Question

A nurse is inserting an IV catheter for a client who requires fluid replacement. Which of...

A nurse is inserting an IV catheter for a client who requires fluid replacement. Which of the following actions should the nurse take?

a. Apply the tourniquet 15cm (6 in) above the insertion site

b. Check for pulsation at sited proximal to the tourniquet

c. Anchor the vein by stretching the skin 2.5 cm (1 in) proximal to the insertion site

d. Wipe the skin dry before inserting the catheter

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Answer #1

Correct option is A - Apply tourniquet 15 cm above insertion site

Because it is recommended to place tourniquet 4 to 6 inches above the desired site

Other options are incorrect because option b is about checking pulsation proximal to tourniquet though it should be checked after removing tourniquet

Option c is also incorrect as it is directed to anchor vein in distal non dominant site not proximal.

Option d is also incorrect because it is recommended to use antiseptic to air dry and not to wipe or blot.

Thus Correct option is A

PLEASE UPVOTE IF YOU FIND IT SATISFACTORY. COMMENT IF ANY DOUBT.

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