Author Question: When performing a venipuncture, the nurse should: a. inject with the needle at a 45-degree angle. ... (Read 20 times)

jake · **on:** Jul 24, 2018

When performing a venipuncture, the nurse should:

a. inject with the needle at a 45-degree angle.
b. select a vein that is rigid and cordlike, and that rolls when palpated.
c. perform the needle insertion immediately after cleansing the skin with alcohol.
d. place the thumb of the nondominant hand about 1 inch below the site and pull the skin taut.

Question 2

When using a sequential compression device (SCD), the nurse should:

A. Apply powder to the client's skin if redness and itching are present
B. Leave a two-finger space between the client's leg and the compression stocking
C. Keep the client connected to the compression device when transferring in and out of bed
D. Remove the elastic stockings before putting on the sequential pneumatic compression stockings

aadams68 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

D
Place the thumb or forefinger of the nondominant hand 1 inch below the site and gently pull the skin taut. Stretch the skin down until the vein is stabilized. Hold a syringe and needle at a 15- to 30-degree angle from the patient's arm with the bevel up. Palpate for a firm vein that rebounds. Do not use veins that feel rigid or cordlike; a thrombosed vein is rigid, rolls easily, and is difficult to puncture. Allowing alcohol to dry completes its antimicrobial task and reduces the sting of venipuncture. Alcohol left on the skin can cause hemolysis of the sample.

Answer to Question 2

B
B. Check fit of SCD sleeves by placing two fingers between client's leg and sleeve.
A. Observe for signs, symptoms, and conditions that might contraindicate use of elastic stockings or SCD: elastic stockings and SCD sleeves may aggravate a skin condition or cause it to spread.
C. Remove SCD sleeves when transferring client in and out of bed to prevent injury.
D. If client is wearing elastic stockings, eliminate any wrinkles and folds before applying SCD sleeves.