Author Question: A nurse is to start an IV solution for a client. After cleansing the site selected, the nurse ... (Read 29 times)

Shelles · **on:** Jul 22, 2018

A nurse is to start an IV solution for a client. After cleansing the site selected, the nurse applies a tourniquet and inserts the IV catheter needle, but there is no blood return in the flashback chamber.

Which of these actions should the nurse take? a. Remove the catheter needle, and attempt reinsertion at another site within the cleansed area.
b. Remove the catheter needle, discard the catheter, select another site, and use a new IV catheter.
c. Move the catheter needle around in the selected vein until blood appears in the chamber.
d. Remove the catheter needle, bandage the area, and let the client rest for at least 30 minutes; then attempt reinsertion.

Question 2

When are labor clients urged to bear down?

a. between each contraction as soon as the cervix is completely effaced
b. between each contraction as soon as the membranes have ruptured
c. with each contraction as soon as engagement has occurred
d. with each contraction as soon as the cervix is completely dilated

jennafosdick · **Reply #1 on:** Jul 22, 2018

Answer to Question 1

B
When inserting the IV catheter needle, and there is no blood return in the flashback chamber, the nurse needs to remove the catheter needle, discard the catheter, select another site, and use a new IV catheter.

Answer to Question 2

D
The second stage of labor begins when the cervix is dilated 10 cm and ends with the birth of the baby. Clients are urged to bear down with each contraction as soon as the cervix is completely dilated.