CRNE Exam Prep

Category - Changes in Health

A physician orders a medication to a client with fluid volume deficit. The medication is ordered to be administered through the intravenous route. Which of the following actions by the nurse is the least appropriate when inserting an intravenous line?
  1. Using sterile technique when inserting an intravenous line.
  2. Cleaning the skin using an inner to outer circular motion.
  3. Priming the tubing.
  4. Starting the intravenous infusion proximally.
Explanation
Answer: D - The nurse should first start the intravenous infusion distally. This technique provides an option of proceeding up the site of administration if the vein is ruptured or infiltrated. The other options are appropriate interventions. The intravenous dressing is usually changed every 72 hours. The IV tubing is usually changed every 24 to 72 hours.
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