A child has a central venous access device for intravenous (IV) ...

[asan beg]

A child has a central venous access device for intravenous (IV) fluid administration. A blood sample is needed for a complete blood count, hemogram, and electrolytes. What is the appropriate procedure to implement for this blood sample?
 
  a. Perform a new venipuncture to obtain the blood sample.
  b. Interrupt the IV fluid and withdraw the blood sample needed.
  c. Withdraw a blood sample equal to the amount of fluid in the device, discard, and then withdraw the sample needed.
  d. Flush the line and central venous device with saline and then aspirate the required amount of blood for the sample.

Question 2

A nurse must do a venipuncture on a 6-year-old child. What consideration is important in providing atraumatic care?
 
  a. Use an 18-gauge needle if possible.
  b. Show the child the equipment to be used before the procedure.
  c. If not successful after four attempts, have another nurse try.
  d. Restrain the child completely.

[deja]

Answer to Question 1

ANS: C
The blood specimen obtained must reflect the appropriate hemodilution of the blood and electrolyte concentration. The nurse needs to withdraw the amount of fluid that is in the device and discard it. The next sample will come from the child's circulating blood. With a central venous device, the trauma of a separate venipuncture can be avoided. The blood sample will be diluted with either the IV fluid being administered or the saline.

Answer to Question 2

ANS: B
To provide atraumatic care the child should be able to see the equipment to be used before the procedure begins. Use the smallest gauge needle that permits free flow of blood. A two-try-only policy is desirable, in which two operators each have only two attempts. If insertion is not successful after four punctures, alternative venous access should be considered. Restrain the child only as needed to perform the procedure safely; use therapeutic hugging.

[asan beg]

Thank you

[deja]

Happy to help you