Intravenous Therapy: Lesson 4 Post-Test |6 Questions| With Correct Answers.

The student nurse is watching the staff nurse discontinue a peripheral IV. The staff nurse removes the catheter and then looks at it. The student asks the nurse what she is looking for. What would be a correct response? "I'm noting the gauge of the catheter so I can document removal accurately." "I am inspecting the catheter for intactness." "To see if there is exudate at the catheter tip." "To see if there is any clot formation on the tip." {Ans: "I am inspecting the catheter for intactness." Clot formation may be an indication for discontinuing an IV, but the primary reason for observing the catheter tip is to determine that it is intact. The tip of the catheter can break off, causing an embolus and an emergency situation. The gauge size should be written on the dressing and recorded in the nurse's notes. Signs of infection may be an indication for discontinuing an IV.}Match the appropriate nursing intervention to the unexpected outcome. Hematoma formation Site is reddened and tender Catheter tip is broken off Notify health care provider immediately because this is an emergency situation. Discontinue IV site and notify health care provider. May apply warm moist pack.