of these veins?

a. Gently tap over the site.
b. Apply a cold compress to the site.
c. Raise the extremity above the level of the body.
d. Use a rubber band as a tourniquet for 5 minutes.

Question 2

What is an approximate method of estimating output for a child who is not toilet trained?

a. Have parents estimate output.
b. Weigh diapers after each void.
c. Place a urine collection device on the child.
d. Have the child sit on a potty chair 30 minutes after eating.

nothere · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: A
Gently tapping the site can sometimes cause the veins to be more visible. This is done before the skin is prepared. Warm compresses (not cold) may be useful. The extremity is held in a dependent position. A tourniquet may be helpful, but if too tight, it could cause the vein to burst when punctured. Five minutes is too long.

Answer to Question 2

ANS: B
Weighing diapers will provide an estimate of urinary output. Each 1 g of weight is equivalent to 1 ml of urine. Having parents estimate output would be inaccurate. It is difficult to estimate how much fluid is in a diaper. The urine collection device would irritate the child's skin. It would be difficult for a toddler who is not toilet trained to sit on a potty chair 30 minutes after eating.