A nurse is preparing to insert an iv catheter for a client. which of the following actions

Consider this in the IV cannulation procedure

When the best vein available is identified and right size of catheter is chosen, the next step is insertion. First-stick success is always the goal. Any additional attempt of insertion increases pain and stress for the patient, adds workload to the caregiver and costs to the healthcare system. Consider using a heating pad, with caution, to increase venous distension and make the veins more visible and accessible.

It is very important to observe the flashback of blood to know when the needle is in the vein. Flashback will be visible in the chamber connected to the needle as soon as the needle is in the vein. Always continue and insert an additional 1-2 millimetres to let the catheter, not only the needle tip, reach the inner lumen of the vein. Continue to insert only the catheter and carefully withdraw the needle at the same time. You will now see blood between the catheter and needle, the second flashback, which confirms that also the catheter is in the blood vessel.

When working with small babies, neonates or patients with small and fragile veins, it’s important to have an instant blood response. For this reason, with our smaller sizes (24 and 26 G) the needle is notched in a very precise way and place to facilitate blood flashback. This speeds up visual feedback, because blood immediately appears between the catheter and the needle in front of the wing housing.

As soon as the needle is out, you immediately need to close off the luer end of the IV catheter, either with the white cap that comes with the product, or with an extension line or needle free connector of your choice.
“Always fixate the IV catheter carefully to keep it in place and in a stable position. Use a transparent dressing over the insertion site to facilitate regular inspections. You might also need another layer of protection, such as tube or gauze, to further protect the IV catheter and minimise movements and vein irritation.”

Before any infusion or injection, it’s always important to confirm correct placement of the IV catheter and good flow. Flush the catheter with saline and ask the patient if he or she feels the cold coming up the vein. If it’s not a communicative patient, place your fingertips of your non-dominant hand (the one not holding the syringe) at the level of the catheter tip and feel the cold yourself. Also look for any swelling in the tissue.

After placing an IV catheter

Always flush the IV catheter with saline after each usage, to prevent from clotting of blood and be able to use the catheter as long as possible. Attaching an extension line is a common recommendation in guidelines. The extension line could possibly increase the indwell time of the IV catheter as it enables the medical staff to operate away from the catheter, minimising the risk of contamination and movements.
“Remember to fixate also the extension line to avoid getting caught with it hanging from the hand or arm. Be careful with the skin and place a piece of gauze underneath the end of the extension line with its stopcocks or needle free connectors. Always make it as comfortable as possible for the patient,” Pernilla says.

Avoid complications, follow our step-by-step guides:

How to place an IV catheter: CLiP Winged
How to place an IV catheter: CLiP Ported
How to place an IV catheter: CLiP Neo

ATI FUNDAMENTALS PROCTOR

1. A nurse is teaching an assistive personnel about a upper body mechanics to prevent injury. Which

of the following actions by the AP demonstrate an understanding of the teaching?

The AP extends his pelvis outward when reaching for an object.

The AP keeps the object he is lifting close to his body

The AP bends at the waist when lifting an object.

The AP relaxes his abdominal muscles when reaching for an object.

2. A nurse is assessing a client who is immobile and notices a red area over the client’s coccyx. Which

of the following actions should the nurse take?

Change the clients position every 4 hours

Apply petroleum base ointment in the red area

Assess the red area for blanching

Use friction when cleansing the client’s skin

3. A nurse is preparing to insert an IV catheter for a client following a right mastectomy. Which of the

following veins should the nurse select when initiating an IV therapy?

The radial vein on the left wrist

The cephalic vein in the left distal forearm

The basilic vein in the right antecubital fossa

The cephalic vein on the back of the right hand

4. A nurse is preparing to administer a medication into a client by the intradermal route after

applying gloves and cleaning the site with an antiseptic swab. In what order should the nurse take the

steps to administer the medication?(move steps into box 1- 4 priority)

1. Use a nondominated hand to stretch the skin

2. Insert the needle at an angle

3. inject the medication

4. Withdrawal the needle

5. Activate the needle safety device

5. A nurse is providing teaching to a client about colorectal cancer prevention guidelines. Which of

the following recommendations should the nurse include?

Intake of dietary fiber

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