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Author Question: After the over-the-needle catheter (ONC) has been inserted through the skin and into the vein, the ... (Read 113 times)

schs14

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on: Jul 23, 2018
After the over-the-needle catheter (ONC) has been inserted through the skin and into the vein, the first action by the nurse is to:
 
  A. Loosen the stylet for removal
  B. Check for blood return in the flashback chamber
  C. Stabilize the catheter and release the tourniquet
  D. Advance the catheter until the hub rests at the insertion site

Question 2

When preparing for IV insertion, the nurse:
 
  A. Shaves the hair from the site
  B. Selects a proximal site in an extremity
  C. Applies a tourniquet 4 to 6 inches above the selected site
  D. Vigorously taps and massages the selected vein


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kristenb95

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Reply #1 on: Jul 23, 2018
Answer to Question 1

B
B. Step 13. Observe for blood return through flashback chamber of catheter, or tubing of winged cannula, indicating that bevel of needle has entered vein. Lower needle until almost flush with skin. Advance catheter another 1/8 to  inch into vein and then on ONC loosen stylet. Continue to hold skin taut and advance catheter into vein until hub rests at venipuncture site. Do not reinsert the stylet once it is loosened. Advance the safety device by using push-off tab to thread the catheter. Advance winged cannula until hub rests at venipuncture site.
A. Step 13. Observe for blood return through flashback chamber of catheter, or tubing of winged cannula, indicating that bevel of needle has entered vein. Lower needle until almost flush with skin. Advance catheter another 1/8 to  inch into vein and then on ONC loosen stylet. Continue to hold skin taut and advance catheter into vein until hub rests at venipuncture site. Do not reinsert the stylet once it is loosened. Advance the safety device by using push-off tab to thread the catheter. Advance winged cannula until hub rests at venipuncture site
C. Step 14. Stabilize cannula with one hand, and release tourniquet with other
D. Step 13. Observe for blood return through flashback chamber of catheter, or tubing of winged cannula, indicating that bevel of needle has entered vein. Lower needle until almost flush with skin. Advance catheter another 1/8 to  inch into vein and then on ONC loosen stylet. Continue to hold skin taut and advance catheter into vein until hub rests at venipuncture site. Do not reinsert the stylet once it is loosened. Advance the safety device by using push-off tab to thread the catheter. Advance winged cannula until hub rests at venipuncture site.

Answer to Question 2

C
C. Apply flat tourniquet around arm, above antecubital fossa or 4 to 6 in (10 to 15 cm) above proposed insertion site.
A. Do not shave area. Shaving may cause microabrasions and predispose to infection.
B. Use the most distal site in the nondominant arm, if possible.
D. Vigorous friction and multiple tapping of the veins, especially in older adults, may cause hematoma and/or venous constriction.


schs14

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Reply #2 on: Jul 23, 2018
Thank you!


kristenb95

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Reply #3 on: Jul 23, 2018
Always glad to help...


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