Author Question: A nurse is removing an arterial line from a patient's radial artery. What actions by the nurse are ... (Read 55 times)

rachel9 · **on:** Jun 28, 2018

A nurse is removing an arterial line from a patient's radial artery. What actions by the nurse are most appropriate after the line is removed? (Select all that apply.)

A.
Apply pressure for at least 5 minutes.
B.
Assess perfusion distal to the site.
C.
Monitor the patient for bleeding.
D.
Place a clean dressing over the site.
E.
Secure the insertion site with Steri-Strips.

Question 2

A registered nurse working with a student nurse explains problems that can cause ventilator alarms. Which patient problems does the nurse include? (Select all that apply.)

A.
Asynchronous breathing
B.
Biting the endotracheal tube
C.
Copious secretions obstructing the tube
D.
Coughing and gagging
E.
Kinking of the ventilator tubes

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

Answer to Question 1

ANS: A, B, C
After removing the invasive device, pressure is held for at least 5 minutes, and up to 20 minutes, at the femoral site. Perfusion distal to the insertion site must be assessed, including for warmth, sensation, movement, color, pulse, and capillary refill time. The patient should be monitored for bleeding. The dressing should be sterile, and Steri-Strips are not routinely needed.

Answer to Question 2

ANS: A, B, C, D
Asynchronous breathing, biting the tube, secretions, and coughing and gagging are all patient-related problems that lead to ventilator alarms. Kinked tubing is a ventilator problem.